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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 286803898
Report Date: 02/20/2025
Date Signed: 02/20/2025 11:14:39 AM

Document Has Been Signed on 02/20/2025 11:14 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:PINK LADY CAREHOME, LLC.FACILITY NUMBER:
286803898
ADMINISTRATOR/
DIRECTOR:		MARIA BUIFACILITY TYPE:
740
ADDRESS:39 VIA MARCIANATELEPHONE:
(707) 731-2345
CITY:AMERICAN CANYONSTATE: CAZIP CODE:
94503
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 6DATE:
02/20/2025
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Mary Grace DefeoTIME VISIT/
INSPECTION COMPLETED:
11:20 AM
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At approximately 9:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a Case Management Legal/Non-Compliance visit. LPA met with Administrator Mary Grace Defeo and reviewed records. This facility was placed into Non-Compliance for the following reasons:
Lack of Liability Insurance in the proper amounts.
Lack of proper funds to properly maintain facility.
LPA spoke with Licensee via telephone during this visit. Licensee stated they never received an email from the Department regarding the documents that were requested and did not know where to send them. LPA requested all documents be sent to LPA who will then forward to the proper individuals. LPA requested copies of all utility bills, bank statements-all pages for all accounts for facility use; LIC401 and LIC403, Current evidence of Liability insurance and current lease agreement. Licensee told LPA they would be able to send everything by Monday 02/24/2025. LPA also requested documents appointing Administrator Mary Grace Defeo. LPA emailed Licensee during this visit to ensure they have the correct email address.

LPA toured the facility to ensure residents were safe and secure and to ensure there was proper amounts of food stores, power, water and heat. The temperature inside the facility was comfortable and facility had power, water and heat. Food stores were acceptable.

LPA received a copy of the current lease agreement from the property owner, however it has not been signed by the Licensee as of yet.
No citations issued during today's visit.
Bethany MoellersTELEPHONE: (707) 588-5040
Christopher ArnholdTELEPHONE: (707) 588-5084
DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2025
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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