Facility Evaluation Report
Capacity6
Census4
Date signed01/17/2024 04:12:37 PM
During Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit regarding Complaint #31-AS-20240111081949, LPA Spaeth reviewed resident's files at 11:50 am until 12:30 pm, LPA observed documents were missing from two residents' files.
Based upon review of residents' records and upon Title 22 Regulations, the following deficiencies are substantiated (See 809-D page).
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction