Facility Evaluation Report

Capay Home, South San Francisco06/16/2025Licence 415600796

Capacity4

Census4

Date signed06/16/2025 02:55:02 PM

Name of licensing program analystGrace Donato

Name of licensing program managerApril Cowan

The inspector’s account

On 6/16/2025 Licensing Program Analyst (LPA) Grace Donato conducted an unannounced visit. LPA met with Administrator Alyssa Joy Decano. LPA explained the purpose of today's visit.

LPA delivered an immediate exclusion letter to exclude a staff (S1) who is currently working in the facility. Staff was advised that S1 is not allowed to work in the facility.

The letter was given to and reviewed by Administrator.

This report is reviewed and discussed, and a copy is provided.

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