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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601069
Report Date: 02/11/2025
Date Signed: 02/11/2025 09:37:02 AM

Document Has Been Signed on 02/11/2025 09:37 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:BONNIE'S GUEST HOUSE INC.FACILITY NUMBER:
198601069
ADMINISTRATOR/
DIRECTOR:
ALVARADO, DESIREEFACILITY TYPE:
735
ADDRESS:135 NORTH BONNIE AVENUETELEPHONE:
(626) 440-0494
CITY:PASADENASTATE: CAZIP CODE:
91106
CAPACITY: 14CENSUS: 13DATE:
02/11/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:25 AM
MET WITH:Ana Alvarez StaffTIME VISIT/
INSPECTION COMPLETED:
09:50 AM
NARRATIVE
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Licensing Program Analyst (LPA) Christian Gutierrez made an unannounced case management visit
regarding a self-reported incident on the relocation of 2 clients from El Molino Manor #197609014 to
Bonnie Guest House #198601069 due to mandatory evacuation orders from the Fire Advisory. LPA met
with Staff Ana Alvarez and explained the reason for the visit. Administrator Desiree Alvarado arrived shortly.

During the visit today, LPA Gutierrez conducted a health and safety check, and no concerns were
observed. LPA obtained a copy of the client and staff roster for Bonnie Guest House. There were no
rosters available for El Molino Manor. The last fire drill was conducted on 11/22/24.
Per interview with the administrator, there are 2 clients that have been relocated from El Molino Manor and 11 clients from Bonnie Guest House. They have sufficient staffing to meet the needs of the
clients. Food and hygiene supplies are available to accommodate a total of 13 clients. The facility
has 9 bedrooms, 1 staff office, 3 bathrooms, living room, dining area, and kitchen. The medications
and MAR logs for the 2 individuals from El Molino Manor were transferred to the facility and are
centrally stored and locked. All the clients in the facility are ambulatory and do not use any
assisted devices. Administrator stated the families and responsible parties, for
El Molino Manor clients have been notified of their relocation.

An exit interview was held, and a copy of this report was given to the Administrator.
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE: DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/11/2025
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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