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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603349
Report Date: 09/12/2023
Date Signed: 10/11/2023 10:13:10 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 10/11/2023 10:13 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:EDWARD'S COVEFACILITY NUMBER:
198603349
ADMINISTRATOR:CRUZ, EDWARD E.FACILITY TYPE:
735
ADDRESS:11954 166TH STREETTELEPHONE:
(714) 659-9152
CITY:ARTESIASTATE: CAZIP CODE:
90701
CAPACITY: 3CENSUS: DATE:
09/12/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:TIME COMPLETED:
10:19 AM
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On 9/12/2023 at 9:30 a.m., LPA Baptiste attempted to complete an annual required visit at Edwards Cove. LPA contacted Licensee/Administrator Edward Cruz at 1(714)659-9152 and left voice mail and text message. LPA also contacted the back up administrator Donald Cutliff at (562) 968-9720 and left a voice mail. Upon arrival LPA was locked outside by a gate and a dog. LPA observed 2 cars behind the gate. There was also debris in the yard. LPA took photos before leaving the facility.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Jewel Baptiste
LICENSING EVALUATOR SIGNATURE: DATE: 09/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/12/2023
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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