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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197608050
Report Date: 06/10/2022
Date Signed: 06/10/2022 11:45:22 AM


Document Has Been Signed on 06/10/2022 11:45 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 DR #100
MONTEREY PARK, CA 91754



FACILITY NAME:ADORABLE HOME IIFACILITY NUMBER:
197608050
ADMINISTRATOR:JOCELYN MORALESFACILITY TYPE:
740
ADDRESS:20545 MADISON STREETTELEPHONE:
(310) 370-3748
CITY:TORRANCESTATE: CAZIP CODE:
90503
CAPACITY:6CENSUS: 0DATE:
06/10/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Jocelyn MoralesTIME COMPLETED:
12:00 PM
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On 6/10/2022, Licensing Program Analyst (LPA) Lourdes Montoya conducted a Case Management - Other (Facility Closure). The purpose of this visit is to document the closure of the facility which was initiated by the Licensee. LPA Montoya met with Licensee/Administrator Jocelyn Morales who assisted with the visit.

On 5/9/2022, the department received a letter from Licensee/Administrator Maria Cantoria that all residents were safely moved on 5/5/2022 to Adorable Redbeam Home located at 22521 Redbeam Avenue, Torrance CA 90505.

LPA toured the inside and outside grounds of the facility and did not observe any residents in care. LPA observed five bedrooms and three bathrooms, the entire house is under construction. Based on LPA Montoya’s observation, the facility is no longer operating business and will be closed out effective 5/5/2022.

LPA advised Ms. Morales to surrender the original copy of the facility license.

An exit interview was conducted and a copy of this report was provided to Licensee/Administrator Jocelyn Morales.
SUPERVISOR'S NAME: Eva M AlvarezTELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Lourdes MontoyaTELEPHONE: (510) 725-7918
LICENSING EVALUATOR SIGNATURE:
DATE: 06/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/10/2022
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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