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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014453
Report Date: 10/12/2022
Date Signed: 10/12/2022 03:07:10 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 10/12/2022 03:07 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:OPTIONS SURROUND CARE-MEADOW GREENFACILITY NUMBER:
198014453
ADMINISTRATOR:DIANE GONZALESFACILITY TYPE:
840
ADDRESS:12025 GROVEDALETELEPHONE:
(562) 902-0300
CITY:WHITTIERSTATE: CAZIP CODE:
90604
CAPACITY:40CENSUS: 0DATE:
10/12/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:03 PM
MET WITH:TIME COMPLETED:
03:04 PM
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LPA Baluyot attempted to conduct an unannounced Required Annual Inspection and found the facility to be closed. LPA contacted Options Surround Care main office and spoke with Linda Romero who stated that Meadow Green is currently under construction and children have been transferred to Maybrook facility.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo BaluyotTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/12/2022
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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