Senior Care Records.

Facility Evaluation Report

Iris Street, Adelanto09/25/2023Licence 361880602

Capacity4
Census4
Date signed09/25/2023 01:28:19 PM
The inspector’s account

On September 25, 2023 at 12:15 p.m., Licensing Program Analyst (LPA) Rayshaun Nickolas made an unannounced visit to the facility to investigate complaint control number 56-AS-20230706085846. LPA Nickolas met with Direct Support Professional Melissa King and explained the purpose of the visit.

LPA advised King that, at this time, the complaint requires further investigation. Possible follow-up telephone calls, requests for copies of relevant documents, and visits are necessary before reaching investigative findings .

No deficiencies were cited during this visit. An exit interview was conducted with King and a copy of this report was provided.

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