Facility Evaluation Report
Capacity6
Census6
Date signed12/02/2025 05:25:44 PM
Name of licensing program analystJose DeLaCruz
Name of licensing program managerRobyn Clark
Licensing Program Analyst (LPA) Jose De La Cruz conducted a visit to review videos hat required the presence and a devise in possession of the licensee related to a previous visit.
LPA and administrator reviewed the videos and LPA conducted interviews related to the previous visit.
No deficiencies were cited or observed on this date.
An exit interview was conducted with Caregiver, Alma Bayau and provided with a copy of their appeal rights (LIC9058 03/22) along with a copy of this report.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction