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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306002636
Report Date: 05/23/2022
Date Signed: 05/26/2022 02:03:02 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 05/26/2022 02:03 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:SUNFLOWER LIVINGFACILITY NUMBER:
306002636
ADMINISTRATOR:SUNITA CHANDFACILITY TYPE:
740
ADDRESS:9282 BLANCHE AVENUETELEPHONE:
(714) 534-7872
CITY:GARDEN GROVESTATE: CAZIP CODE:
92841
CAPACITY:6CENSUS: 0DATE:
05/23/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:57 AM
MET WITH:TIME COMPLETED:
10:58 AM
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Licensing Program Analyst (LPA) Jessica Cho made an unannounced visit to conduct the required annual (mitigation) inspection. LPA rang the doorbell twice, knocked on the door, and waited for three minutes. LPA looked through the glass window on the front door and observed the facility was vacant. At 10:00 AM, LPA contacted Licensee Sunita Chand and stated the purpose of the visit. Licensee stated that LPA Joseph Alejandre was informed via email on 5/22/2022 in regards to the closure of the facility. Licensee agreed to forward the same email to LPA Cho. Licensee stated that she is currently two hours away from the facility due to emergency reasons and would not return until 4 PM. LPA decided to return at a later date.
Visit ended at 10:58 AM.
SUPERVISOR'S NAME: Sheila SantosTELEPHONE: (714) 334-2064
LICENSING EVALUATOR NAME: Jessica ChoTELEPHONE: 714-703-2840
LICENSING EVALUATOR SIGNATURE:
DATE: 05/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/23/2022
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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