Senior Care Records.

Facility Evaluation Report

People's Care Sycamore, Apple Valley11/07/2023Licence 361880989

Capacity4
Census4
Date signed11/07/2023 12:19:41 PM
The inspector’s account

Licensing Program Analyst (LPA) Mary Rico arrived at the facility unannounced to conduct a Case Management Visit for health and safety. This case management visit is in response to a Special Incident Report (SIR) submitted to the Community Care Licensing Office on 11/4/2023. LPA met with Administrator Zia Pickens.

During today's visit, LPA met with Administrator Zia Pickens in the office to discuss the incident and surrounding events. LPA did a health and safety check, and interviewed client and staff.

LPA received documents and informed Administrator that LPA will conduct additional interviews to determine findings.

An exit interview was conducted, and a copy of this report was provided to Administrator Zia Pickens.

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