Facility Evaluation Report
Capacity25
Census19
Date signed04/04/2024 04:46:56 PM
Licensing Program Analyst (LPA) David Marrufo conducted a Case Management Visit and met with Administrator Saaj Kaiyom.
The purpose of the visit was to amend a report previously delivered on 10/24/2023 to change the visit type from a Required - 1 Year visit to a Pre-Licensing visit.
No deficiencies were cited at this time as per California Code of Regulations Title 22.
This report was reviewed with Administrator Saaj Kaiyom and a copy of the report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction