Facility Evaluation Report
Capacity95
Census82
Date signed10/30/2025 10:33:22 AM
Name of licensing program analystStar Stevenson
Name of licensing program managerBethany Moellers
At approximately 9:50 AM Licensing Program Analyst (LPA) Stevenson arrived unannounced to deliver amendments to the complaint report issued in error on 10/21/2025. LPA met with Executive Director Agustin Samaniego, who signed the amended reports; LIC 809 and LIC9099-A
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction