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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197608258
Report Date: 04/27/2023
Date Signed: 10/13/2023 10:24:23 AM


Document Has Been Signed on 10/13/2023 10:24 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:LEISURE LIVING OF CLAREMONTFACILITY NUMBER:
197608258
ADMINISTRATOR:KATHLEEN GONZALESFACILITY TYPE:
740
ADDRESS:1738 FINECROFT DRIVETELEPHONE:
(626) 622-7296
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY:6CENSUS: 5DATE:
04/27/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Kathleen Gonzalez- Licensee & Marjorie Hechanova- ApplicantTIME COMPLETED:
02:19 PM
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A virtual meeting was held on 04/27/23 for the purpose of discussing the change of ownership and sale of property. Attendees present during the meeting were: Community Care Licensing, Licensing Program Manager (LPM) Fernando Fierros, Licensing Program Analyst (LPA) Valeria Maldonado, Licensee Kathleen Gonzalez of Leisure Living at Claremont, Inc. and applicant/property buyer Marjorie Hechanova.

It was addressed in the meeting that the Department was made aware of a possible change of ownership.
The following was discussed:
  • The sale/control of the property
  • Regulation 87224- Eviction Procedures for Residential Care for the Elderly
  • Assembly Bill 949 (Krekorian)- Resident Transfers
  • Senate Bill 781 (Leno)- Eviction Procedures
  • Application of the new license
Per Kathleen, the property is currently in escrow and expected to close mid May of 2023- it is being sold to Marjorie. LPM Fierros advised the licensee and the applicant that a lease will be required, so that the current licensee does not lose control of property and forfeit her license. All residents and their respective responsible parties have been notified of the change in ownership and have decided they will stay at the facility, once the new license is issued. As of today, the applicant Marjorie has already completed the Component I orientation and will be submitting the application to the Centralized Applications Bureau (CAB) for the new license in the coming days. Marjorie was advised once the application is submitted, CAB will be in contact with her for additional requirements. A copy of the regulation, Assembly Bill, and Senate Bill were provided via the virtual meeting invite to the licensee and applicant to assist them in the process. They were informed if any further questions/concerns, to contact LPA Maldonado and another meeting can be scheduled to assist with any matter.
An exit interview was conducted and a copy of this report was emailed to Licensee Kathleen Gonzalez for signature. Signature available on hard copy.
SUPERVISOR'S NAME: Fernando FierrosTELEPHONE: (323) 981-3981
LICENSING EVALUATOR NAME: Valeria MaldonadoTELEPHONE: 323-981-3342
LICENSING EVALUATOR SIGNATURE:
DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/27/2023
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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