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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603336
Report Date: 03/06/2023
Date Signed: 03/06/2023 12:46:15 PM

Document Has Been Signed on 03/06/2023 12:46 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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:BAILEY'S PLACE ADULT COMMUNITY CENTER LLCFACILITY NUMBER:
198603336
ADMINISTRATOR:BROOKS, BRANDIFACILITY TYPE:
775
ADDRESS:1216-1218 E. ROSECRANS AVETELEPHONE:
(214) 240-4247
CITY:COMPTONSTATE: CAZIP CODE:
90221
CAPACITY: 32CENSUS: 15DATE:
03/06/2023
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Youlanda WilliamsTIME COMPLETED:
12:45 PM
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On 03/06/23, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced collateral visit at Bailey's Place Adult Community Center. LPA met with Director, Youlanda Williams, and explained the purpose of todays visit.

LPA conducted an interview with a client who resides at Bailey's Place.
LPA talked with director, in regards to the resident and if they have ever complained about where they reside.
LPA conducted an exit interview and a copy of this report was provided to the director.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2023
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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