Facility Evaluation Report
Capacity4
Census4
Date signed05/21/2024 09:19:20 AM
Licensing Program Analyst (LPA) Alyssa Ramirez conducted a visit to obtain signature on amended report from visit conducted on 4/18/24. LPA was welcomed by, identified herself to and was granted entry by caregiver Lidia Libuano.
During today's visit, LPA obtained caregiver Lidia Libuano's signature for LIC9099D dated 4/18/2024.
An exit interview was conducted and a copy of this report along with the Licensee's Rights (LIC9058 03/22) was provided to caregiver Lidia Libuano. Signature on this form confirms receipt of these documents.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction