Facility Evaluation Report
Capacity4
Census3
Date signed01/22/2026 05:14:04 PM
Name of licensing program analystJessica Cho
Name of licensing program managerLourdes Montoya
Licensing Program Analyst (LPA) Jessica Cho made an unannounced Case Management visit for the purpose of issuing a deficiency. LPA met with Administrator Maria Amedo and explained the reason for the visit.
Per review of the Department's Licensing Information System (LIS), Staff #1 (S1) was not associated to the facility at the time of review.
A deficiency is being cited and an Immediate Civil Penalty (ICP) is being assessed.
An exit interview was conducted with Administrator Maria Amedo, and copy of this report including the Confidential Names (LIC811), LIC421BG, and the appeal rights were provided via email at exit.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction