Facility Evaluation Report
At approximately 1:40 PM, Licensing Program Analyst (LPA) Contreras and Licensing Program Manager( LPM) Mota arrived unannounced to conduct a Case Management visit, and met with caregiver Ma Gracia Manalo. The purpose of the visit was to obtain further documents regarding a change of administrator and documents requested at the annual inspection completed by LPA Canela on 3/7/2025.
The following documents are required for the change of administrator and prior annual inspection:
LIC308 Designation of Facility Responsibility
Last page of LIC610 Disaster Plan if there are no changes
Licensee was unavailable at today's visit but was contacted by telephone and informed LPM that a copy of the above documents will be emailed. LPM is requesting these documents to be provided by 5/05/2025
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction