Facility Evaluation Report
Capacity4
Census4
Date signed07/09/2025 09:55:00 AM
Name of licensing program analystAudrey Jeung
Name of licensing program managerApril Cowan
In response to Incident Report of 6/18/25, LPA Jeung met with RN/administrator to discuss incident, reviewed client file and staff files, and interviewed client. Report of Suspect Elder Abuse (SOC341) is given to LPA. Administrator has conducted an investigation into the incident involving client #1 and staff #1. Investigation report is requested to be submitted to CCLD by Friday 7/11/25.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction