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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 496803631
Report Date: 01/31/2022
Date Signed: 01/31/2022 02:41:01 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:CLEARWATER LODGEFACILITY NUMBER:
496803631
ADMINISTRATOR:RICHARDSON, VILMAFACILITY TYPE:
740
ADDRESS:611 CHERRY CREEK ROADTELEPHONE:
(707) 894-4615
CITY:CLOVERDALESTATE: CAZIP CODE:
95425
CAPACITY:0CENSUS: 0DATE:
01/31/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Licensee, Vilma RichardsonTIME COMPLETED:
02:45 PM
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Regional Manager, Carla Martinez, Licensing Program Manager (LPM) Hope DeBenedetti and Licensing Program Analyst (LPA) Victoria Willis met with Licensee Vilma Richardson at the Santa Rosa CCL Regional Office.

This Office Meeting is being conducted to discuss the Decision and Order signed on January 21, 2022 regarding Administrative Hearing that took place on December 15, 2022. The Order states that the license issued to respondent, VHN Investments, LLC is revoked. Also, the Administrator Certificate for Vilma Richardson is revoked. The Decision and Order adopted by the Administrative Law Judge was served on the Licensee on which becomes effective on January 31, 2022.
SUPERVISOR'S NAME: Hope DeBenedettiTELEPHONE: (707) 588-5059
LICENSING EVALUATOR NAME: Victoria WillisTELEPHONE: (707) 588-5087
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2022
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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