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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331881312
Report Date: 10/11/2023
Date Signed: 10/11/2023 04:18:21 PM

Document Has Been Signed on 10/11/2023 04:18 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
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:BEKIM ADULT RESIDENTIAL CARE HOMEFACILITY NUMBER:
331881312
ADMINISTRATOR:AQUINO, LORA MAE D.FACILITY TYPE:
735
ADDRESS:4421 ANNISA AVENUETELEPHONE:
(951) 658-5272
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY: 6CENSUS: 5DATE:
10/11/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
03:05 PM
MET WITH:Jon Castro & Lora AquinoTIME COMPLETED:
04:15 PM
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Community Care Licensing (CCL) staff met with licensee representatives Jon Castro, CFO, and Lora Aquino, administrator, to discuss the findings of a solvency audit report dated 09/07/2023. The meeting was held with CCL staff, Regional Manager Reyna Lacey, Regional Manager Marina Stanic, Licensing Program Manager Alisa Ortiz, and Licensing Program Analyst Jenifer Tirre.

The solvency audit was a result of the Department being notified of a consent judgment against the licensee. The audit findings report was reviewed with Castro and Aquino, as well as the facility's finances and operational expenses. The audit found the licensee is generating sufficient income to meet the operating costs. It was further determined that the licensee's finances would not be affected by the Department of Labor judgement. However, there is not a sufficient fund reserve in the business checking account to cover any unforeseen expenses.

Castro and Aquino were notified the facility would be placed on financial monitoring for a period of one year. Financial records for the months of August through October 2023 are due by 11/01/2023. The documents to include in the financial records are bank statements, utility bills, mortgage payment and food receipts.

This report was discussed and a copy provided to Castro.
SUPERVISORS NAME: Kimberly Lewis
LICENSING EVALUATOR NAME: Reyna Lacey
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2023
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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