<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374602155
Report Date: 04/14/2023
Date Signed: 04/14/2023 11:27:43 AM


Document Has Been Signed on 04/14/2023 11:27 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, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507



FACILITY NAME:TWIN OAKS MANORFACILITY NUMBER:
374602155
ADMINISTRATOR:LOLITA V. GATMAITANFACILITY TYPE:
740
ADDRESS:1719 MEDINAHTELEPHONE:
(760) 798-1588
CITY:SAN MARCOSSTATE: CAZIP CODE:
92069
CAPACITY:5CENSUS: 3DATE:
04/14/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Lolita Gatmaitan, Administrator TIME COMPLETED:
11:35 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Jesse Gardner and Licensing Program Manager (LPM) Joel Esquivel met with Administrator/Licensee Lolita Gatmaitan to provide complaint findings.

LPM Esquivel also explained that the facility is currently licensed and no probationary limitations are currently noted.

An exit interview was conducted where a copy of this report was discussed with and provided to Administrator Gatmaitan.
SUPERVISOR'S NAME: Deborah MullenTELEPHONE: (951) 248-0313
LICENSING EVALUATOR NAME: Jesse GardnerTELEPHONE: (951) 205-2683
LICENSING EVALUATOR SIGNATURE:
DATE: 04/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/14/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1