Senior Care Records.

Facility Evaluation Report

Caroline Street, Adelanto10/06/2022Licence 361880596

Capacity4
Census4
Date signed10/06/2022 09:43:07 AM
The inspector’s account

Licensing Program Analyst (LPA) Bernadette Allen an conducted an unannounced visit to amend documents signed on 9/28/2022 for the complaint investigation #56-AS-20220927151703. The house manager Shazet Knowles was informed of the purpose of the visit and signed the amended document.

An exit interview was conducted where this report was discussed, and a copy was provided to Shazet Knowles at the conclusion of the visit.

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