Facility Evaluation Report
Capacity6
Census5
Date signed01/31/2022 03:47:10 PM
Licensing Program Analyst (LPA), David Cuevas, conducted an unannounced visit to the facility to conduct a case management follow up visit to address an incident involving the death of Client One (C1). LPA met with Administrator, Cotadela Balatbat who was informed of the purpose of visit and allowed entry.
During visit LPA made request for C1’s IPP and Physicians report. No citations have been issued at this time.
An exit interview was conducted with Administrator, Cotadela Balatbat were a copy of this report and LIC 811 was reviewed with and provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction