Senior Care Records.

Facility Evaluation Report

Arbor House, South San Francisco06/30/2022Licence 415601122

Capacity4
Census3
Date signed06/30/2022 08:56:28 AM
The inspector’s account

On June 30, 2022, Licensing Program Analysts (LPA) Komal Charitra and Kevin Varilla conducted an unannounced plan of correction (POC) visit to verify and to confirm that the facility is in compliance with the citation that was issued on 6/16/22. LPA Charitra and LPA Varilla met with House Manager, Homer Bautista, and explained the purpose of the visit.

On 6/16/2022, the facility was cited for California Code of Regulation (CCR), 87203 Fire Safety. The plan of correction for this citation was due to CCLD by 6/17/2022. On June 30, 2022, LPAs reviewed and verified the plan of correction documents that were provided by the facility and cleared the citation.

This report is reviewed and discussed with Homer Bautista. A copy is provided.

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