Facility Evaluation Report
Capacity48
Census45
Date signed11/16/2022 02:53:07 PM
Licensing Program Analyst (LPA) Don Senaha conducted a case management visit to the above facility. LPA Senaha received an incident report and death report regarding client (C1). LPA gathered pertinent documents.
The following was discussed with facility representative: Reporting Requirements. Per California Code of Regulations, Title 22 the following deficiency was observed and cited: (Refer to LIC 809-D).
Exit interview conducted, with Administrator Vic Jun Flores, appeal rights issued, and a copy of the report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction