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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603374
Report Date: 10/29/2020
Date Signed: 10/29/2020 10:21:57 AM

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:ARCADIA LIVING LLCFACILITY NUMBER:
198603374
ADMINISTRATOR:BIELY, NOEMIFACILITY TYPE:
740
ADDRESS:601 SUNSET BOULEVARDTELEPHONE:
(951) 907-9888
CITY:ARCADIASTATE: CAZIP CODE:
91007
CAPACITY:130CENSUS: 55DATE:
10/29/2020
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Noemi Biely, AdministratorTIME COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Tao conducted a Subsequent Prelicensing virtual visit to the facility. The initial prelicensing virtual visit was conducted on 10/15/20. There were certain issues that had to be corrected. Therefore, a subsequent visit is being conducted. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s pre-licensing inspection was conducted telephonically with Administrator.

LPA observed the dining area near the kitchen had flooring and covered with tiles. The wall on that section was painted and electric outlets on the wall were covered. The piece of plastic that used to cover that section was removed. In the kitchen, the floor next to the stove and next to the ice machine were covered with tiles. The plumbing issue was fixed. A copy of construction invoice was provided to Licensing.

A telephonic exit interview was conducted with Administrator, and a hard copy was provided via email for signature.

Accordingly, LPA will submit a copy of this facility evaluation report to the Central Applications Unit (CAU) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAU Analyst assigned to their application.
SUPERVISOR'S NAME: Fernando FierrosTELEPHONE: (323) 981-3981
LICENSING EVALUATOR NAME: Bonnie TaoTELEPHONE: (323) 981-3971
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2020
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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