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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336427421
Report Date: 01/17/2025
Date Signed: 01/17/2025 11:26:43 AM

Document Has Been Signed on 01/17/2025 11:26 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
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:TEMPLE GREENFACILITY NUMBER:
336427421
ADMINISTRATOR/
DIRECTOR:
HOBBS, ESTAFACILITY TYPE:
740
ADDRESS:40086 TEMPLE COURTTELEPHONE:
(951) 249-9234
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY: 6CENSUS: 0DATE:
01/17/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Hoobs EstaTIME VISIT/
INSPECTION COMPLETED:
10:35 AM
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On 01/17/25 Licensing Program Analysts (LPAs) Abdoulaye Zerbo and Venus Mixson conducted an unannounced one (1) year required visit. LPAs were granted entry by Licensee, Hoobs Esta, who was informed of the purpose of visit. At the time of the visit there were no residents residing at the facility. Licensee was observed to have obtained proper fingerprint clearance and was associated to the facility.

LPAs conducted a tour of the facility with Licensee, Hoobs Esta. The physical plant is a single-story structure that consisted of six (6) resident bedrooms three (3) bathrooms, and a pool meeting the department's regulations. The facility has a formal dining room, kitchen, living room. Indoor and outdoor passageways were free of obstruction. The facility has more than a two (2) day supply of perishable foods and seven (7) day supply of non-perishable foods. Water temperature measured at 113.8-degree Fahrenheit meeting the required limits. Dishes and utensils were in sufficient supply and in good repair. Knives and other sharp objects are stored in a locked drawer in the kitchen. Disinfectant and other cleaning solutions were observed in a locked cabinet under the sink. According to Licensee, there are no firearms or ammunition on the premises. Resident bedrooms had the required bedding, furniture, and lighting. Smoke and carbon monoxide detectors were observed to be operable.


Licensee, Hoobs Esta, does not have any residents and staff at the facility. Therefore, there are no staff/resident files for LPAs to review. During today's visit, LPA's did not observe any immediate violations or concerns. The licensee is in process of doing a change of ownership.

An exit interview was conducted, and a copy of this report was reviewed and provided to Licensee, Hoobs Esta

SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Abdoulaye Zerbo
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2025
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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