Facility Evaluation Report
Capacity6
Census5
Date signed02/10/2023 03:51:20 PM
On this day, Licensing Program Analysts (LPAs) Anna Bueno and Michelle Echeverria conducted an unannounced visit to this facility to continue investigation of complaint number: 56-AS-20230103155228 and deliver findings for complaint numbers: 56-AS-20220818142838 and 56-AS-20220721160710.
During the investigation number of complaint numbers: 56-AS-20220818142838 and 56-AS-20220721160710. Refer to LIC809-D for deficiency cited. Violation discovered are listed below:
An exit interview was conducted with and a copy of this report, LIC809-D, and appeal rights were provided to Janet Oliver.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction