Senior Care Records.

Facility Evaluation Report

J & S Board & Care, Mira Loma01/26/2023Licence 330910676

Capacity6
Census4
Date signed01/26/2023 02:17:01 PM
The inspector’s account

0830: Licensing Program Analyst (LPA) Amy Goldenberg arrived to the location to conduct a case management visit. LPA knocked on the door and there was no answer. LPA attempted to contact the facility staff by the available numbers. There was no answer and no voicemail. LPA will return at a later time to complete this visit.

1400: LPA Amy Goldenberg conducted a case management visit. The purpose of this visit is to deliver an amended LIC 809D page initially delivered on 12/07/2022. LPA reviewed the amended LIC 9099D dated 12/7/2022 and this LIC 809 report dated 1/26/2023. A copy of both reports were provided to the facility representative.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction