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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331880846
Report Date: 02/11/2025
Date Signed: 02/11/2025 02:47:03 PM

Document Has Been Signed on 02/11/2025 02:47 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
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:SPRING MEADOWS ASSISTED LIVINGFACILITY NUMBER:
331880846
ADMINISTRATOR/
DIRECTOR:		GARCIA, CYNTHIAFACILITY TYPE:
740
ADDRESS:1601 HEARTLAND WAYTELEPHONE:
(949) 423-8127
CITY:CORONASTATE: CAZIP CODE:
92881
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 5DATE:
02/11/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:03 PM
MET WITH:Administrator - Cynthia Garcia TIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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 Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to the home in order to verify clearance of plans of correction created with Administrator Cynthia Garcia from visit on 01/30/2025.

The following Plan of Correction (POC)s were cleared at the time of the visit:

The licensee was cited for following: 87303(a) , 87305(a), 87465(d)(3), 1569.695(c), 1569.695(e), 87355(e)(1). on 01/30/2025. LPA conducted facility tour, and received copies of Plan of Corrections. At this time the Plan of Corrections were cleared and clearance letters were provided to Administrator Cynthia Garcia.

Efren MalagonTELEPHONE: (951) 248-0337
Mary RicoTELEPHONE: (951) 248-0293
DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/11/2025
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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