Facility Evaluation Report
Capacity180
Census140
Date signed12/30/2024 03:08:54 PM
Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct a case management visit. LPA Moleski met with facility administrator Jennell Revera and explained the purpose of the visit.
LPA Moleski reviewed death reports for two residents (R1-R2) dated 12/27/24 and 11/14/24, respectively. LPA Moleski reviewed R1's and R2's resident records. LPA Moleski interviewed Revera and a staff member (S1) regarding these reports.
No deficiencies were cited during this visit. An exit interview was held and a copy of this report was left with Revera.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction