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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
435202865
Report Date:
12/20/2024
Date Signed:
12/20/2024 04:19:41 PM
Document Has Been Signed on
12/20/2024 04:19 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:
DURALIZA MANOR II
FACILITY NUMBER:
435202865
ADMINISTRATOR/
DIRECTOR:
ARANZASO, RHONALD
FACILITY TYPE:
735
ADDRESS:
695 ROYAL GLEN DRIVE
TELEPHONE:
(408) 708-7331
CITY:
SAN JOSE
STATE:
CA
ZIP CODE:
95133
CAPACITY:
6
CENSUS:
6
DATE:
12/20/2024
TYPE OF VISIT:
Office
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:
Administrator Rhonald Aranzaso and Applicant Estela Pendon
TIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On 12/20/2024 Licensing Program Analysts Marcela Yanez and Simi Rai and Licensing Program Manager Romeo Manzano met with Administrator Rhonald Aranzaso and Estela Pendon in the office to follow up with their transition plan upon the death of licensee and discussed application process.
ADM and applicant is currently working on ARF application to be submitted to Centralized Application Bureau (CAB) before the end month and also consulting with their lawyer either they will submit sole proprietorship or corporation whichever is faster and easiest. Ms. Pendon provided CCLD a copy of her mother's living trust.
LPA provided resources such as CAB information and fee schedule.
This report was reviewed with Administrator Rhonald Aranzaso and Corporation Officer Estela Pendon and a copy of the report was provided.
No deficiency cited during visit.
SUPERVISORS NAME
:
Romeo Manzano
LICENSING EVALUATOR NAME
:
Marcela Yanez
LICENSING EVALUATOR SIGNATURE
:
DATE:
12/20/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/20/2024
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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