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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347001885
Report Date: 11/19/2021
Date Signed: 11/19/2021 05:39:48 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:YOUNG AT HEART RCFE #2FACILITY NUMBER:
347001885
ADMINISTRATOR:GLENDA MOLINYAWEFACILITY TYPE:
740
ADDRESS:9016 COLOMBARD WAYTELEPHONE:
(916) 686-8822
CITY:SACRAMENTOSTATE: CAZIP CODE:
95829
CAPACITY:6CENSUS: 4DATE:
11/19/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Lillian SisayanTIME COMPLETED:
04:43 PM
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On 11/19/21 an office meeting was held via Microsoft Team to discuss legal concerns and financial audit of the facility. Resent during the meeting were, Regional Manager Krystall Moore, Licensing Program Manager Stephenie Doub, Licensing Program Analyst Chris Hopkins, Licensee Lillian Sisayan, Department Auditors Jacqueline Juarez and Jorge Mojica.

Topics discussed in this meeting were:
· Bankruptcy proceedings filed in July 2021
· Chapter 11 bankruptcy being converted to a Chapter 7 Bankruptcy
· Money withdrawals to distribute for payroll
· The trust being started in 2018
· The department is still conducting their audit

The department has requested minute orders as well as any and all documents from the judgement and bankruptcy filings. The requesting deadline date is 12/5/21. If this cannot be done Lillian Sisayan is to let the Department know. Licensee Sisayan agreed to continue to work with the auditor and provide all requested documents.

No deficiencies cited on this day. An exit interview was conducted with Licensee Sisayan and a copy of this report was provided via email. A confirmation read receipt confirms receipt of this report.
SUPERVISOR'S NAME: Czarrina A Camilon-LeeTELEPHONE: (916) 263-4723
LICENSING EVALUATOR NAME: Christopher Hopkins-ClarkeTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021
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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