Facility Evaluation Report
On 12/19/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced. LPA Jensen met with care provider Sandra Williams and explained the purpose of today's visit. Maria Araiza arrived on the scene shortly after.
On 12/10/24 LPA Jensen reviewed a resident file for resident 1 (R1). There was no record to document the needs and services that the resident will be provided with.
Technical assistance was provided on social factors and change in administrator.
A deficiency is being cited from the California Code of Regulations (CCR) Title 22, Division 6. Failure to correct deficiencies may result in the assessment of civil penalties.
A exit interview was conducted and a copy of this report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction