Senior Care Records.

Facility Evaluation Report

Mona Liza, Stockton06/26/2025Licence 392700225

Capacity6
Census4
Date signed06/27/2025 09:34:25 AM
Name of licensing program analystAlbert Johnson
Name of licensing program managerLisa Rios
The inspector’s account

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an annual required inspection. LPA was met by Administrator and explained the purpose of the visit.

The focus of the concerns at this time is the request for a change of ownership:

Control of Property - Licensee will provide a copy of the lease which Licensee reported is current and active

Administrator Designee - LIC200 and LIC308

Licensee confirmed the facility is licensed as a sole proprietor

Licensee confirmed that the business was sold.

The LPA informed the current licensee that he will have to submit.

The prospective new licensee must submit a new application for a license to the California Department of Social Services (CDSS).

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