Facility Evaluation Report
Capacity6
Census2
Date signed03/28/2024 10:08:44 AM
LPA Hiratsuka conducted this unannounced annual visit. LPA toured the facility with Administrator Carla La Rue.
This facility has a fire clearance for five ambulatory and one non-ambulatory. This building has three floors. There is a pool in the backyard that has the appropriate fence. There is an ample supply of perishable and nonperishable food. Staff and client records were reviewed
The following shall be updated and submitted to Community Care Licensing Division by April 17, 2024:
-LIC 308 designation of administrative responsibility
-LIC 500 facility personnel or staff schedule
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction