Facility Evaluation Report
Capacity6
Census5
Date signed01/27/2023 03:19:41 PM
On this day Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit for the purpose of obtaining additional information for Complaint Control # 22-AS-20221107110951.
LPA interviewed residents and responsible parties.
An exit interview was conducted and a copy of this report was left at facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction