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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195850205
Report Date: 01/28/2025
Date Signed: 01/29/2025 09:32:26 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 01/29/2025 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, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:MONTARE VISTAFACILITY NUMBER:
195850205
ADMINISTRATOR/
DIRECTOR:		MODRESKY, MICHEALFACILITY TYPE:
772
ADDRESS:14339 VALLEY VISTA BLVDTELEPHONE:
(917) 374-4215
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91423
CAPACITY: 6CENSUS: 0DATE:
01/28/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Tiffany Naumann, Chief Clinical OfficerTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Zabel Chochian arrive to this facility today to conduct a required annual inspection. Upon arrival LPA observed the property/home to be vacant. LPA contacted Administrator. LPA was informed that the facility is currently vacant. LPA spoke with Tiffany Naumann, Chief Clinical Officer and was informed that they are temporarily not in operation at this property and have been without a census since 12/2024. Their intention is to relocate the facility to a different address and an application for change of location will be submitted within the next few weeks. Until that time, they are not actively treating clients at this facility.

Exit conducted. Report sent via email for signature.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE: DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2025
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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