Facility Evaluation Report
Capacity6
Census0
Date signed05/21/2025 11:20:05 AM
Name of licensing program analystMary Rico
Name of licensing program managerEfren Malagon
On 5/21/2025, Licensing Program Analyst (LPA) Mary Rico and Licensing Program Analyst Manager (LPM) Efren Malagon met with Licensee Kristine A. Mangente at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office for an Informal Meeting.
During today’s meeting the following matter was discussed of ownership and control of property:
Licensee stated they will provide all copies to Community Care Licensing by 5/28/2025.
An exit interview was conducted where this report, LIC809, LIC809D, were discussed and provided to Licensee Kristine A. Mangente. Along with a copy of appeal rights.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction