Facility Evaluation Report
Capacity4
Census2
Date signed04/09/2024 10:08:53 AM
Licensing Program Analyst (LPA) Jerome Haley conducted a case management visit to follow up on an incident report dated April 3, 2024.
During the visit, LPA Haley briefly toured the interior of the facility and made observations. After touring the interior of the facility, LPA Haley spoke with Staff 1 (S1) who was present when the reported incident occurred. Administrator Omar Tawfik was also briefly interviewed upon his arrival to the facility.
As a result of today’s Case Management visit, deficiencies will be cited.
An exit interview was conducted and a copy of this report, LIC809D, LIC9102, and appeal rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction