Facility Evaluation Report
Capacity6
Census6
Date signed05/27/2026 04:23:14 PM
Name of licensing program analystBecky Mann
Name of licensing program managerNedra Brown
Licensing Program Analyst (LPA) Becky Mann made an unannounced visit to the facility to conduct a Complaint Control Number 56-AS-20260522141210.
During the facility visit, LPA Mann was unable to review all six (6) resident files. LPA reviewed three (3) out of six (6) resident files. The files were not available at the time of the visit. Deficiency will be issued as this poses an immediate health, safety and personal rights risks to residents in care.
An exit interview was conducted where this report was discussed and provided to Eula Jones, Caregiver.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction