Facility Evaluation Report
Capacity5
Census4
Date signed04/09/2026 03:25:54 PM
Name of licensing program analystDeborah Lee
Name of licensing program managerEva M Alvarez
On April 9, 2026 Licensing Program Analyst(LPA) Deborah Lee conducted an unannounced Case Management- Deficiencies.
During the course of investigation complaint 18-AS-20230628143136, the facility was unable to provide incident report for incident involving R1 not Metoprolol Succinate on 6/21/23 as prescribed.
An exit interview was conducted with Jo Estepa and A copy of this report and appeals rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction