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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005392
Report Date: 12/27/2024
Date Signed: 12/27/2024 03:15:50 PM

Document Has Been Signed on 12/27/2024 03:15 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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:TAYLOR COTTAGE, THEFACILITY NUMBER:
306005392
ADMINISTRATOR/
DIRECTOR:		CATACUTAN, MARY JEANFACILITY TYPE:
740
ADDRESS:7752 TAYLOR DRIVETELEPHONE:
(614) 746-5824
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92648
CAPACITY: 6CENSUS: DATE:
12/27/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:15 PM
MET WITH:Licensee Weenie EarwoodTIME VISIT/
INSPECTION COMPLETED:
03:13 PM
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At this an informal conference present were Taylor Cottage Licensee Weenie Earwood, Taylor's Loving Care Applicant Nhut Thanh Nguyen, Regional Manager Marina Stanic, Licensing Program Manager (LPM) Lourdes Montoya, and Licensing Program Analyst (LPA) Edward Kim.

The closure of the facility was discussed and the Licensee informed the department she will continue with the change of ownership and finalize the sale of the facility. Applicant stated they will continue with the pre-licensing process. Licensee will provide appropriate notice to the residents and their reporting party with a copy to the department.

Licensee requested a permit from the city electronically to remove the wall and comply with the Fire Department. Licensee will notify the Department of the change of administrator.

A copy of this report was provided to the Licensee Weenie Earwood.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE: DATE: 12/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/27/2024
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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