Facility Evaluation Report
Capacity50
Census34
Date signed10/15/2024 08:29:01 AM
Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced Case Management Visit. LPA met with Med Tech Monica Jacobo to discuss the purpose of the visit.
Today's visit is in response to the self reported incident report Regional Office received on 9/11/2024 involving R1 [see 811 confidential names].
LPA interviewed facility staff and obtained facility records. No deficiencies were cited or observed on this date.
An exit interview was conducted with Jacobo who was provided with a copy of this report and Appeal Rights. Their signature confirms receipt of these documents.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction