Facility Evaluation Report
Capacity6
Census3
Date signed02/16/2023 12:44:11 PM
Licensing Program Analyst (LPA) Jesse Gardner made an unannounced visit to the facility to conduct an investigation into a complaint (18-AS-20230210115209). LPA met with caregiver Evelyn Manuel. Administrator Julita Mendoza arrived while conducting the visit. During the the tour of the facility, LPA noted these described deficiencies:
1. Door to Room #1 is coming apart at the hinges, and does not completely close.
2. Sliding closet is completely off the railing in Room #5.
An exit interview was conducted where a copy of this report was provided along with a copies of the LIC809-D, and Appeal Rights.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction