Facility Evaluation Report
Capacity6
Census6
Date signed08/26/2021 10:51:48 AM
LPA Johnson arrived unannounced to clear the POC's from visit dated 08/05/2021. The following deficiencies, initially cited during a visit on 08/05/2021, have been cleared:
Administrator replaced the fire extinguisher today.
A civil penalty is hereby assessed on today's date in the amount of $500.
The Administrator will update R1 thru R6's service plan and updated them as required. Proof of this will be submitted to licensing by 8/19/2021.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction