Facility Evaluation Report
Capacity6
Census5
Date signed08/22/2022 11:31:56 AM
Licensing Program Analyst (LPA) Ashley Smith conducted an unannounced Collateral Inspection at the facility today. The Collateral Inspection is in reference to complaint investigation, complaint control # 29-AS-20220819130001, which does not pertain to this facility.
During today's inspection the LPA interviewed Resident #1 (R1). The visit was then concluded.
Exit interview conducted. A copy of the report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction