Facility Evaluation Report
Capacity6
Census5
Date signed02/28/2026 01:58:42 PM
Name of licensing program analystEvelin Rios
Name of licensing program managerMary G Flores
This report was created during the annual inspection to include the time the smoke detectors were tested:
LPA observed the administrator test smoke detectors at 1:45 PM and they were observed functioning properly.
Exit interview conducted. Copy of report provided to administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction