Facility Evaluation Report
Capacity6
Census6
Date signed09/27/2023 03:19:20 PM
On 9/27/2023, Licensing Program Analyst (LPA) Janette Romero conducted a case management visit to address a deficiency observed during investigation of complaint control #18-AS-20230922142852. LPA met with Administrator Ronaldo Corpuz who was informed of the purpose of the visit.
During LPA's visit at the facility on 9/27/2023, a record review revealed that Staff #1 is not associated to the facility. As a result, LPA assessed a civil penalty.
An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Corpuz along with a Confidential Names List (LIC811), LIC809-D, LIC421BG and Appeal Rights.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction