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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191600341
Report Date: 02/28/2022
Date Signed: 02/28/2022 10:49:43 PM


Document Has Been Signed on 02/28/2022 10:49 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 DR #100
MONTERY PARK, CA 91754



FACILITY NAME:HUNTINGTON RETIREMENT HOTELFACILITY NUMBER:
191600341
ADMINISTRATOR:HEATHER ARGUETAFACILITY TYPE:
740
ADDRESS:20920 EARL STREETTELEPHONE:
(310) 370-5828
CITY:TORRANCESTATE: CAZIP CODE:
90503
CAPACITY:155CENSUS: 73DATE:
02/28/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:18 PM
MET WITH:Heather ArguetaTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Lourdes Montoya conducted an unannounced Case Management visit to Huntington Retirement Hotel. LPA met with Administrator Heather Argueta and explained the purpose of today’s visit is to serve an ORDER TO LICENSEE/FACILITY OF IMMEDIATE EXCLUSION FROM FACILITY for Staff #1.

An investigation conducted by the California Department of Social Services determined that Staff #1 violated California Code of Regulations Title 22 for the client’s personal rights. Health and Safety Code 1569.58 was also issued, informing the administrator that an excluded person may petition for reinstatement to the Department one year after the effective date of the exclusion order.

LPA Montoya gave a copy of the Immediate Exclusion letter for the Huntington Retirement Hotel facility to Administrator Heather Argueta.

Administrator Heather Argueta stated she understood the Immediate Exclusion order and that she understands the mentioned staff is not allowed to be physically present in the facility.



An exit interview conducted, and a copy of this report was given to Administrator Heather Argueta.
SUPERVISOR'S NAME: Angela J KendrickTELEPHONE: (323) 629-7815
LICENSING EVALUATOR NAME: Lourdes MontoyaTELEPHONE: (323) 981-4934
LICENSING EVALUATOR SIGNATURE:
DATE: 02/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/28/2022
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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