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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336423880
Report Date: 10/13/2023
Date Signed: 11/13/2023 09:57:08 AM


Document Has Been Signed on 11/13/2023 09:57 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
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507



FACILITY NAME:VISTA COVE AT CORONAFACILITY NUMBER:
336423880
ADMINISTRATOR:COURTNEY BARRETOFACILITY TYPE:
740
ADDRESS:2600 SOUTH MAIN STREETTELEPHONE:
(951) 736-4780
CITY:CORONASTATE: CAZIP CODE:
92882
CAPACITY:49CENSUS: 13DATE:
10/13/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Administrator Courtney BarretoTIME COMPLETED:
03:38 PM
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Licensing Program Analyst (LPA) Mary Rico, Licensing Program Analyst Manger (LPM) Efren Malagon and San Bernardino Regional Manager Leslie Mendiveles conducted a meeting with Administrator Courtney Barreto via Microsoft Office. The additional attendees were Dovy Raskin and Fernando Rodriguez.

During today’s meeting, the following matter was discussed:



· Compliance with the Fire Marshall
· Property Lease Agreement
· Bedridden Residents
· Beecan Management Agreement



During today’ meeting, Administrator agreed to send Community Care Licensing ; Beecan Management Agreement with Corona RCFE LLC, Documentation of removing Vista Cove from License, written update regarding Property Lease Agreement, Copy of Contract with Troy Alarm.


LPA Rico emailed a copy of the report for signature and requested the signed copy to be emailed back. The Administrator agreed to provide a signature and mail back to Community Care Licensing.
SUPERVISOR'S NAME: Efren MalagonTELEPHONE: (951) 248-0337
LICENSING EVALUATOR NAME: Mary RicoTELEPHONE: (951) 248-0293
LICENSING EVALUATOR SIGNATURE:
DATE: 10/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/13/2023
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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