Facility Evaluation Report
Capacity6
Census6
Date signed12/03/2024 03:31:51 PM
On 12/3/2024 LPAs Dwayne Mason Jr and Fred Arias arrived at the facility for the purpose of conducting a case management visit to return files taken from the facility.
On 11/26/2024, LPA Mason conducted a 10-day complaint visit and borrowed the following files from the facility: resident roster, staff roster, infection control plan, disaster plan, training records, personnel records, CPR certification, admission agreements and facility sketch
Administrator received the original files.
LPAs reviewed the report with the Administrator and provided a copy.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction