Facility Evaluation Report
Capacity56
Census47
Date signed09/23/2025 03:01:40 PM
Name of licensing program analystCheyenne Ratajczak
Name of licensing program managerLaura Munoz
On 09/23/2025, Licensing Program Analysts (LPA) Cheyenne Ratajczak arrived unannounced to conduct a case management visit. LPA met with Executive Director (ED) Jerilyn Purol and explained the purpose of the visit.
Facility sent multiple incident report into Community Care Licensing (CCL) concerning incidents with Resident #1 (R1). LPA conduct interviews regarding the incidents and obtained relevant documents.
Exit interview conducted and a copy of the report was left at the facility
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction