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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603687
Report Date: 09/16/2024
Date Signed: 09/16/2024 11:06:07 AM

Document Has Been Signed on 09/16/2024 11:06 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:ART OF LIVING SILVERTOWNFACILITY NUMBER:
198603687
ADMINISTRATOR/
DIRECTOR:		KIM, HYO SOOKFACILITY TYPE:
740
ADDRESS:15431 GARO STREETTELEPHONE:
(213) 820-3244
CITY:HACIENDA HEIGHTSSTATE: CAZIP CODE:
91745
CAPACITY: 6CENSUS: 5DATE:
09/16/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Staff Okkyung CoreasTIME VISIT/
INSPECTION COMPLETED:
10:55 AM
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Licensing Program Analyst (LPA) Jose Villalobos conducted a Plan Of Correction Visit (POC) to follow up on deficiencies cited on the case management visit conducted on 9/3/24. Upon arriving at the facility, LPA met with Staff Okkyung Coreas and explained the purpose of this visit as well as explained to administrator Hyo Kim via phone call.

LPA Villalobos verified the following deficiencies cited on 9/3/24 to be cleared:
  • CCR 87202(a) Facility to relocate residents to approved resident rooms by POC due date. LPA observed residents that were residing in the staff room on the previous visit are now in cleared resident rooms. Deficiency is cleared at the time of this visit.


All above citations are cleared at the time of this visit. No further citations provided on this report. Exit Interview conducted and a copy of this report was provided.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Jose Villalobos
LICENSING EVALUATOR SIGNATURE: DATE: 09/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/16/2024
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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