Facility Evaluation Report
Capacity6
Census5
Date signed08/29/2024 01:33:41 PM
On 8/29/2024, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct an annual continuation visit from annual inspection conducted on 7/11/2024. LPA met with Administrator and explained the purpose of the visit.
Today's census is five residents in care with no residents on hospice services.
During today's visit, LPA conducted a file review of three staff records and five residents records.
LPA completed the CARE tool and no deficiencies cited during today's visit.
LPA took a photo copy of facility liability insurance.
Exit interview and a copy of the report will be emailed to Administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction