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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336423882
Report Date: 03/05/2021
Date Signed: 03/05/2021 01:01:27 PM

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:GOLDEN HEART HOME CAREFACILITY NUMBER:
336423882
ADMINISTRATOR:LAARNI M. RODASFACILITY TYPE:
740
ADDRESS:67300 RANGO ROADTELEPHONE:
(760) 537-7093
CITY:CATHEDRAL CITYSTATE: CAZIP CODE:
92234
CAPACITY:6CENSUS: 0DATE:
03/05/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Laarni Rodas, Licensee/AdministratorTIME COMPLETED:
01:00 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
Licensing Program Analyst (LPA) Tricia Danielson conducted a visit with the facility on this day to verify that all residents have been moved from the facility due to the facility's closure. LPA spoke with Licensee/Administrator Laarni Rodas and explained the purpose of the visit. As previously reported by LIC, the facility closed as of March 1, 2021 and all four (4) facility resident have been moved to another facility. LPA did verify the transfer of those residents with the new facility Administrator. On today's date, LPA verified that there are no residents in care at this address. LPA also provided consultation regarding Ms. Rodas' Administrator Certificate.

LPA will send Ms. Rodas the facility closure survey via email along with a copy of this report.
SUPERVISOR'S NAME: Reyna LaceyTELEPHONE: (951) 836-3135
LICENSING EVALUATOR NAME: Tricia DanielsonTELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2021
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