Facility Evaluation Report
Capacity24
Census23
Date signed09/09/2022 11:13:38 AM
Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced on 09/09/2022 to conduct a case management inspection regarding a death report received by Community Care Licensing on 09/08/2022. LPA met with Johanne Agcaoila. Administrator and LPA spoke over the phone.
During the inspection LPA conducted interviews and reviewed resident records.
Exit interview conducted with Johanne Agcaoila. A copy of this report was emailed to the licensee.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction