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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300600816
Report Date: 10/10/2022
Date Signed: 10/10/2022 03:04:16 PM


Document Has Been Signed on 10/10/2022 03:04 PM - 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, 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: 171DATE:
10/10/2022
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Randy BrownTIME COMPLETED:
12:10 PM
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At this informal conference present were: Jerome Haley, Licensing Program Analyst, Alisa Ortiz, Licensing Program Manager, Marina Stanic, Regional Manager, Icela Estrada, Acting Assistant Program Administrator, Allison Nakatomi, Staff Services Manager I, Katie Anderson, Assistant Branch Chief, Diana Chapman, General Auditor III, Jorge Mojica, General Auditor III, Randy Brown, Chief Executive Officer, Michael Beeman, Chief Financial Officer, Anna Hablitzel, Board Member, Gary Johnson, Board Member, Jeff Davis, Board Member, Jim Stearman, Attorney, and Mark Damon, Certified Public Accountant.

The following was discussed:


· 1st Quarterly Report dated August 23, 2022
· Improvements Made
· Improvements Planed e.g., 6 bed hospice facility, outpatient geriatric frailty syndrome rehabilitation program
· List of expected additional funds
· Timeframe expected additional funds should be received
· Back up plan which ensures resources necessary to meet operating cost.

All required financial documentation will be submitted by COB October 21, 2022. The next Informal Conference will be held November 14, 2022 @ 11:00 AM.

An exit interview was conducted and a copy of this report was provided to the Licensee via email, and an email read receipt confirms Licensee received the report.
SUPERVISOR'S NAME: Luz AdamsTELEPHONE: (714) 222-3821
LICENSING EVALUATOR NAME: Jerome HaleyTELEPHONE: 714-703-2840
LICENSING EVALUATOR SIGNATURE:
DATE: 10/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/10/2022
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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