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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191500146
Report Date: 10/05/2023
Date Signed: 10/05/2023 11:58:00 AM

Document Has Been Signed on 10/05/2023 11:58 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, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:ARTESIA CHRISTIAN HOMEFACILITY NUMBER:
191500146
ADMINISTRATOR:MICHELLE ROBISONFACILITY TYPE:
741
ADDRESS:11614 EAST 183RD STREETTELEPHONE:
(562) 865-5218
CITY:ARTESIASTATE: CAZIP CODE:
90701
CAPACITY: 143CENSUS: 81DATE:
10/05/2023
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Executive Director Michelle Robison TIME COMPLETED:
11:57 AM
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On 10/5/2023 Licensing Programming Analyst (LPA) Jewel Baptiste conducted an unannounced annual continuation inspection. Upon arrival LPA was greeted by the receptionist. LPA then met with Wellness Coordinator Michelle Lehde and explained the reason for the visit. LPA also discussed the visit with Executive Director Michelle Robison.

During the visit LPA inspected a total of five (5) resident files and five (5) staff files on both campuses. LPA also checked total of five (5) resident’s medications during the visit.

There were no deficiencies cited during the visit. Exit interview conducted with Michelle Robison, Michelle Lehde, and Alma Corral.

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Jewel Baptiste
LICENSING EVALUATOR SIGNATURE: DATE: 10/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/05/2023
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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