Facility Evaluation Report
Capacity15
Census11
Date signed11/04/2022 11:26:02 AM
At 11:00 am on 11/4/22 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a case management visit for an incident involving resident 1 (R1) that left the facility and did not return. LPA Jensen met with Licensee Saudia Whitaker.
The resident has been located. See LIC 812 for additional details. LPA Jensen requested a copy of the resident sign out sheet and Individual Program Plan to be emailed to maja.jensen@dss.ca.gov by 11/10/22.
No deficiencies were cited as a result of this visit.
An exit interview was conducted and a copy of this report was given to the Licensee
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction