Facility Evaluation Report
Capacity6
Census6
Date signed07/15/2025 09:53:36 AM
Name of licensing program analystSimranjit Rai
Name of licensing program managerRomeo Manzano
Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Case Management - Other visit to deliver an amended report to the facility. LPA met with Direct Care Staff, Melanie Gavina and stated the purpose of the visit.
During visit, LPA Rai provided a copy of the original and amended report from LIC 9099 Complaint Investigation visit on 6/6/2025 was provided for Direct Care Staff, Melanie Gavina to review and sign the amended report.
This report was reviewed with Direct Care Staff, Melanie Gavina and a copy of the report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction