Senior Care Records.

Facility Evaluation Report

White Horse Home, INC., Elk Grove08/17/2021Licence 347004223

Capacity4
Census4
Date signed08/17/2021 11:35:33 AM
The inspector’s account

On 08/17/21, Licensing Program Analyst (LPA) Christina Valerio arrived at the facility unannounced to conduct a case management visit to deliver an Order to Individual of Immediate Exclusion from Licensed Facilities and the Order To Licensee/Facility of Immediate Exclusion from Facility. LPA Valerio met with designated staff Willie Somera and explained the purpose of the visit. Staff (S1) is excluded from all Licensed Facilities.

LPA Valerio handed the Order To Licensee/Facility of Immediate Exclusion from Facility to staff Willie S. and explained that S1 would need to be removed from the facility immediately and S1 could not return to the facility.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction