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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198320203
Report Date: 11/03/2021
Date Signed: 11/05/2021 08:44:25 PM

Document Has Been Signed on 11/05/2021 08:44 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
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:ADORABLE REDBEAM HOMEFACILITY NUMBER:
198320203
ADMINISTRATOR:LINAYAO, KADIGUIA O.FACILITY TYPE:
740
ADDRESS:22521 REDBEAM AVE.TELEPHONE:
(424) 777-8707
CITY:TORRANCESTATE: CAZIP CODE:
90505
CAPACITY: 6CENSUS: 0DATE:
11/03/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:56 AM
MET WITH:Kadiguia Linayao - AdministratorTIME COMPLETED:
12:30 PM
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On 11/03/2021 Licensing Program Analyst (LPA) Don Senaha conducted a Case Management visit to follow up on an incident report. LPA was greeted by Administrator Kadiguia Linayao and explained the purpose of the visit was to get more details about the incident reports.

LPA met with Administrator Kadiguia Linayao and discussed the incident reports on 10/29/2021 and 10/30/2021. LPA gathered contact information for staff. LPA interviewed staff (S1, S4) about incidents.

LPA did a tour of the physical plant. There were two (2) staff and no residents present at the time of the visit. There were no deficiencies found at the time of the visit.

An exit interview was conducted with Kadiguia Linayao and a hard copy was provided for signature.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Don Senaha
LICENSING EVALUATOR SIGNATURE: DATE: 11/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/03/2021
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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