Facility Evaluation Report
Capacity6
Census3
Date signed09/05/2025 10:13:43 AM
Name of licensing program analystEthel Contreras
Name of licensing program managerKimberley Mota
Licensing Program Analyst(LPA) Contreras ar rive d unannounced to conduct this Case Management Visit to amend a report originally dated 09/03/2025. LPA met with Angelita Rebujio, facility designee.
LPA did health and safety walk through of facility. The document requires amending because annual was conducted in the wrong location of the facility. Report was amended and signed today, 09/05/2025.
No citations were issued during this visit.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction