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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306003871
Report Date: 12/07/2024
Date Signed: 12/07/2024 01:15:11 PM

Document Has Been Signed on 12/07/2024 01:15 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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:ARCENE GUEST HOME #1FACILITY NUMBER:
306003871
ADMINISTRATOR/
DIRECTOR:		PATTY OSUNAFACILITY TYPE:
740
ADDRESS:400 EVE CIRCLETELEPHONE:
(714) 996-0470
CITY:PLACENTIASTATE: CAZIP CODE:
92870
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
12/07/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:40 AM
MET WITH:Ernie Enriquez TIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Christian Gutierrez conducted an unannounced annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA met with Ernie Enriquez brother of licensee at approximately 11:40 AM and explained reason for visit. Licensee Maila Enriquez arrived shortly.

Currently there are NO residents residing at this facility.



LPA was accompanied by the Ernie Enriquez and provided a tour of the home. Based on observation, no residents or personal belongings were present at the facility.

No files were reviewed on this date. Administrator's certificate is current and expires in January of 2025.

Based on today's inspection no deficiencies were observed at this time a copy of this report was provided to Ernie Enriquez.


Tony VasalloTELEPHONE: (323) 981-3977
Christian GutierrezTELEPHONE: (323) 981-3984
DATE: 12/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2024
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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