Facility Evaluation Report
Capacity6
Census3
Date signed05/09/2024 02:44:37 PM
Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct a proof of correction (POC) visit. LPA Lund met with Care Staff Princess Major-Banks and explained the reason for the visit. Care Staff called Administrator Karen Fomby who could not make today visit. Administrator Karen Fomby gave permission to have Care Staff Princess Major-Banks sign any required paperwork. Census:3
LPA Lund received proper POC documentation for the deficiency cited on 2/2/2024. No deficiencies were observed and cited during this visit.
Exit interview conducted and report left.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction