Facility Evaluation Report
Capacity6
Census6
Date signed01/28/2025 09:41:56 AM
Licensing Program Analyst (LPA) Kesha Lewis arrived at the facility unannounced to conduct a plan of correction visit stemming from the visit on 01/22/2025. . LPA was greeted by staff and explained the reason for the visit.
LPA Lewis issued citation at the 01/22/2025 visit and the licensee was to shop for groceries and send the receipt and photos of the food to LPA Lewis by the POC date of 01/23/2025 which was not completed.
Deficiencies cited see 9099D page per California Code Regulation, TITLE 22.
Exit interview was conducted and a copy of the report and appeal rights given.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction