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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 366426762
Report Date: 11/13/2023
Date Signed: 11/13/2023 11:11:47 AM

Document Has Been Signed on 11/13/2023 11:11 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, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME:HIGHLAND SENIOR HOME CARE LLCFACILITY NUMBER:
366426762
ADMINISTRATOR:LIWANAG, AMPAROFACILITY TYPE:
740
ADDRESS:7513 SWEETMEADOW COURTTELEPHONE:
(909) 714-0225
CITY:HIGHLANDSTATE: CAZIP CODE:
92346
CAPACITY: 6CENSUS: 6DATE:
11/13/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Francis Gramonte, staffTIME COMPLETED:
11:13 AM
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Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to conduct a case management visit and follow up on the supposed sale of facility and property. LPA met with care provider Francis Gramonte who was informed of the purpose of today's visit. LPA phoned licensee and administrator Amparo Liwanag who was informed of the visit.

On 10/2/23, the San Bernardino Regional Office received a mailed notice that Licensee is selling their facility.
During a phone call between LPA and Licensee on 10/9/23, Licensee Liwanag confirmed that the property is for sale however there were no offers to date. LPA informed Liwanag that the facility license is non transferable and the new owner must submit their application to obtain their own license.

During today's visit, LPA Bueno phoned Licensee Liwanag. Liwanag stated that the sale of the home is on hold and that they will revisit this possibility in December 2023. Liwanag added that they gave written notice to residents' responsible parties of the sale but that responsible parties were verbally notified that the sale is on hold. LPA reminded Licensee to provide updates to CCL and to submit a copy of the written notice sent to residents.

No deficiency was cited during today's visit. An exit interview was conducted where this report was discussed and provided to the facility staff.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Anna Bueno
LICENSING EVALUATOR SIGNATURE: DATE: 11/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/13/2023
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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