Facility Evaluation Report
Capacity6
Census4
Date signed06/05/2025 10:06:43 AM
Name of licensing program analystSocorro Leandro
Name of licensing program managerUlysses Coronel
On 06/05/2025 around 9:10 AM, the Department of Social Services (DSS) – Community Care Licensing Division (CCLD) Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced case management visit and met with Caregiver Rosemarie Masancay and the purpose of the visit was explained. LPA was granted entry to the facility.
A total of 4 residents are currently residing in this facility.
The department conducted a tour of the facility.
An exit interview was conducted, and a copy of this report was left with the Administrator Irene Form entera.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction