Facility Evaluation Report
Capacity6
Census5
Date signed06/02/2022 04:08:44 PM
Post Licensing visit is conducted in 06/02/22 inspection.
See LIC809 for 06/02/22 Annual visit for details.
See LIC809D for deficiency cited during today's visit.
Exit interview done and copy of the report will be sent via e-mail due to printer issue.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction