Facility Evaluation Report
Capacity6
Census6
Date signed12/19/2023 12:08:07 PM
On Tuesday December 19, 2023, Licensing Program Analyst Melissa Parks arrived to conduct an unannounced post licensing inspection.
LPA reviewed 6 resident and 2 staff files. All resident files contained the required paperwork. All staff files contained the required paperwork and training.
LPA toured the facility with Licensee Daisyree. The following areas were inspected: resident rooms, resident bathrooms, kitchen, garage, and common area. LPA reviewed facility's Medication Administration Record. Facility has a fully stocked first aid kit.
No deficiencies cited. An exit interview conducted. A copy of this report was emailed.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction