Facility Evaluation Report
On June 18,2025, Licensing Program Analyst (LPA) Ivan Avila arrived unannounced at the facility to conduct a case management visit regarding an incident report the Department received via fax on June 16, 2025. LPA met with Jim Moser on behalf of the facility and explained the purpose of the visit.
LPA Avila collected documents in regard to the incident report. Documents collected include but are not limited to client face sheet, physician report, needs and service plan, conservator ship documents, progress notes, client ISP, and medical documentation. The remaining documents will be emailed to LPA Avila by June 20, 2025.
An exit interview was conducted and a copy of the report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction