Senior Care Records.

Facility Evaluation Report

Lola Manor, Penngrove07/28/2026Licence 496804104

Capacity4
Census4
Date signed07/28/2026 09:10:36 AM
The inspector’s account

At approximately 8:30 AM, Licensing Program Analyst (LPAt) Robert Frank arrived unannounced to conduct a Case Management visit and met with facility Back-Up Administrator Benjamin Merilatt. The Department of Social Services, Care Provider Management Branch determined that staff member S1 was not eligible for a criminal record exemption for employment. LPA confirmed that employee S1 is was not present during today's visit. Facility Back-Up Administrator Marilatt confirmed that S1 is no longer employed by the facility.

No deficiencies cited during today's visit.

Exit interview conducted. Copy of report discussed and provided to Back-Up Administrator Merilatt. Signature on form confirms receipt of documents.

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