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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 405800506
Report Date: 03/13/2025
Date Signed: 03/13/2025 03:53:17 PM

Document Has Been Signed on 03/13/2025 03:53 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
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:GAYNFAIR HOUSEFACILITY NUMBER:
405800506
ADMINISTRATOR/
DIRECTOR:		NEREIDA LEALFACILITY TYPE:
735
ADDRESS:545 GAYNFAIR TERRACETELEPHONE:
(805) 473-3542
CITY:ARROYO GRANDESTATE: CAZIP CODE:
93420
CAPACITY: 6CENSUS: 6DATE:
03/13/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:35 PM
MET WITH:Neredia Leal, AdministratorTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Licesing Program Analyst (LPA) De Leon conducted a 1 year annual visit to the facility above. LPA met with Neredia Leal, Administrator and explained the purpose of the visit.

LPA toured the inside and outside of the facility with Administrator.

LPA will return at a later date to complete the annual visit.

Exit interview conducted, copy of report printed for Administrator.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2025
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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