<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306004632
Report Date: 03/09/2023
Date Signed: 07/07/2023 09:41:31 AM


Document Has Been Signed on 07/07/2023 09:41 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 RCFEFACILITY NUMBER:
306004632
ADMINISTRATOR:CRISTIANA STANFACILITY TYPE:
740
ADDRESS:2547 E. NORM PLACETELEPHONE:
(714) 758-2804
CITY:ANAHEIMSTATE: CAZIP CODE:
92806
CAPACITY:6CENSUS: 2DATE:
03/09/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Cristiana StanTIME COMPLETED:
12:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 03/09/2023, Regional Manager (RM) Marina Stanic, Licensing Program Manager (LPM) Armando Lucero and Licensing Program Analyst (LPA) Lydia Martinez conducted a virtual Informal Meeting via Microsoft Teams with Licensee/Administrator Cristiana Stan, Applicant/Prospective Licensee Wilma "Winnie" Norman and Dr. Parag Sharma.

The purpose of this Informal Meeting was to discuss the transition from current to prospective Licensee.

The following items were discussed with Current and Prospective Licensees:

· Current Licensee to maintain ownership and a functioning part of the facility until new license is granted.
· Lease Back Agreement is to be in place and an updated copy forwarded to LPA by 03/10/2023.
· Designation of new Administrator and pertinent documentation to be forwarded to LPA by 03/10/2023.

Both parties involved acknowledged understanding of the process to transition the facility to the new license.

An exit interview was conducted and a copy of this report was provided to Licensee.
SUPERVISOR'S NAME: Armando J LuceroTELEPHONE: (714) 703-2840
LICENSING EVALUATOR NAME: Lydia MartinezTELEPHONE: (714) 703-2840
LICENSING EVALUATOR SIGNATURE:
DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/09/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1