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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336426437
Report Date: 10/17/2022
Date Signed: 10/17/2022 03:31:14 PM


Document Has Been Signed on 10/17/2022 03:31 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:A+ SENIOR CARE AT MISSION LAKESFACILITY NUMBER:
336426437
ADMINISTRATOR:MARIA ROSARIO GONZALEZFACILITY TYPE:
740
ADDRESS:64635 PICARD COURTTELEPHONE:
(760) 671-6938
CITY:DESERT HOT SPRINGSSTATE: CAZIP CODE:
92240
CAPACITY:6CENSUS: 0DATE:
10/17/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:20 PM
MET WITH:Daniel Saft, LicenseeTIME COMPLETED:
03:35 PM
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Licensing Program Analysts (LPAs) Tricia Danielson and Venus Mixon arrived unannounced to the facility to conduct a closure visit. LPAs met with Licensee Daniel Saft.
Per Saft, the facility closed September 1, 2022 and the last resident moved out of the facility August 11, 2022. During today's visit, LPAs toured the facility and verified no residents were present nor was there any evidence of residents residing at the facility. The facility was observed to be under construction for renovations. Saft has already surrendered the facility's operating license and LPA Danielson is in possession of it.
An exit interview was conducted and a copy of this report was provided.
SUPERVISOR'S NAME: Deborah MullenTELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Tricia DanielsonTELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:
DATE: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/17/2022
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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