Facility Evaluation Report
Capacity11
Census5
Date signed06/11/2025 10:41:58 AM
Name of licensing program analystGina Saucedo
Name of licensing program managerTroy Agard
On 06/11/25, at 08:50AM, Licensing Program Analyst Gina Saucedo conducted an unannounced site visit at this facility for the purpose of obtaining records. LPA met with Caregiver, Tiphanie Moreno and explained the purpose of the visit. The administrator was called and arrived five (5) minutes after.
During this visit, LPA obtained the following information:
5. POA or Conservator (Contact Information)
Exit interview conducted and a copy of this report was issued.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction