Facility Evaluation Report
Capacity6
Census5
Date signed07/25/2025 04:10:10 PM
Name of licensing program analystChristine Kabariti
Name of licensing program managerJackie Jin
Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct a collateral visit to follow-up on an investigation for a resident who was newly admitted to this facility. LPA met with Administrator, Belinda Devano.
During visit, LPA interviewed resident (R1) and obtained R1's medical records and physician's report.
No deficiencies were cited per California Code of Regulation, Title 22.
This report was reviewed with Administrator, Belinda Devano and a copy of the report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction