Facility Evaluation Report
Capacity6
Census2
Date signed12/14/2022 03:31:53 PM
The is an amended document originally delivered on 9/27/2022
On 9/27/2022 Licensing Program Analyst (LPA) Bernadette Allen was at the facility to initiate a complaint investigation CONTROL NUMBER 56-AS-20220629105809
An exit interview was conducted where this report was discussed and provided to xxxxx at the conclusion of the visit
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction