Facility Evaluation Report

Licensing Program Analyst (LPA) Bernadette Allen met with Paulina Corona at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office on 04/11/2023 at 11:30 AM to initiate a Case Management Office Visit.

LPA Allen requested that Paulina come to the office to sign the amended complaint investigation documents that was conducted on 6/8/2021 control number 18-AS-20210607090221. Paulina also provided her documents to be added as the new administrator effective 11/2021. Copies were obtained to updated the facilities profile.

An exit interview was conducted where this report was discussed and a copy of the report 9099's and 9099-D was provided to Paulina Corona at the conclusion of the visit.