Facility Evaluation Report
Capacity6
Census6
Date signed10/28/2024 09:17:32 AM
Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit in-conjunction with complaint visit 22-AS-20241022091842. LPA was greeted and granted entry into the facility and explained the reason for the visit.
During the visit, LPA requested records for Clients #1-3. Facility staff is unable to access records.
Based on observations made during today's visit, deficiency is being cited per California Code of Regulations Title 22 Division 6 Chapter 8. Exit interview conducted and a copy of this report as well as appeal rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction