Facility Evaluation Report

Inner Circle Assisted Living #1, LLC, Villa Park10/04/2024Licence 306006166

Capacity6

Census5

Date signed10/04/2024 08:16:32 AM

The inspector’s account

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to amend a civil penalty report assessed on September 10, 2024. LPA met with Marie Luciene "Yen" David.

LPA was informed caregiver is associated and background cleared. LPA read and delivered amended form to Administrator Designee, Yen David and a copy of this report and LIC421BG was left with the facility.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction