Facility Evaluation Report
Capacity6
Census6
Date signed02/17/2026 12:08:27 PM
Name of licensing program analystAndrea Mendivil
Name of licensing program managerAlisa Ortiz
On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced case management visit inconjunction with complaint control # 22-AS-20250218161612.
During the course of the visit LPA Mendivil requested to review Resident 1's (R1s) file. Licensee Connie Lumauig stated she could not find the file. Connie stated that R1 left the facility in 2025 and understands the regulation to retain records.
The following is being cited per California Code of Regulations Title 22 Divison 6 chapter 8,
An exit interview was conducted and a copy of this report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction