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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331800103
Report Date: 06/28/2021
Date Signed: 06/28/2021 12:24:11 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:LEGEND GARDENSFACILITY NUMBER:
331800103
ADMINISTRATOR:PENDINGFACILITY TYPE:
740
ADDRESS:73685 CATALINA WAYTELEPHONE:
(760) 773-3115
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY:96CENSUS: 37DATE:
06/28/2021
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Mark HellicksonTIME COMPLETED:
11:35 AM
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Regional Manager (RM) Leslie Mendiveles, Licensing Program Manager (LPM) Reyna Lacey and Licensing Program Analyst (LPA) Tricia Danielson met with Licensee Mark Hellickson, and consultants to the licensee: Northstar Senior Living Regional Vice President of Operations Evelyn Mendez-Choy and Northstar Senior Living Chief Operating Officer Steve Kregel to obtain a status update on the financial status of the corporation and pending auction of the facility's physical plant.

The licensee was asked about the status of the physical property. Hellickson stated he was provided a ninety (90) day extension on the notice of auction scheduled for July 1, 2021. A copy of proof of the extension will be provided to the Regional Office by close of business June 30, 2021.

An exit interview was conducted and a copy of this report was provided via email and a read receipt confirms receipt of the report. Licensee has agreed to sign the report and returned a signed copy to LPA.





SUPERVISOR'S NAME: Reyna LaceyTELEPHONE: (951) 836-3135
LICENSING EVALUATOR NAME: Tricia DanielsonTELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2021
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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