Facility Evaluation Report
Capacity6
Census5
Date signed04/10/2025 11:56:03 AM
Name of licensing program analystKomal Charitra
Name of licensing program managerApril Cowan
On April 10, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced case-management visit in relation to a hospice waiver increase. LPA met with Administrator, Ricardo Aban and explained the purpose of the visit.
On 4/1/24, LPA received a hospice waiver increase.
During the visit, LPA observed 5 residents; two of which were in the living room, three in their bedrooms. LPA observed three caregivers on site.
No citations are issued during the visit.
Report is reviewed with administrator and a copy is provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction