Facility Evaluation Report
On 8/26/24, Licensing Program Analyst (LPA) M Medina arrived unannounced to Case Management Annual Continuation. LPA arrived, introduced self, and stated purpose of visit. Administrator, Melanie Rafanan contacted by telephone and arrived a short time later.
LPA Medina completed inspection tool and reviewed a sample of staff files.
LPA Medina conducted physical plant tour during initial inspection on 7/30/24 and documented on original report.
LPA recevied copies of the following documents during Annual Continuation visit: LIC 308 (Designation of Facility Responsibility), LIC 500 (Personnel Report), LIC 610E (Emergency and Disaster Plan), LIC 9020 (Register of Facility Clients/Residents).
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction