Facility Evaluation Report
Capacity6
Census6
Date signed03/26/2024 04:50:57 PM
Licensing Program Analyst (LPA) Melissa Spaeth and Licensing Program Manager (LPM) Troy Agard conducted an unannounced visit regarding Complaint #31-AS-20220315122504. During the physical plant tour at 11:10 am, LPA Spaeth and LPM Agard observed a knife sitting out on the kitchen table.
The following deficiency was issued per CA code of Regulations, Title 22. See 9099-D included with this report.
The exit interview was conducted and the appeal rights were issued. A copy of the signed report was given.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction