Facility Evaluation Report
Capacity5
Census3
Date signed09/15/2025 11:30:29 AM
Name of licensing program analystGina Saucedo
Name of licensing program managerTroy Agard
On 09/15/25, at 9:15am, Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced case management visit at this facility for the purpose to ensure Health and Safety.
LPA met with Kevin Moscoso, Scheduling Coordinator and explained the purpose of the visit.
During this visit, LPA obtained the following information:
3. There were two (2) staff providing care and supervision.
No immediate health and safety issues observed. Exist interview conducted and a copy of this report was given to Kevin Moscoso, Scheduling Coordinator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction