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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306004311
Report Date: 11/19/2021
Date Signed: 11/19/2021 11:39:27 AM

Document Has Been Signed on 11/19/2021 11:39 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:ROYAL LIVINGFACILITY NUMBER:
306004311
ADMINISTRATOR:ELENA CECILIA MARINESCUFACILITY TYPE:
740
ADDRESS:18601 PATRICIAN DRIVETELEPHONE:
(714) 998-7098
CITY:VILLA PARKSTATE: CAZIP CODE:
92861
CAPACITY: 3CENSUS: 0DATE:
11/19/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Mitch Marinescu and Cecilia MarinescuTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Kimberly Lyman made an attempted visit to the facility at 11:00 AM. There is no answer at the door and LPA phoned Administrator Cecelia Marinescu. Administrator stated that she would arrive in 20 minutes.

At 11:15 AM, Administrator's husband Mitch Marinescu arrived and LPA was greeted and granted entry into the facility and explained the reason for the visit.

Facility has no residents during today's visit and has had no residents for approximately two years. LPA toured the facility and observed a clean and sanitary facility. Facility to notify LPA should they decide to take residents again.






Exit interview conducted and a copy of this report was left at the facility.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE: DATE: 11/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/19/2021
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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