Facility Evaluation Report
Capacity8
Census3
Date signed05/24/2023 10:12:44 AM
On 05/24/2023 at 09:59 a.m., Licensing Program Analyst (LPA) Rayshaun Nickolas made an unannounced visit to the facility to obtain signatures on amended LIC 9099. LPA met with Licensee/Administrator Victor Mercado and explained the purpose of the visit.
An exit interview was conducted and a copy of this report and amended LIC 9099 were provided to Mercado
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction