Senior Care Records.A MITRYXA product
For operatorsSign in

Facility Evaluation Report

Josephine's Home 2, Chula Vista12/04/2023Licence 374604384

Capacity4
Census4
Date signed12/04/2023 04:06:12 PM
The inspector’s account

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced collateral visit to the facility to conduct an interview. LPA Lopez identified herself and was granted entry by Josephina So, Licensee. LPA stated the purpose of the visit with Licensee So.

During the visit, LPA Lopez interviewed client #1 (C1) (See LIC811 Confidential Names list) and requested and obtained relevant documents. No deficiencies were observed during today's visit.

An exit interview was conducted, and a copy of this report along with Licensee/Appeal Rights (LIC9058 03/22) was provided to Josephina So, Licensee at the conclusion of the visit. The signature below confirms the receipt of the documents.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction