Facility Evaluation Report
Capacity4
Census3
Date signed05/02/2023 10:56:06 AM
Licensing Program Analyst (LPA) Albert Johnson arrived Unannounced for a case management inspection. There are 2 residents in care.
LPA toured the interior and exterior of the facility including the common areas, bathrooms, residents room and garage. LPA observed the smoke/monoxide alarms to be in working order, and the fire extinguisher to have been serviced.
The purpose of the visit was to confirm that the service plans and 602 were updated according to the advisory. Licensee is waiting for the doctor to return the 602.
LPA will return at a later date to confirm the updated information.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction