Facility Evaluation Report
Licensing Program Analyst (LPA) Iby Strong conducted an unannounced case management visit regarding an incident report that was received by CCL on 2/23/22 for Resident 1 (R1). LPA identified herself and discussed the purpose of the visit with Amy Banaga. The purpose of this visit was to follow up on the incident reports regarding Resident 1. (See LIC 811 Confidential Names)
LPA conducted a tour of the facility and observed residents in care. No immediate health or safety issues were observed on this date. LPA obtained additional information regarding the incident for R1 on this date.
An exit interview was conducted with Amy Banaga. A copy of this report was provided to the administrator via email. An electronic response confirms the documents were received. Licensee Rights (LIC9058 01/2016) were left at the facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction