Senior Care Records.

Facility Evaluation Report

Mirabel Lodge, Forestville06/02/2026Licence 496804122

Capacity34
Date signed06/02/2026 10:35:35 AM
Name of licensing program analystMarisol Cuadra
Name of licensing program managerBethany Moellers
The inspector’s account

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct this Case Management Visit and get signatures on an amended report dated 5/20/26 and civil penalties issued the same date. LPA met with Licensee Alex Varshavsky and explained the reason of the visit.

The document requires amending because civil penalty in the amount of $1000 will be removed due to documentation provided by the facility was submitted the same day as proof of correction of scheduled training to be conducted on 5/28/26, which it was confirmed that training was completed. Amended document deletes reference to civil penalty. LPA removed the civil penalty. Report was amended and signed today, 6/2/2026.

No citations were issued during this visit.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction