Facility Evaluation Report
Capacity4
Census3
Date signed11/19/2025 02:17:11 PM
Name of licensing program analystKevin Gould
Name of licensing program managerCzarrina A Camilon-Lee
On 11/19/25 Licensing Program Analyst (LPA) Kevin Gould Conducted a collateral visit at Agcaoili Residential Care home to conduct an interview with a resident regarding their former placement.
LPA was informed Resident was still at day program. LPA Gould obtained address for Day program and will conduct interview at that location.
Exit interview conducted and a copy of this report was left at the facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction