Facility Evaluation Report
Capacity15
Census14
Date signed03/26/2025 12:54:13 PM
Name of licensing program analystRaquel Hernandez
Name of licensing program managerEfren Malagon
On 03/26/2025 Licensing Program Analyst (LPA) Raquel Hernandez attempted to deliver findings for complaint 56-AS-20240319145136. Due to technical issues LPA Hernandez was unable to print copy of LIC9099, LIC9099-C, and LIC9099-D. LPA Hernandez reviewed all reports with both Administrators as well as explained purpose of findings. LPA Hernandez will provide copy of reports to both Administrators at a different time.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction