Facility Evaluation Report
Capacity85
Census55
Date signed12/11/2025 11:38:54 AM
Name of licensing program analystSarah Benson
Name of licensing program managerLauren Crocker
On 12-11-25 Licensing Program Analyst LPA's Sarah Benson and Marisa Chiarelli, arrived at the facility unannounced regarding a case management that was received on 12-09-25. LPAs Benson and Charelli, met with Administrator Kristine Boban, and explained the purpose of the visit.
LPA's requested the following documents; Admission agreement, physician report, medical records, care plan, pre-appraisal and medication list.
No citations were issued per Title 22 Regulations.
Exit interview conducted and copy of the report was given to Administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction