Facility Evaluation Report
Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced collateral visit to the day program to conduct interviews. LPA Lopez identified herself and stated the purpose of the visit with Cindy Pedrero, Staff Leader.
During the visit, LPA Lopez interviewed staff #1 (S1) and staff #2 (S2) (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, an LIC811 Confidential Names list, along with Licensee/Appeal Rights (LIC9058 03/22) was provided to Stephanie Bagley, Direct Support Personnel III 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