Facility Evaluation Report
Capacity75
Census19
Date signed04/09/2025 01:52:32 PM
Name of licensing program analystSarina Ramirez
Name of licensing program managerKaren Clemons
On 04/09/2025 Licensing Program Analyst (LPA) Sarina Ramirez arrived at the facility to amend documents originally delivered on 01/21/2025
On 01/21/25 LPA Ramirez was at the facility to initiate a complaint investigation COMPLAINT CONTROL NUMBER: 56-AS-20250113153026
The amendment was signed by Case Manager Joseph Perez and he was provided a copy of the amended report at the conclusion of the visit
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction