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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610027
Report Date: 01/21/2025
Date Signed: 01/21/2025 01:38:44 PM

Document Has Been Signed on 01/21/2025 01:38 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
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:ALLESSANDRA HOME CAREFACILITY NUMBER:
197610027
ADMINISTRATOR/
DIRECTOR:		ANDRADA, LEANDROFACILITY TYPE:
740
ADDRESS:2822 ALLESSANDRA COURTTELEPHONE:
(661) 206-7001
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
01/21/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Leandro AndradaTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Lorena Casillas met with Licensee/Administrator Leandro Andrada for an unannounced Case Management visit for this facility. On 12/09/2024 LPA Casillas received an email from Licensee/Administrator Leandro Andrada stating that they would like to surrender license and close the facility.

LPA arrived at 1:00 pm, Licensee informed LPA that they do not have any clients as they have all been relocated. The Licensee is no longer interested keeping the facility open and wishes to cease operation due to moving out of state. Licensee states that they have plans to sell the home. On 12/09/2024 Licensee had previously emailed LPA Casillas a statement wishing for facility to be closed.

A tour of the physical plant was conducted with Licensee at 1:10 pm. The facility has five (5) bedrooms and two (2) bathrooms. Facility is currently not occupied by residents. Facility has been absent of residents since last relocated resident on 01/12/2025. LPA confirmed that there are no residents in the facility.

LPA collected the original license during the visit.

LPA confirmed mailing address. Community Care Licensing will be mailing an official closure letter.

LPA reminded the Licensee that if they should decide to reopen, then a new application with all the appropriate documents and fees shall be submitted to CCL. LPA informed Licensee that a license will need to be approved before operation.

LPA will send closure survey to Licensee by email to complete.

Exit interview conducted. A copy of this report provided to Licensee.

Nichelle GillyardTELEPHONE: (818) 596-4370
Lorena CasillasTELEPHONE: 818-304-2695
DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/21/2025
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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