Facility Evaluation Report

Forbes Home, Northridge04/30/2025Licence 197610252

Capacity4

Census3

Date signed04/30/2025 08:57:28 PM

Name of licensing program analystLeslie Ngo-Castaneda

Name of licensing program managerNichelle Gillyard

The inspector’s account

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda delivered, in person, an amended LIC 9099 and LIC 9099-C complaint investigation report in association with complaint report# 31-AS-20250116094029, and the initial complaint investigation visit conducted on 1.22.2025

The Amended LIC 9099 and LIC 9099-C Complaint Investigation Report was hand delivered to administrator, Lucky Pana.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction