Facility Evaluation Report

On 06/02/2023 at 10:30am, Licensing Program Analysts (LPAs) Arielle Pascua and Christina Valerio arrived unannounced to this facility to conduct a case management visit. LPAs were greeted by House Manager (HM) Norma Borgus and explained the purpose of the visit. LPAs asked that HM Borgus contact the Facility Designated Administrator (FDA) at this time to inform them that CCL was present. It was learned at this time that FDA Julian Hawes was unable to meet LPAs at the facility due to other meetings. LPAs continued the visit with HM Borgus. Current Census was 4. 1 out of 4 residents were out at their respective day programs.

The purpose of this case management visit is to follow up on documentation that was requested by department:

LPA Pascua requested the following documents:

Staff schedule for April 2023 with contact information

LPA Pascua requested that the following documents to be sent to the LPA's email at arielle.pascua@dss.ca.gov by 06/08/2023 at 5:00pm. Licensee was informed that failure to provide documentation may result in deficiencies.

No deficiencies cited during this case management visit. An exit interview was conducted and a copy of this report was provided to the facility via email and an electronic email read receipt confirms receiving these documents