Facility Evaluation Report
Capacity5
Census4
Date signed01/26/2023 01:32:08 PM
LPA Hiratsuka conducted this unannounced annual visit. LPA wore a surgical mask and observed all staff wearing masks.
LPA toured the facility with Caregiver Margaret Waldron. LPA looked into three of four resident rooms. The food supply and personal protection equipment supply was checked. One staff and one resident records were checked.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction