Facility Evaluation Report
Capacity18
Census10
Date signed02/01/2023 10:49:09 AM
On 02/1/2023, at 10:18 a.m., Licensing Program Analysts (LPA) Rayshaun Nickolas made an unannounced visit to the facility to obtain signatures on amended LIC 9099s. LPA met with Licensee/Administrator Jin A. Wang and explained the purpose of the visit.
An exit interview was conducted and a copy of this report and amended LIC 9099s were provided to Wang.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction