Facility Evaluation Report
Capacity6
Census6
Date signed11/17/2025 04:13:48 PM
Name of licensing program analystAlbert Johnson
Name of licensing program managerLisa Rios
Licensing Program Analyst (LPA) Albert Johnson conducted a case management visit on today's date to gather information from the informal meeting conducted on 11/04/2025.
LPA Johnson later met with Administrator of record. Certificate expired on 7/25/2018 and 11/102017.During the case management visit, LPA Johnson reviewed facility files and obtained copies of requested information.
LPA was able to confirm that an active Administrator is in place with a current certificate.
Case management is completed. Technical support has been referred.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction