Facility Evaluation Report
Capacity6
Census5
Date signed03/15/2025 05:36:37 PM
Licensing Program Analyst (LPA) Steve Chang conducted an unannounced case management visit to deliver an amended LIC9099-D and met with Administrator (ADM) Jean Jose.
The purpose of today's visit is to deliver an amended investigation report LIC9099-D issued to ADM on 02/19/2025. .
On 02/19/2025, an investigation report LIC9099 and LIC9099-D were issued to ADM for complaint number 26-AS-20240621154956.
The Department amended the investigation report LIC-9099-D.
No citation were cited during todays visit.
Exit interview was conducted with ADM. This report were provided to ADM for signature. A copy of this report was provided to ADM.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction