Facility Evaluation Report
Capacity6
Census5
Date signed06/10/2024 09:44:10 AM
Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today's visit was to conduct a case management. LPA Tea was greeted and granted entry into the facility by administrator Raymond Mendoza.
On this day LPA Tea amended LIC809-D dated 06/06/2024. LPA reviewed amended report with Administrator.
An exit interview was conducted with the administrator. A copy of this report and amended LIC809-D was provided to the facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction