Facility Evaluation Report
Capacity6
Census4
Date signed10/30/2023 12:59:48 PM
Licensing Program Analyst (LPA) Javier Prieto made an unannounced case management visit to gather documentation and conduct interviews relating to complaint number 18-AS-20201202151253. LPA stated the purpose of the visit and was granted entry and met with Administrator Kimberly Upchurch. LPA Prieto obtained pertinent documentation and information. LPA Prieto and Administrator Upchurch signed this report and a copy was left with the facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction