Facility Evaluation Report
Capacity4
Census2
Date signed09/21/2023 03:25:23 PM
This is an amendment from today’s visit (9/21/2023). 809 was amended due to licensee Robert Armstrong locating health screening report (LIC503) and TB test for staff (S1) that was missing during inspection.
Deficiency was issued during inspection but amended to list no deficiencies due to licensee locating document while licensing program analyst Alyssa Ramirez was onsite. No deficiencies observed.
An exit interview was conducted with the licensee Robert Armstrong to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction