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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
331881132
Report Date:
06/18/2021
Date Signed:
06/18/2021 10:02:03 AM
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:
ASTORIA CARE HOMES
FACILITY NUMBER:
331881132
ADMINISTRATOR:
ABRUDAN, SELINA
FACILITY TYPE:
740
ADDRESS:
73765 MONET DR.
TELEPHONE:
(714) 277-9980
CITY:
PALM DESERT
STATE:
CA
ZIP CODE:
92211
CAPACITY:
6
CENSUS:
0
DATE:
06/18/2021
TYPE OF VISIT:
Office
UNANNOUNCED
TIME BEGAN:
09:30 AM
MET WITH:
Selina Abrudan, licensee/administrator
TIME COMPLETED:
10:00 AM
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On 6/18/21 Licensing Program Analyst (LPA) Shaunte Henry met with Selina Abrudan to complete the Comp III orientation.
SUPERVISOR'S NAME:
Nedra Brown
TELEPHONE:
(951) 202-5776
LICENSING EVALUATOR NAME:
Shaunte Henry
TELEPHONE:
(951) 217-0236
LICENSING EVALUATOR SIGNATURE:
DATE:
06/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/18/2021
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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