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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
435201796
Report Date:
07/09/2024
Date Signed:
07/09/2024 04:25:03 PM
Document Has Been Signed on
07/09/2024 04:25 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
CENTRAL COAST CR/RES
,
2580 N. FIRST STREET, STE. 350
SAN JOSE
,
CA
95131
FACILITY NAME:
NUEVA VISTA
FACILITY NUMBER:
435201796
ADMINISTRATOR/
DIRECTOR:
WEINSTEIN, MICHAEL
FACILITY TYPE:
735
ADDRESS:
18225 HALE AVENUE
TELEPHONE:
(408) 465-8280
CITY:
MORGAN HILL
STATE:
CA
ZIP CODE:
95037
CAPACITY:
72
CENSUS:
69
DATE:
07/09/2024
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
04:15 AM
MET WITH:
Mark Castillo
TIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct a case management - other visit. LPA met with Administrator (ADM) Mark Castillo.
The purpose of the visit is to amend the deficiency page and add a citation for complaint control 26-AS-20231114122959
. Administrator was provided the amended LIC9099-D and LIC421IM. Appeal rights was provided.
This report was reviewed with Administrator Mark Castillo and a copy of the report was provided.
SUPERVISORS NAME
:
Sarah Yip
LICENSING EVALUATOR NAME
:
Christine Dolores
LICENSING EVALUATOR SIGNATURE
:
DATE:
07/09/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
07/09/2024
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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