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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197608358
Report Date: 03/13/2024
Date Signed: 03/13/2024 11:52:04 AM


Document Has Been Signed on 03/13/2024 11:52 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:LA POSADA IN SAN DIMASFACILITY NUMBER:
197608358
ADMINISTRATOR:LUCY PARKERFACILITY TYPE:
740
ADDRESS:1452 GOLDRUSH STREETTELEPHONE:
(909) 599-2273
CITY:SAN DIMASSTATE: CAZIP CODE:
91773
CAPACITY:6CENSUS: DATE:
03/13/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Clemencia Busheri & Lucy Parker- Licensees, Lorraine Lopez- Potential ApplicantTIME COMPLETED:
11:55 AM
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A meeting was held today in the Monterey Park Regional Office for the purpose of discussing a Change of Ownership (CHOW) for the facility. Attendees present during today's meeting were Licensing Program Manager (LPM) Fernando Fierros, Licensing Program Analyst (LPA) Valeria Maldonado, Licensees Clemencia Bousheri and Lucy Parker of La Posada Board and Care Inc. and Administrator/potential applicant, Lorraine Lopez, her daughter Megan Hill, and Megan's husband, Andres Castellanos.

During the meeting, it was addressed that the department was made aware of a possible change of ownership, and the following was discussed:
  • Importance of maintaining control of the property
  • Health & Safety Code 1569.191- Sale of Licensed Facility;Resulting issuance of a New License; Procedure
  • Health & Safety Code 1569.682- Transfer of Resident Upon Forfeiture of License or Change in Use of Facility; Closure Plan; Duty of Department Upon Licensee's Failure to Comply; Civil Penalties
  • Regulation 87224- Eviction Procedures for Residential Care for the Elderly
  • Assembly Bill 949 (Krekorian)- Resident Transfers
  • Senate Bill 781 (Leno)- Eviction Procedures
  • Regulation 87468- Personal Rights
  • Regulation 87468.1- Personal Rights of Residents in All Facilities
  • Regulation 87468.2- Additional Personal Rights of Residents in Privately Operated Facilities
  • Application of the new license

Licensee's stated if the applicant's application is not approved, they will remain open and move forward with a closure. Per Licensees, they continue to maintain control of property, which is currently being leased. However, the lease will be transferred to the applicant once the new license is issued, otherwise, the license would be forfeited.
(Report continued on LIC809-C...)
SUPERVISOR'S NAME: Fernando FierrosTELEPHONE: (323) 981-3981
LICENSING EVALUATOR NAME: Valeria MaldonadoTELEPHONE: 323-981-3342
LICENSING EVALUATOR SIGNATURE:
DATE: 03/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/13/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: LA POSADA IN SAN DIMAS
FACILITY NUMBER: 197608358
VISIT DATE: 03/13/2024
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Facility staff and residents' responsible parties have been notified of the change in ownership verbally. A copy of a 60 Day Notice draft was provided to the Licensing Department during the meeting and Licensee's stated will issue to residents, their families, and notify Ombudsman of it in once the draft is approved. Applicant has stated to submit the application to the Centralized Applications Bureau in 1 to 2 weeks. They were informed if any further questions/concerns, to contact LPA Maldonado and another meeting can be scheduled to assist with any matter. Lastly, Licensee's were notified of overdue licensing fees, which were due on 8/24/23. LPA provided their PIN to make their payment online and Licensee's made the payment immediately, at the end of the meeting.

An exit interview was conducted and a copy of this report and of the reference material discussed, were provided.
SUPERVISOR'S NAME: Fernando FierrosTELEPHONE: (323) 981-3981
LICENSING EVALUATOR NAME: Valeria MaldonadoTELEPHONE: 323-981-3342
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2024
LIC809 (FAS) - (06/04)
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