Facility Evaluation Report
Capacity6
Census2
Date signed09/12/2025 07:09:58 AM
Name of licensing program analystManuel Monter
Name of licensing program managerRomeo Manzano
Licensing Program Analyst Manuel Monter conducted an unannounced case management to amend a Complaint investigation (26-AS-20250512173550) , LIC9099-D, issued on September 3, 2025. LPA met with Staff Paul Mediante explained the purpose of the visit.
The amendment to LIC9099-D was created due to error in original LIC9099-D.
No deficiencies cited during todays visit. This Report was reviewed with Staff Paul Mediante A signed copy was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction