Facility Evaluation Report
Capacity137
Census83
Date signed03/01/2023 10:01:41 AM
Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced Case Management - Other visit. LPA was greeted and allowed entry into the facility and met with Maintenance Justin Brown. LPA stated purpose of today’s visit, to deliver an amended LIC9099-D report.
No deficiencies were observed during the visit on this day. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Justin Brown whose signature below confirms receipt of these rights.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction