Facility Evaluation Report
Capacity114
Census80
Date signed11/19/2025 12:44:39 PM
Name of licensing program analystAlbert Johnson
Name of licensing program managerLisa Rios
Licensing Program Analyst (LPA) Albert Johnson conducted a health and safety check on this day.
Health and Safety check included overall safety of the facility including food supply, physical plant and staffing. LPA was following up on non-compliance information from the meeting held on 8/15/2025.
The Licensee was requested to provide CCL with the requested information which includes:
Complete and submit the LIC 500 for the most current staff, shifts, and coverage for designated shift leads.
Complete and submit proof of most recent training in the areas of Resident Care, and Resident Supervision.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction