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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603462
Report Date: 02/13/2025
Date Signed: 02/13/2025 02:34:58 PM

Document Has Been Signed on 02/13/2025 02:34 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
Lookup Error,
, CA
FACILITY NAME:VILLA MONTICELLO ASSISTED LIVINGFACILITY NUMBER:
374603462
ADMINISTRATOR/
DIRECTOR:		ORLANDO DYFACILITY TYPE:
740
ADDRESS:25695 N. CENTRE CITY PARKWAYTELEPHONE:
(760) 738-1555
CITY:ESCONDIDOSTATE: CAZIP CODE:
92026
CAPACITY: 29TOTAL ENROLLED CHILDREN: 0CENSUS: 20DATE:
02/13/2025
TYPE OF VISIT:CollateralUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:10 PM
MET WITH:Iezza Zzadoctolero, Resident Care ManagerTIME VISIT/
INSPECTION COMPLETED:
02:40 PM
NARRATIVE
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Licensing Program Analyst’s (LPAs) Carmen Lopez and Arian Golbakhsh conducted an unannounced collateral visit to the facility. LPAs Lopez and Golbakhsh identified themselves and were vgranted entry by Dolores Zeiler, Medication Technician. LPA stated the purpose of the visit with Melissa Kramer, Executive Director, and Iezza Zzadoctolero, Resident Care Manager.

During the visit, LPA's Lopez and Golbakhsh spoke with staff and resident to aid in an open investigation involving a different licensed care facility. No deficiencies were observed or cited during today's visit.

An exit interview was conducted, and a copy of this report along with Licensee/Appeal Rights (LIC9058 03/22) were provided to Iezza Zzadoctolero, Resident Care Manager, at the conclusion of the visit. The signature below confirms the receipt of the documents.
Jennifer LottTELEPHONE: (619) 346-3976
Carmen LopezTELEPHONE: (619) 314-0757
DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/13/2025
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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