Facility Evaluation Report
Capacity190
Census102
Date signed12/01/2022 11:14:54 AM
On 12/1/2022 at 10:15am, Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Case Management visit and met with Administrator Nelson Rodrigues and explained the purpose of the visit was to deliver a letter of exclusion for facility staff S1.
Administrator Nelson Rodrigues signed the Declaration of Service letter stating that the exclusionary letter for S1 was delivered.
No deficiencies were cited at this time as per California Code of Regulations Title 22.
This report was reviewed with Nelson Rodrigues and a copy of the report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction