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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
336426426
Report Date:
11/05/2021
Date Signed:
11/05/2021 01:42:09 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:
HOVLEY CARE SERVICES
FACILITY NUMBER:
336426426
ADMINISTRATOR:
CALAMARO, SVETLANA
FACILITY TYPE:
740
ADDRESS:
47-965 VIA NICE
TELEPHONE:
(760) 899-6161
CITY:
LA QUINTA
STATE:
CA
ZIP CODE:
92253
CAPACITY:
6
CENSUS:
0
DATE:
11/05/2021
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
12:47 PM
MET WITH:
Svetlana Calamaro
TIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) conducted an unannounced visit for the purpose of obtaining a signature for complaint # 18-AS-20200325153221.
A copy of this report was provided to Svetlana Calamaro.
SUPERVISOR'S NAME:
Nedra Brown
TELEPHONE:
(951) 202-5776
LICENSING EVALUATOR NAME:
Shaunte Henry
TELEPHONE:
(951) 217-0236
LICENSING EVALUATOR SIGNATURE:
DATE:
11/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/05/2021
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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