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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610262
Report Date: 01/29/2025
Date Signed: 01/29/2025 02:34:45 PM

Document Has Been Signed on 01/29/2025 02:34 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.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:ARGOSI HOMES LLCFACILITY NUMBER:
197610262
ADMINISTRATOR/
DIRECTOR:		HORNE, TONYFACILITY TYPE:
735
ADDRESS:37654 LANDON AVENUETELEPHONE:
(310) 339-6930
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY: 4CENSUS: 0DATE:
01/29/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Tony HorneTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
NARRATIVE
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Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit and met the Licensee, Tony Horne. LPA toured the facility at 9:50 am until 10:55 am. LPA Spaeth did not observe any clients living within the home.

Exit interview conducted and a copy of the report was given.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Melissa Spaeth
LICENSING EVALUATOR SIGNATURE: DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/29/2025
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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