Facility Evaluation Report
Capacity6
Census4
Date signed12/17/2021 11:14:38 AM
On 11/16/2021, Licensing Program Analyst (LPA) Lourdes Montoya conducted an unannounced case management - deficiency visit.
This deficiency was observed during a complaint visit at this facility on 11/12/2021. During the interview with facility staff and the administrator, it was confirmed that there was a construction in the facility. LPA observed the common bathroom floor and wall tiles were changed. Licensee failed to notify CCLD prior to the construction.
A deficiency is being cited on the attached LIC 9099D. Exit interview conducted. Copy of this report and appeal rights explained.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction