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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197607475
Report Date: 01/27/2022
Date Signed: 01/31/2022 02:50:00 PM

Document Has Been Signed on 01/31/2022 02:50 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTERY PARK, CA 91754
FACILITY NAME:FINEST LIVING GUEST HOMEFACILITY NUMBER:
197607475
ADMINISTRATOR:MARGARITA N. DAYAOFACILITY TYPE:
740
ADDRESS:20601 MANSEL AVENUETELEPHONE:
(310) 542-9639
CITY:TORRANCESTATE: CAZIP CODE:
90503
CAPACITY: 6CENSUS: 5DATE:
01/27/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:TERESA GUANLAOTIME COMPLETED:
04:00 PM
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On 1/27/2022, Licensing Program Analyst (LPA) Lourdes Montoya conducted an case management visit. LPA met with Staff Teresa Guanlao and explained the purpose of today’s visit.

LPA Montoya observed and Staff Guanlao also admitted that no staff has completed the fit testing requirement.

Technical assistance was provided to Staff Guanlao.

Exit interview conducted and a copy of this report was provided to Staff Guanlao.
SUPERVISORS NAME: Angela J Kendrick
LICENSING EVALUATOR NAME: Lourdes Montoya
LICENSING EVALUATOR SIGNATURE: DATE: 01/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/27/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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