Facility Evaluation Report

An Informal meeting was conducted today in the Santa Rosa Regional Office. Present in the meeting were Licensing Program Analyst Ethel Contreras , Licensing Program Manager (LPM), Kim Mota and Herby Mathurin, Licensee and Caregiver Jodian Allen. The purpose of the Informal meeting was to address compliance issues outlined below:

-Discussed eviction procedures and CCL is to be notified within 5 days of an eviction being given per Regulation 80068.5

During today's meeting we discussed food services, delivered complaint findings and deficiencies. In addition client concerns and needs were discussed.

Exit interview conducted with licensee, whose signature on form confirms receipt.