Facility Evaluation Report
On 10/3/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Case Management visit in regards to a Change in Management request. LPA Calandra was greeted by Alan Fox, Regional Operations Specialist and Laura Valdez, Business Office Director and explained the purpose of the visit.
LPA Calandra requested the following documents:
-Updated LIC 200 with new administrator name.
-Copy of current Administrator Certificate
-Updated LIC 610E Emergency Disaster Plan
-If you signed the hospice waiver request, please submit new request for new administrator.
-Board Resolution Letter(Letter appointing the new administrator from the Board)
No deficiencies were cited during today's visit.
An exit interview was conducted. This report was emailed to the facility representative.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction