Facility Evaluation Report
Capacity6
Census4
Date signed05/29/2025 02:55:33 PM
Name of licensing program analystAbdoulaye Zerbo
Name of licensing program managerRikesha Stamps
Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted case management deficiencies visit to the facility.
LPA conducted a visit on 04-15-25 and citations were issue related to the accrued balance of the licensee fees, and storage of medication in their original container. These deficiencies were not corrected by the POC due date nor at the time of the visit. Therefore, the facility is being recited for failure to correct deficiencies.
An exit interview was conducted and a copy of this report, 809D, appeal rights was reviewed and provided to Caregiver Adela Antac
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction