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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331880734
Report Date: 01/23/2023
Date Signed: 01/23/2023 11:35:02 AM

Document Has Been Signed on 01/23/2023 11:35 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, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:GLADWELL RANCHO MIRAGEFACILITY NUMBER:
331880734
ADMINISTRATOR:MARIGER, VICKIFACILITY TYPE:
740
ADDRESS:34560 BOB HOPE DRIVETELEPHONE:
(760) 770-7737
CITY:RANCHO MIRAGESTATE: CAZIP CODE:
92270
CAPACITY: 142CENSUS: 108DATE:
01/23/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
11:09 AM
MET WITH:Nicole Wentworth, Regional Vice PresidentTIME COMPLETED:
11:40 AM
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An office meeting was held on this date with Deborah Mullen, Licensing Program Manager, Jesse Gardner, Licensing Program Analyst, and Nicole Wentworth, Regional Vice President.

The meeting was to discuss the current management team in place at Gladwell Rancho Mirage. During the meeting it was confirmed that the managing members identified on the Administrative Organization form submitted June 26, 2019 are still current. Wentworth was asked to submit a current Personnel Report (LIC500) to the office by January 27, 2023.

Wentworth was given LPA Stephanie Torres' contact information who is the current assigned LPA.

An exit interview was conducted and a copy of this report was reviewed with and provided to Nicole Wentworth.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2023
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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