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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 275202707
Report Date: 11/17/2023
Date Signed: 11/17/2023 10:26:09 AM


Document Has Been Signed on 11/17/2023 10:26 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
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710



FACILITY NAME:COTTAGES OF CARMELFACILITY NUMBER:
275202707
ADMINISTRATOR:ESTRELLADO,JULIE MAYFACILITY TYPE:
740
ADDRESS:26245 CARMEL RANCHO BLVDTELEPHONE:
(831) 620-1800
CITY:CARMELSTATE: CAZIP CODE:
93923
CAPACITY:78CENSUS: 57DATE:
11/17/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Julie May Estrellado - Executive DirectorTIME COMPLETED:
10:35 AM
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On 11/17/2023, Licensing Program Analyst(LPA) D. Ayers arrived unannounced to conduct a Case Management inspection. LPA met with Executive Director Julie May Estrellado and announced the purpose of the inspection.

This visit was conducted to follow-up on an incident which occurred on 9/19/2023. LPA conducted a tour of the facility and interviewed staff. No deficiencies were cited during the inspection. A copy of the report was provided via email and exit interview conducted.
SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8889
LICENSING EVALUATOR NAME: David AyersTELEPHONE: 559-498-4163
LICENSING EVALUATOR SIGNATURE:
DATE: 11/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/17/2023
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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