<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198320358
Report Date: 04/19/2023
Date Signed: 04/21/2023 08:16:52 AM

Document Has Been Signed on 04/21/2023 08:16 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:SWEET CARE MANORFACILITY NUMBER:
198320358
ADMINISTRATOR:ALCANTARA, CHARMAINEFACILITY TYPE:
740
ADDRESS:2451 W 235TH STREETTELEPHONE:
(310) 325-1879
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY: 6CENSUS: 6DATE:
04/19/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:CHARESA REYESTIME COMPLETED:
11:00 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 4/19/2023, Licensing Program Analyst (LPA) Lourdes Montoya conducted an announced visit to this home. LPA met with Applicant Charesa Reyes who assisted with the visit. The purpose of the visit was explained.

During today's visit, LPA Montoya observed the following have been corrected.

1. The water temperature is 122.4 degrees Fahrenheit in the common resident bathroom.
2. Client records are incomplete.
3. Patio sliding door is not properly working.
4. No cover/umbrella in the patio - Per administrator it was broken and was disposed.
5. Water heater housing is not in good repair.
6. Window blinds in bedroom #2 is not in good repair.
7. Closets in bedrooms #1 and #4 need doors.
8. Need touch up paint in bedroom #1.
9. Small hole on the ceiling in staff bedroom needs to be repaired.
10. Check if two exposed electrical/phone lines in the patio are live or not.
11. Clear the two storage rooms.
12. Remove or cover the post light at the back patio.

Component III:
The applicant has completed the Comp III training during today’s visit.

An exit interview was conducted, and a copy of this report has been furnished to Applicant Charesa Reyes. LPA Montoya will submit a copy of this facility evaluation report to the Central Applications Unit (CAU) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAU Analyst assigned to their application.

END OF REPORT
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Lourdes Montoya
LICENSING EVALUATOR SIGNATURE: DATE: 04/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/19/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1