Senior Care Records.

Facility Evaluation Report

Specialized Residential Maverick Circle, Pomona10/14/2024Licence 198601666

Capacity4
Census3
Date signed10/14/2024 11:15:41 AM
The inspector’s account

Licensing Program Analyst (LPA) Elizabeth Irra conducted a Case Management Visit today regarding a special incident which occurred on 10/07/24 involving Client #1 (C-1). LPA reviewed file and obtained relevant documentation for C-1. LPA interviewed Ms. Agnes Aguila/S-1.

LPA toured the facility grounds and did not observe any health and safety concerns. Ms. Aguila will continue to keep LPA informed of any further developments pertaining to C-1's incident.

An exit interview was conducted and a copy of this report was given to Agnes Aguila.

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