Facility Evaluation Report
Capacity6
Census5
Date signed09/01/2021 09:38:52 AM
Licensing Program Analyst (LPA), Steve Nguyen, conducted a visit of facility today and met with Administrator(AD), Derek Koen.
LPA discussed the Licensing/ change of address of facility with AD and confirmed that facility is licensed and has been relocated.
No deficiencies were cited per the California Code Title 22.
LPA reviewed report summary with Derek Koen Licensee/ Administrator and a copy of this report provided via email for review and signature purposes.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction