Facility Evaluation Report
Capacity29
Census23
Date signed06/19/2026 12:53:18 PM
Name of licensing program analystRaquel Hernandez
Name of licensing program managerEfren Malagon
On 06/19/2026 Licensing Program Analyst (LPA) Raquel Hernandez conducted an unanounced visit to the facility in regards to complaint 56-AS-20260618130650. LPA met with Administrator Deborah Davis.
Upon visit, LPA observed Staff #1 (S1) does not have an active association to the facility. LPA advised to submit proper documentation (LIC9182) to ensure S1 is associated to the facility. A deficiency and immediate $500 civil penalty will be assessed.
A copy of this report was given and discussed with Administrator Deborah Davis. Along with a copy of appeal rights.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction