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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306001577
Report Date: 10/25/2024
Date Signed: 10/25/2024 09:22:47 AM


Document Has Been Signed on 10/25/2024 09:22 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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868



FACILITY NAME:RIDGE GATE HAVENFACILITY NUMBER:
306001577
ADMINISTRATOR:JULITO MADRIGALFACILITY TYPE:
740
ADDRESS:4447 RIDGE GATE ROADTELEPHONE:
(714) 998-7803
CITY:ANAHEIM HILLSSTATE: CAZIP CODE:
92807
CAPACITY:6CENSUS: 0DATE:
10/25/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Zenaida Madrigal-LicenseeTIME COMPLETED:
09:37 AM
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This unannounced inspection is being conducted by Licensing Program Analysts (LPAs) Alvaro Ramirez, Jr. and Brandon Lopez for the purpose of conducting a Required – 1 Year Inspection. LPAs met with Licensee Zeneida Madrigal and discussed the purpose of the inspection.

LPAs and Madrigal toured the facility and observed the following: There are no residents in care. The facility is not providing care and/or supervision. The facility is being used as a residential home.

Per Madrigal the last resident left the facility late 2023 or early 2024. During today's visit the Licensee surrendered the License.

LPAs informed Licensee that LPAs will close the facility and that a closure letter would be mailed.

There are no immediate health and safety concerns, as the facility has a census of zero.

Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was provided at the time of exit.
SUPERVISOR'S NAME: Sheila SantosTELEPHONE: (714) 334-2062
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.TELEPHONE: 714-705-6007
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2024
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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