Facility Evaluation Report
Capacity100
Census14
Date signed04/22/2025 10:52:09 AM
Name of licensing program analystMelinda Medina
Name of licensing program managerSergiy Pidgirny
On 4/22/202/25, Licensing Program Analysts (LPAs) M. Medina and J. Duarte conducted a Case Management visit to follow up on an incident received in Fresno Regional Office on 4/21/25
LPAs met with David Cervantes to conduct visit. Currently, there are fourteen (14) residents in care, twelve (12) were present at time of visit.
LPAs received copies of R1 and R2 resident records, a current copy of LIC 9020 and LIC 500.
A copy of report was provided for facility records.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction