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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198320131
Report Date: 06/08/2024
Date Signed: 06/08/2024 12:03:40 PM


Document Has Been Signed on 06/08/2024 12:03 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
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245



FACILITY NAME:SILVERADO ROLLING HILLSFACILITY NUMBER:
198320131
ADMINISTRATOR:LOURDES MENCHACAFACILITY TYPE:
740
ADDRESS:2455 PACIFIC COAST HWYTELEPHONE:
(424) 488-0593
CITY:TORRANCESTATE: CAZIP CODE:
90505
CAPACITY:68CENSUS: 45DATE:
06/08/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:37 AM
MET WITH:Matthew ZarroTIME COMPLETED:
12:10 PM
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On 06/8/24, Licensing Program Analyst, (LPA) Antonine Richard conducted a case management other. LPA arrived at the facility above to perform a one -year required visit. Up arrival, facility Director Matthew Zarro stated that on 05/31/24, LPA Wendy Gibbs conducted a year- required annual already. LPA Richard got a copy of the report. LPA Richard decided to conduct a case management other.

No deficiencies were cited. A copy of the report was provided to Director Matthew Zarro.

SUPERVISOR'S NAME: Eva M AlvarezTELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Antonine RichardTELEPHONE: (323) 516-4092
LICENSING EVALUATOR SIGNATURE:
DATE: 06/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/08/2024
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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