<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191593145
Report Date: 10/30/2023
Date Signed: 10/30/2023 11:26:56 AM

Document Has Been Signed on 10/30/2023 11:26 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
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:RAMONA GUEST HOME - BELLFLOWERFACILITY NUMBER:
191593145
ADMINISTRATOR:KANIEL, STANLEYFACILITY TYPE:
735
ADDRESS:9555 RAMONA STTELEPHONE:
(562) 867-1002
CITY:BELLFLOWERSTATE: CAZIP CODE:
90706
CAPACITY: 29CENSUS: 3DATE:
10/30/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Stanley Kaniel & Marilyn Nguyen TIME COMPLETED:
11:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
An informal conference was conducted and held today in the Monterey Park Adult and Senior Care Regional Office. The purpose of this informal office meeting is to discuss the facility closure.

Present in this meeting: Araceli Ramirez (Regional Manager for Monterey Park Office); David Sicairos (Licensing Program Manager), Tena Herrera (Licensing Program Analyst), Stanley Kaniel (Licensee/Administrator) and Marilyn Nguyen (Buyer).

The Department was made aware of possible closure/change of ownership with a target date of end of November 2023. The following Title 22 Regulation Sections were discussed and materials provided during the meeting;
  • Eviction Procedures 87224 (RCFE)
  • Eviction Procedures 80068.5 (ARF)
  • Eviction Procedures 85068.5 (RCFE)
  • H&S Code 1569.682
  • H&S Code 1569.191
  • PIN 18-17-ASC Facility Closure Requirements
  • Reporting Requirements 87211 (RCFE)
  • Reporting Requirements 80061 (ARF)

Stanley Kaniel and Marilyn Nguyen were made aware of the three closure phases. Phase 1 (draft of the closure plan along with eviction notice, submission of change of ownership application), Phase 2 (following approved closure plan, notifying placement agencies along with LTCO, SS Administration and transitional plan for the new buyer), Phase 3 (notification of change of ownership).

(please see LIC 809-C for additional information)
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE: DATE: 10/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/30/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: RAMONA GUEST HOME - BELLFLOWER
FACILITY NUMBER: 191593145
VISIT DATE: 10/30/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The documents listed below were requested from Stanley Kaniel. The due date for the documents is 11/6/2023:
  • 60 Days Written Eviction Notice
  • Closure Plan (Including: Client Roster, Ambulatory Status, Rent Payee, Conservator/POA/Public Guardian & Clients receiving the Enhanced Service Rate)
  • Transfer of P&I monies
  • List of utilities & vendors

According to Stanley Kaniel, there are currently 3 residents residing in the facility who are over the age of sixty (60) years old.

An exit interview was conducted and a copy of this report was provided to Stanley Kaniel.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2