Senior Care Records.

Facility Evaluation Report

G.l.o.m. A.r.f. 4, French Camp10/03/2023Licence 392700627

Capacity15
Census15
Date signed10/03/2023 01:00:34 PM
The inspector’s account

On 10/3/23 at approximately 12:15pm Licensing Program Analyst (LPA) Jennifer Fain arrived at this facility unannounced to conduct a case management visit. LPA met with Alex Archangel, Regional Program Manager (RPM), and explained the purpose of the visit.

A review of LIS facility file shows that this facility is out of compliance regarding its licensing fees. The facility was billed 6/1/23. Community Care Licensing (CCL) has not received payment as of 10/2/23.

The facility is not in compliance with the Health and Safety Code, and the deficiencies can be found on the LIC 809-D page. An exit interview was conducted with Alex Archangel and a copy of the LIC 809 reports, LIC 809-D pages, and Appeals rights were provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction