Facility Evaluation Report
Capacity6
Census5
Date signed02/25/2025 01:52:49 PM
Licensing Program Analyst (LPA) Evelin Rios made an unannounced case management- annual continuation to continue an Annual Required Visit that was started on 9/10/2024. LPA was granted entry by staff and met with the administrator shortly after. LPA explained the reason for this visit.
From 10:26 a.m. to 12:54 p.m. LPA continued with a review of resident and staff files.
From 1:27 p.m. to 1:50 p.m. LPA reviewed medication and medication documentation.
Exit Interview conducted. Copy of report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction