Facility Evaluation Report
Capacity6
Census6
Date signed04/21/2026 03:22:41 PM
Name of licensing program analystEdith Conchas
Name of licensing program managerKaren Clemons
Licensing Program Analyst (LPA) Edith Conchas made an unannounced visit to initiate a complaint investigation for the complaint control number 56-AS-20260416123134. LPA met with Adelaida Dy -Support staff.
During LPA visit, LPA verified staff on premises. LPA revealed staff 1 did not have clearance background and no personnel file at facility available for view. LPA requested staff 1 to leave. A civil penalty was issued.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction