Facility Evaluation Report
On 10/13/2025, 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 Kelly Phillips, Health Services Director and explained the purpose of the visit.
LPA Calandra requested the following documents by 10/17/2025:
- 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 reviewed with facility representative and a copy provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction