Facility Evaluation Report

Success RCF 1, San Jose11/10/2022Licence 435202567

Capacity32
Census32
Date signed11/10/2022 04:11:44 PM
The inspector’s account

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Administrator Prince-Stanley Amas. The purpose of the visit was to issue citations for deficiencies that were found to have occurred during a complaint investigation but were not included as part of the original allegations.

Deficiencies were cited as per California Code of Regulations Title 22. See LIC809-D for more information.

This report was reviewed with Administrator Prince-Stanley Amas and a copy of the report and appeal rights were provided.

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