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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 361800450
Report Date: 04/26/2024
Date Signed: 04/26/2024 12:38:48 PM

Document Has Been Signed on 04/26/2024 12:38 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
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:VALLEY STAR CRT-MORONGO OASIS CENTERFACILITY NUMBER:
361800450
ADMINISTRATOR/
DIRECTOR:		HEBESISH, SUZAN ABOUFACILITY TYPE:
772
ADDRESS:60805 29 PALMS HIGHWAYTELEPHONE:
(760) 974-5990
CITY:JOSHUA TREESTATE: CAZIP CODE:
92252
CAPACITY: 16CENSUS: 13DATE:
04/26/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:35 AM
MET WITH:Suzan Abou-Hebeish - AdministratorTIME VISIT/
INSPECTION COMPLETED:
12:40 PM
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Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced case management visit to the facility to follow-up on an incident report received by the regional office on 4/23/24. LPA Malcore met with Suzan Abou-Hebeish, Administrator, and informed the purpose of the visit.

During today’s visit, LPA obtained documents pertinent to the incident and conducted a health and safety check. No immediate health and safety concerns were observed. LPA informed the Administrator that, at this time, the incident requires further review by the Department.

An exit interview was conducted, and a copy of this report was provided to the Administrator at the conclusion of the visit.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2024
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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