Facility Evaluation Report
Capacity6
Census5
Date signed05/23/2024 11:34:21 AM
Licensing Program Analyst (LPA) Melissa Parks arrived on Thursday May 23, 2024 to conduct the unannounced annual inspection.
During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA Parks reviewed resident (5) and staff files (2).
Due to time constraints, LPA Parks will return at a later date to complete the annual inspection.
See 809-D for deficiencies cited during todays visit.
Exit interview conducted. A copy of this report along with appeal rights were emailed to the Administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction