Facility Evaluation Report
Capacity15
Census6
Date signed12/12/2025 12:13:25 PM
Name of licensing program analystRobert Frank
Name of licensing program managerVictoria Bertozzi
At approximately 11:50 AM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to deliver an amended document from a Case Management visit conducted on 10/9/2025.
No deficiencies cited during today's visit.
Exit interview conducted. Copy of report discussed and provided to Caregiver Buenaflor. Signature on form confirms receipt of documents.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction