Facility Evaluation Report
Capacity6
Census6
Date signed12/01/2023 02:00:28 PM
Licensing Program Analyst (LPA) Lopez conducted an unannounced Required- 1 year visit, LPA met with DSP Corey Dominguez and Administrator Monica Aguilera showed up a few minutes. LPA discussed the purpose of the visit.
LPA reviewed and obtained copy of staff and residents rosters.
LPA did not observe any health or safety hazards during this visit.
LPA used the CARE tool for the inspection.
Food Service: Facility has sufficient perishable food for 2 days and Non Perishable food for 7 days.
Due to time constraints, LPA will return on another day to complete the annual inspection.
Copy of report provided to Administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction