Facility Evaluation Report
Capacity97
Census69
Date signed07/03/2025 09:02:14 AM
Name of licensing program analystAndrea Mendivil
Name of licensing program managerAlisa Ortiz
On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to deliver amended complaint findings for Complaint Control # 22-AS-20250121161311. LPA was greeted and granted entry into the facility and explained
LPA Mendivil delivered an amended report to Culinary Service Director Kasan Soewono on 07/03/2025 and discussed the amended findings.
An exit interview was conducted and a copy of this report and amended findings were provided to facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction