Facility Evaluation Report

Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to the facility to conduct a case management visit to check on the health, safety, and welfare of residents in care. LPA met with Wanda Walters, Direct Support Professional (DSP), LPA was informed that three (3) residents currently reside at this facility. There were one (1) staff on duty during the time of the visit.

LPA observed all facility utilities to be on and operating without issue and there were sufficient food supply on hand.

Based on the information obtained during today's visit, the following deficiency are being cited deficiency is cited per California Health & Safety Code and Code of Regulations, Title 22, Division 6, Chapter 1. An exit interview was conducted with DSP Wanda Walters and a copy of this report, LIC809D, 80061 Regulations and appeal rights were provided.