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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197800131
Report Date: 07/17/2020
Date Signed: 07/17/2020 05:46:58 PM

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:CHATEAU LONG BEACHFACILITY NUMBER:
197800131
ADMINISTRATOR:BEATRICE ROMEOFACILITY TYPE:
740
ADDRESS:3100 E. ARTESIA BLVD.TELEPHONE:
(562) 428-5371
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY:184CENSUS: 103DATE:
07/17/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Beatrice RomeoTIME COMPLETED:
04:45 PM
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On 7/17/20 at 4:15 pm Licensing Program Analyst (LPA) Kourtney Williams conducted an unannounced case management visit at facility. In accordance with Governor's Proclamation has set forth, LPA is unable to make a physical inspection due to COVID-19. Today’s visit was conducted telephonically with Beatrice Romeo, Administrator. LPA explained the purpose of the visit was to conduct a health and safety check.

The visit consisted of the following: LPA conducted a telephone interview with the administrator about additional information in regards to death report received.

An exit interview was conducted, and a Facility Evaluation Report was provided to Beatrice Romeo, Administrator.

SUPERVISOR'S NAME: Michael CavaTELEPHONE: (323) 400-7397
LICENSING EVALUATOR NAME: Kourtney WilliamsTELEPHONE: (510) 301-5810
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2020
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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