Facility Evaluation Report
Capacity6
Census0
Date signed09/17/2025 03:38:51 PM
Name of licensing program analystAlbert Johnson
Name of licensing program managerLisa Rios
Facility is closed no residents in care. LPA spoke with owner of facility. Licensee to surrender license, send a letter to confirm closing date and will submit annual fees if applicable.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction