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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 121305711
Report Date: 10/21/2024
Date Signed: 10/21/2024 04:33:42 PM


Document Has Been Signed on 10/21/2024 04:33 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405



FACILITY NAME:CUTTEN CARE HOMEFACILITY NUMBER:
121305711
ADMINISTRATOR:LENDE, SUZANNEFACILITY TYPE:
740
ADDRESS:6253 BERRY LANETELEPHONE:
(707) 444-3428
CITY:EUREKASTATE: CAZIP CODE:
95503
CAPACITY:15CENSUS: 0DATE:
10/21/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Kent LendeTIME COMPLETED:
04:45 PM
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At approximately 4:15PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility to conduct a case management visit for the closure of this facility. LPA met with Licensee Kent Lende and toured the grounds. The residents moved in July and the facility was sold in August 2024. LPA observed there were no residents present.

The physical license was not available at this time.

This facility is now closed with an effective date of August 16, 2024.
SUPERVISOR'S NAME: Bethany MoellersTELEPHONE: (707) 588-5040
LICENSING EVALUATOR NAME: Christopher ArnholdTELEPHONE: (707) 588-5084
LICENSING EVALUATOR SIGNATURE:
DATE: 10/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/21/2024
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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