Facility Evaluation Report
Capacity5
Census5
Date signed05/21/2026 10:47:19 AM
Name of licensing program analystAnthony Loera
Name of licensing program managerKimberley Mota
05/21/2026, Licensing Program Analyst (LPA) Loera conducted a case management visit and met with Staff, Johnson Etienne.
The purpose of the visit was to follow up on an incident that occurred outside of the facility and to conduct interviews.
Exit interview conducted and copy of report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction