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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336426343
Report Date: 10/11/2023
Date Signed: 10/11/2023 04:19:32 PM


Document Has Been Signed on 10/11/2023 04:19 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:MAU ADULT RESIDENTIAL CARE HOMEFACILITY NUMBER:
336426343
ADMINISTRATOR:JEFFREY GOMEZFACILITY TYPE:
735
ADDRESS:7665 DUFFERIN AVE.TELEPHONE:
(909) 342-8379
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY:6CENSUS: 4DATE:
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, Office Manager, 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.
SUPERVISOR'S NAME: Kimberly LewisTELEPHONE: (951) 248-0310
LICENSING EVALUATOR NAME: Reyna LaceyTELEPHONE: 951-248-0341
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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