Facility Evaluation Report
Capacity6
Census4
Date signed12/02/2025 03:37:49 PM
Name of licensing program analystRenese Howell-Small
Name of licensing program managerKaren Clemons
On 12/02/2025 at 2:15PM Licensing Program Analyst (LPA) Renese Howell-Small made an unannounced visit to the facility to conduct a case management visit regarding complaint # 56-AS-20250912100921.
LPA conducted three (3) staff interviews and reviewed documentation.
An exit interview was conducted where this report LIC809 was discussed and a copy provided to the Administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction