Facility Evaluation Report
Capacity6
Census5
Date signed12/19/2024 01:59:42 PM
On 12/19/2024, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced to conduct a quarterly case management visit as agreed during Non-Compliance Conference held on November 26, 2024. LPA met with Administrator and explained the purpose of the visit.
During today's visit, LPA conducted a file audit to ensure files are complete.
LPA observed presence of home health and hospice correspondence between agency and facility for R1, R2 and R3. LPA conducted a file review for personnel and resident records. LPA observed the required documents present and completed for residents in care.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction