Facility Evaluation Report
Licensing Program Analyst (LPA) Janet Ngallo and Angelica Boyles conducted an unannounced Case Management visit to the facility. LPAs were welcomed by, identified themselves to, and discussed the purpose of the visit to Caregiver Josefina Pilapil. Administrator Shamila Yasar was contacted via phone regarding the visit.
On today's date, LPAs delivered an Immediate Exclusion letter for Staff 1. Administrator Yasar stated they understood the reason for its issuance.
No deficiencies were cited during the visit. An exit interview was conducted with Administrator Shamila Yasar via phone. A copy of this report, the Immediate Exclusion Letter for S1, and the Licensee/Appeal Rights (LIC 9058) were provided to caregiver Josefina Pilapil. Their signature below confirms receipt of these documents.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction