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Facility Evaluation Report

Caregivers II, Bloomington09/30/2024Licence 366412117

Capacity6
Census3
Date signed09/30/2024 10:34:45 AM
The inspector’s account

Licensing Program Analyst (LPA) Bernadette Allen met with Jaewon Kim Administrator at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office on 9/30/2024 at 10:15 AM to initiate a Case Management Office Visit.

LPA Allen requested that Jaewon Kim come into the office to sign an amended report to make corrections to deficiencies LIC809-D

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

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