Facility Evaluation Report
Capacity6
Census2
Date signed08/13/2025 12:21:04 PM
Name of licensing program analystKerry Hiratsuka
Name of licensing program managerTroy Ordonez
Licensing Program Analyst Hiratsuka conducted this unannounced case management visit.
LPA is removing two resident files so LPA can copy them. The files shall be returned within three business days.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction