Senior Care Records.

Facility Evaluation Report

Va & C Homes/san Rafael, Buena Park11/16/2023Licence 306005388

Capacity6
Census4
Date signed11/16/2023 01:34:35 PM
The inspector’s account

Licensing Program Analyst (LPA) Andrea Mendivil conducted an unannounced Case Management visit to the facility to serve an Immediate Exclusion Order. LPA Mendivil met with Administrator Maxine Kniazeff, and explained reason for visit.

The Immediate Exclusion Order for Staff Yulzian Balce was explained to Administrator Maxine Kniazeff which is for the following facilities: VA&C Homes/ San Rafael (3060005388), VA&C Homes/ Bridgeport (306005385), VA&C Homes/San Paco Circle (306005930) VA&C Homes/Teranimar (306005931).

Administrator Maxine Kniazeff stated will disassociate Staff Yulzian Balce from VA&C facilities and provide proof to LPA by 11/17/2023.

All parties understood the Immediate Exclusion Order, and there were no additional questions.

A copy of this report was provided and explained.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction