Facility Evaluation Report
Capacity6
Census4
Date signed04/30/2025 04:05:02 PM
Name of licensing program analystJerome Haley
Name of licensing program managerLourdes Montoya
Licensing Program Analyst made an unannounced case management visit after delivering findings on a complaint investigation. During the investigation onto complaint control number 22-AS-20250428165451 LPA Haley observed one individual was present and working in the facility without a fingerprint clearance.
The Licensee was advised the individual can not be in the facility with out being cleared and associated to the facility roster. The individual was asked to leave the facility.
An exit interview was conducted and a copy of this report and appeal rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction