Senior Care Records.

Facility Evaluation Report

Casa Alice Care Home, Mountain View10/03/2025Licence 435202415

Capacity6
Census6
Date signed10/03/2025 05:13:46 PM
Name of licensing program analystDavid Marrufo
Name of licensing program managerMaria Partoza
The inspector’s account

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Becky Bi. The purpose of the visit was to follow up on resident R1's Appraisal/Needs and Services Plan that was reviewed as part of the complaint investigation received on 01/11/2023.

During the investigation, LPA Marrufo observed that R1's Appraisal/Needs and Services Plan had not been updated after R1 had undergone a surgery. LPA also observed that the Background Information section was left blank.

An Advisory Note was issued. See LIC9102 form for more information.

No deficiencies were cited at this time as per California Code of Regulations Title 22.

This report was reviewed with Becky Bi and a copy of this report was provided.

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