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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306000670
Report Date: 04/01/2022
Date Signed: 04/05/2022 09:48:19 AM


Document Has Been Signed on 04/05/2022 09:48 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, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868



FACILITY NAME:NOHL RANCH ELDERLY CAREFACILITY NUMBER:
306000670
ADMINISTRATOR:GABE CORCHESFACILITY TYPE:
740
ADDRESS:2112 E. VALLEY GLEN LANETELEPHONE:
(714) 921-1899
CITY:ORANGESTATE: CAZIP CODE:
92867
CAPACITY:6CENSUS: 0DATE:
04/01/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Licensee Mariana Corches TIME COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Shobhana Frank conducted a Case Management visit for the purpose to verify facility closure. LPA met with the Licensee Mariana Corches.

LPA toured the facility observed no clients in care. LPA observed the home to be empty and found no evidence the home is operating as a licensed facility. Based on observation, the facility is no longer operating as a licensed facility and will be closed as of 4/1/2022. During today’s visit, no deficiencies were noted in areas inspected. The Licensee has surrender the license.
An exit interview was conducted with Licensee and copy of this report was
provided.
SUPERVISOR'S NAME: Marina StanicTELEPHONE: (714) 703-2851
LICENSING EVALUATOR NAME: Shobhana FrankTELEPHONE: (714) 293-8294
LICENSING EVALUATOR SIGNATURE:
DATE: 04/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/01/2022
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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