<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336405652
Report Date: 10/20/2023
Date Signed: 10/20/2023 03:03:34 PM

Document Has Been Signed on 10/20/2023 03:03 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
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:ANGELVIEW CARE HOMES, INC. @ JUMANOFACILITY NUMBER:
336405652
ADMINISTRATOR:F. AUMENTADO/M. BOCOFACILITY TYPE:
735
ADDRESS:25850 JUMANO DRIVETELEPHONE:
(951) 601-9925
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92551
CAPACITY: 4CENSUS: 4DATE:
10/20/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Faith Aumentado, LicenseeTIME COMPLETED:
02:51 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
An Informal Meeting was conducted today in the Riverside Adult and Senior Care Office (RO). The purpose of the Informal Meeting was to discuss recent notification of a letter of intent to sell the facility. Present at today’s meeting were, Regional Manager (RM) Reyna Lacey, Licensing Program Analyst Jesse Gardner, and Facility Licensee’s Faith Aumentado, Rodolfo Aumentado, and Facility Administrator May Embalsado.

During the meeting, RM requested copies of letter(s) to client and their responsible party notifying them of the sale. The licensees reported that the placement agency for each client has been notified and the buyer has submitted an application to the Department for a license.

The letter of intent was originally submitted on 08/24/2023. Licensees were advised that they are responsible for the facility until and if a new license is issued. The licensees reported the sale of the property will coincide with the license application. The licensees were advised to stay in communication with the RO regarding control of property.

An exit interview was conducted, and a copy of this report was provided to Licensee Faith Aumentado at the conclusion of the meeting.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE: DATE: 10/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/20/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1