Facility Evaluation Report
Capacity6
Census6
Date signed12/29/2021 12:18:25 PM
Licensing Program Analyst (LPA) conducted a case management and met with Administrator /Licensee Ami Kumar, and Administrator Janine Sorrenson.
LPA is conducting the case management to review a recently submitted resident incident report. LPA reviewed facility resident file, and obtained information regarding the incident. Licensee/Administrator Ami K and Administrator Janine are addressing the incident as required. All parties have been contacted as required. All reports were completed and submitted as required.
Licensee/Administrator has agreed to submit requested documentation no later than 12/31/21.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction