Facility Evaluation Report
Capacity6
Census6
Date signed01/31/2023 11:48:51 AM
At approximately 9:25AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Case Management - Other visit, and met with Staff Member, Jackie Banda. Residential Supervisor, GeorgiaMae Wallace, arrived later during visit at approximately 9:45AM. Program Director, Priscilla Hernandez arrived at approximately 10:15AM.
LPA. Residential Supervisor, and Program Director discussed the following:
LPA cleared the deficiency cited on 12/2/2022 regarding food service.
Exit interview conducted. Copy of report discussed and provided to Program Director. Signature on form confirms receipt of documents.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction