Facility Evaluation Report
Capacity6
Census5
Date signed01/28/2025 11:18:45 AM
On 1/28/2025, Licensing Program Analyst (LPA), Murial Han conducted an unannounced case management visit. LPA met with caregiver, Lirio Hernandez and explained the purpose of today's visit.
During today visit, LPA provided an invoice of a civil penalty that the facility was assessed on 11/19/2024 in the amount of $800 as the mail was "Return To Sender". LPA also spoke to the Licensee, Sheila Diaz over the phone who requested CCL to change the facility's mailing address to the facility's address.
This report is reviewed and discussed with the caregiver.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction