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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005938
Report Date: 04/29/2021
Date Signed: 04/29/2021 02:37:23 PM

Document Has Been Signed on 04/29/2021 02:37 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:VIOLA HOMES ESTATEFACILITY NUMBER:
306005938
ADMINISTRATOR:DE FEO, THERESAFACILITY TYPE:
735
ADDRESS:810 W. CIRCLE DRIVETELEPHONE:
(714) 867-7070
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY: 4CENSUS: 0DATE:
04/29/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Miatta SnetterTIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Sean Haddad conducted this announced inspection for the purpose of conducting a Pre-licensing inspection via tele-visit due to COVID-19 and for precautionary measures. LPA met with Licensee (LE) Miatta Snetter, discussed the purpose of the inspection, and toured the facility. Facility is to operate an Adult Residential Facility. This is the second pre-licensing inspection. Please see LIC809 dated 04/22/21.

During today’s inspection, LPA observed the following items have been corrected: (1) water temperature in bathrooms tested between 105 and 120 F degrees; (2) knives in kitchen drawer were moved to locked shed; (3) toxins under kitchen sink were moved to locked shed; and (4) toxins in laundry room closet were moved to locked shed.

LPA explained the process of this application and about the post licensing inspection once the facility is licensed. LE was informed today that the facility is ready for licensure and final approval will be processed by the CAU supervisor in Sacramento. Component III was completed with LE during the initial pre-licensing inspection.

An exit interview was conducted with Facility representative via tele-visit. This report will be emailed and an electronic email read receipt confirms receipt of the report. Facility representative agrees to send a signed copy by email.
SUPERVISORS NAME: Marina Stanic
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE: DATE: 04/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/29/2021
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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