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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331880843
Report Date: 01/22/2025
Date Signed: 01/22/2025 11:50:41 AM

Document Has Been Signed on 01/22/2025 11:50 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
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:LOVING CAREFACILITY NUMBER:
331880843
ADMINISTRATOR/
DIRECTOR:		BUSBY, SYLVIAFACILITY TYPE:
740
ADDRESS:34038 TURTLE CREEK STREETTELEPHONE:
(951) 303-0393
CITY:TEMECULASTATE: CAZIP CODE:
92592
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
01/22/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Alexander Busby, CaregiverTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 01/22/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct a facility closure visit. LPA was greeted and granted entry by Caregiver Alexander Busy and met with Licensee Sylvia Busby via telephone where LPA explained the purpose of the visit, and Ms. Busby informed LPA that the facility will be closing.

LPA inquired as to the reason for closure. Per Licensee Busby the facility has not had any residents in two (2) years, along with staffing challenges, as well as an increase in rent. Licensee Busby stated the only thing left is to move the furniture out and that the facility will be closing by the end of the month (1/31/25).

During today's visit LPA conducted a walk thru and confirmed that there were not any residents present. LPA took possession of the original facility license that was issued and will file in the main file back at the regional office.

An exit interview was conducted and a copy of this report was provided to Alexander Busby, Caregiver.
Tricia DanielsonTELEPHONE: (951) 202-5067
Javina GeorgeTELEPHONE: (951) 217-3970
DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/22/2025
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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