Facility Evaluation Report
Capacity6
Date signed10/09/2024 02:33:43 PM
At 12:25 PM, Licensing Program Analysts (LPA) Leslie Ngo-Castaneda conducted unannounced collateral visit to the facility in conjunction with a complaint control #31-AS-20241008114501 . LPA met with the staff and disclosed the reason for the visit.
The purpose of this collateral visit is to conduct an interview with one (1) resident and staffs for a complaint visit ( #31-AS-20241008114501 ). LPA also obtained copies of pertinent documents relevant to the complaint investigation.
Exit interview conducted and copy of this report signed and delivered.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction