Senior Care Records.

Facility Evaluation Report

Cottage INC, the, Porterville12/20/2023Licence 547202420

Capacity6
Census6
Date signed12/20/2023 09:41:49 AM
The inspector’s account

On 12/20/23, this Department conducted a office meeting to follow up on previous meeting held on 12/15/23. Present during meeting were Brenda White, Regional Manager, Melinda Medina, Licensing Program Analyst, and Howard Ferguson.

The Department has received the following documents provided by Howard Ferguson during office visit: LIC 200, LIC 308, LIC 309, Lease Agreement, Appointment Letter for Administrator, Certificate of Liability Insurance, and Articles of Incorporation with Statement of Conversion.

This Department will review documents received and will advise if any additional information is needed.

A copy of this report was provided to Howard Ferguson during meeting.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction