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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274450228
Report Date: 08/04/2022
Date Signed: 08/04/2022 09:32:53 AM


Document Has Been Signed on 08/04/2022 09:32 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:GREAT BEGINNINGSFACILITY NUMBER:
274450228
ADMINISTRATOR:ELVIA ZAMORAFACILITY TYPE:
850
ADDRESS:52 SOLEDAD DRIVETELEPHONE:
(831) 647-0551
CITY:MONTEREYSTATE: CAZIP CODE:
93940
CAPACITY:57CENSUS: 31DATE:
08/04/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Andrea ScottTIME COMPLETED:
09:35 AM
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Licensing Program Analyst (LPA), Joe Macias, conducted an unannounced case management inspection. LPA met with the Director Jillian Andrade, and explained the nature of today's inspection. The LPA is present today for the purpose of collecting original signatures for a Case Management Inspection conducted on April 6, 2022. LPA Macias printed out the LIC809 report dated April 6, 2022 and requested signatures.

LPA Macias once again reviewed the report with the director, and explained the importance of ensuring all licensing reports obtain signatures.




No deficiencies cited, exit interview conducted and report was reviewed with the Director Andrea Scott.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Joseph MaciasTELEPHONE: (408) 334-8320
LICENSING EVALUATOR SIGNATURE:
DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/04/2022
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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