<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601845
Report Date: 04/28/2023
Date Signed: 10/11/2023 11:38:11 AM

Document Has Been Signed on 10/11/2023 11:38 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
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:A SPLENDOR LIVING - THE GLENDORA INCFACILITY NUMBER:
198601845
ADMINISTRATOR:CHRIS JENGFACILITY TYPE:
740
ADDRESS:452 SELLERS ST.TELEPHONE:
(626) 594-0152
CITY:GLENDORASTATE: CAZIP CODE:
91741
CAPACITY: 34CENSUS: DATE:
04/28/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Holly You
TIME COMPLETED:
11:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
A virtual Informal Meeting was held today for the purpose of discussing the Change of Ownership (CHOW). Present during today's meeting: Licensing Program Analyst (LPA) Alberto Lopez; Licensing Program Managers (LPMs) Lisa Hicks and Tony Vasallo; Licensees Holly Yuo, Peter Yuo, and Jan Yuo. Peter Yuo stated that his daughter Holly Yuo was authorized to speak on behalf of himself and his wife Jan You.

During todays' meeting, the Management and Operations Transfer Agreement and Closure Plan was discussed.

An exit interview was conducted with Licensees, Holly Yuo, Peter Yuo, and Jan Yuo.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 08/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/02/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1