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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435294351
Report Date: 03/18/2025
Date Signed: 03/18/2025 03:54:12 PM

Document Has Been Signed on 03/18/2025 03:54 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
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME:SWEET DREAMS CARE HOME LLCFACILITY NUMBER:
435294351
ADMINISTRATOR/
DIRECTOR:		JEAN JOSEFACILITY TYPE:
740
ADDRESS:1187 PARK GROVE DRIVETELEPHONE:
(408) 941-9995
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY: 6CENSUS: 4DATE:
03/18/2025
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Licensee Gano FiciTIME VISIT/
INSPECTION COMPLETED:
03:50 PM
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On 3/18/2025 Licensing Program Manager Romeo Manzano and Licensing Program Analyst (LPA) Marcella Tarin met with Licensee Gano Fici and son Ganti Fici regarding temporary non-operation of facility Sweet Dreams Care Home LLC (License # 435294351).

Licensee requested a meeting regarding temporary non-operation of facility due staffing issues and facility renovation. Licensee to inform Department of updated fire clearance and provide updated facility sketch. Licensee provided copies of LIC9020, and Copies of letters to residents and facility plan of action for review.

LPM advised facility to provide an action plan for the facility as they plan to become non-operational/inactive. LPM advised that the facility is not exempt from reporting to the Department, or exempt from regulations due to being non-operational/inactive. Facility is still obligated to continue required training, and meeting administrator requirements.

The facility is still required to inform the Department of the status of the facility's residents and if the families have been informed. LPM advised Licensee cannot rent the facility out during non-operational/inactive, doing so would result in forfeiture of facility license. LPM advised Licensee to inform Department when the facility decides to become operational again. LPM advised Licensee to updated LTCO regarding change in operation. LPM advised Licensee that Board Members have to elect a new member if Licensee steps down.

Licensee agreed to submit an updated plan of action in terms of staffing for facility to become non-operational/inactive and to submit an LIC500 (Personnel Roster), an updated 60 day letter with signature from Licensee and to keep the Department updated on the residents and their relocation.

A copy of this report was provided to Licensee.
SUPERVISORS NAME: Jin Jackie
LICENSING EVALUATOR NAME: Marcella Tarin
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2025
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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