Facility Evaluation Report
Capacity6
Census5
Date signed06/02/2023 02:47:19 PM
Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced Case Management visit to Samantha's Home. LPA Velazquez was allowed entry into the facility and met with Direct Support Professional (DSP) Susan Kabiling. The purpose of this Case Management visit was in reference to a complaint with Complaint Control Number: 22-AS-20210216143528.
There were no deficiencies issued during this Case Management visit. An exit interview was conducted with Direct Support Professional Susan Kabiling and a copy of this report was provided at the time of this visit.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction