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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300600816
Report Date: 08/06/2020
Date Signed: 08/11/2020 08:08:27 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:ROWNTREE GARDENSFACILITY NUMBER:
300600816
ADMINISTRATOR:CLAUDIA LUSCA-BORCSAFACILITY TYPE:
741
ADDRESS:12151 DALE STREETTELEPHONE:
(714) 530-9100
CITY:STANTONSTATE: CAZIP CODE:
90680
CAPACITY:280CENSUS: 172DATE:
08/06/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:23 PM
MET WITH:Claudia Lusca, Executive DirectorTIME COMPLETED:
04:40 PM
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Licensing Program Analyst (LPA), Kathrina Chin contacted the facility via telephone as a follow up to a case management- other due to COVID-19 and for pre-cautionary measures. LPA Chin identified herself and spoke to LPA spoke Claudia Lusca, Executive Director.


This is a follow up due to an non-exemptible conviction for staff #1. Claudia Lusca , Executive Director stated that applicant #1 was never hired.

No deficiency cited this review as per Title 22 of the California Code of Regulations.

An exit interview was conducted with via telephone and a copy of this report was provided via email. Claudia Lusca agreed to confirm the receipt of the document and review the report and return a signed copy.
SUPERVISOR'S NAME: Sheila SantosTELEPHONE: (714) 703-2838
LICENSING EVALUATOR NAME: Kathrina ChinTELEPHONE: (714) 703-2840
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2020
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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