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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700264
Report Date: 04/18/2022
Date Signed: 04/18/2022 11:52:37 AM


Document Has Been Signed on 04/18/2022 11:52 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
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926



FACILITY NAME:I LOVE YOU DADFACILITY NUMBER:
342700264
ADMINISTRATOR:ARDELEAN, EMILIAFACILITY TYPE:
740
ADDRESS:6613 TRILBY COURTTELEPHONE:
(916) 529-3930
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:6CENSUS: 5DATE:
04/18/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Emilia Ardelean, LicenseeTIME COMPLETED:
11:00 AM
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On 4/18/2022 Licensing Program Manager (LPM) Laura Munoz and Licensing Program Analyst (LPA) Bethany Mirlohi met with Licensee Amilia Ardelean, new Administrator and new buyer Claudia Stan, and new buyer of facility Carmen Ion via teleconference to discuss change of ownership of facility.

Claudia Stan and Carmen Ion have submitted a new application for new ownership of facility. Licensee understands during this process of change of ownership she remains the licensee and that her license is not transferable. Licensee has submitted paperwork to LPA to change administrator to Claudia during this process. Licensee informed CCL that Claudia is now the owner of the property. Licensee understands that she must remain in control of property during the change of ownership process. Licensee agrees to the following:

1). Licensee will receive a lease back on the property so that she remains control of property. Lease back document to be submitted to CCL by Friday April 22, 2022.

2). Licensee to submit to CCL a 60 day notice that will be provided to all residents and responsible parties. LPM provided licensee with regulation 87224 and 87109 information for notices. Notices to be submitted to CCL for approval by Friday April 22. 2022.

LPA will forward a copy of this report to licensee. Licensee to review report, sign, and return a signed copy to CCL.

Exit interview conducted.

SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Bethany MirlohiTELEPHONE: (916) 591-1072
LICENSING EVALUATOR SIGNATURE:
DATE: 04/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/18/2022
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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