Facility Evaluation Report
Capacity6
Census4
Date signed01/04/2023 11:05:08 AM
Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to have administrator Sylvia Chavez sign amended Facility Evaluation Report (LIC 809) related to an Annual 1 year required visit that was conducted on 08/29/2022. LPA Prieto and Administrator Chavez signed LIC 809, dated 08/29/2022, and this document and copies were left at the facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction