Facility Evaluation Report
Licensing Program Analyst (LPA) Marcella Tarin arrived unannounced to conduct a Case Management-Incident visit regarding an SOC 341 submitted to the Department on 7/18/2025. LPA met with Executive Director (ED) Kellie Shearer. LPA stated the purpose of the visit.
On 7/18/2025 the Department received an SOC 341 for Resident R1.
During visit, LPA interviewed 2 staff, and requested documentation to include but not limited to service plans, physician's reports, and emergency contact information.
ED states the facility will submit an LIC624 Incident Report to the Department by 7/23/2025.
No deficiencies were cited during today's visit per California Code of Regulation Title 22. An exit interview was conducted with ED and a copy of this report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction