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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198320082
Report Date: 08/21/2020
Date Signed: 08/30/2020 06:47:00 AM

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
MONTERY PARK, CA 91754
FACILITY NAME:A CARING TOUCH BOARD AND CARE IIFACILITY NUMBER:
198320082
ADMINISTRATOR:WELLS, NICHOLASFACILITY TYPE:
740
ADDRESS:2108 OAK STREETTELEPHONE:
(510) 384-3431
CITY:SANTA MONICASTATE: CAZIP CODE:
90405
CAPACITY:6CENSUS: 0DATE:
08/21/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:14 AM
MET WITH:Nicholas Wells TIME COMPLETED:
09:59 AM
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On 08/21/20 at 9:14 am – 9:59 am, Regional Manager RM/Benita Yates, Licensing Program Manager LPM/Angela Kendrick, Licensing Program Analyst LPA/Ernand Dabuet along with the Santa Monica Fire Department Inspector Joe Cavin and the Santa Monica Building Inspector James Brewster conducted a tour of A Caring Touch Board and Care II. The team met with applicant Nicholas Wells.

The visit was to follow up on a Prelicenisng inspection conducted on 06/24/20. This inspection visit was to determine if the facility is in compliance with the City of Santa Monica’s Building and Safety Fire Codes.

At the conclusion of the inspection visit, it was determined is not in compliance at this time and the Fire Clearance has been denied. The applicant will notify Community Care Licensing (CCL) what the applicant has planned for the next steps.

An exit interview was conducted with Nicholas Wells, and a hard copy was provided via email for signature.
SUPERVISOR'S NAME: Eva M AlvarezTELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Ernand DabuetTELEPHONE: (323) 629-5526
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2020
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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