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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435201773
Report Date: 03/06/2025
Date Signed: 03/06/2025 11:32:23 AM

Document Has Been Signed on 03/06/2025 11:32 AM - 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:MMS BEHAVIORAL DAY PROGRAM, INC.FACILITY NUMBER:
435201773
ADMINISTRATOR/
DIRECTOR:		HOMARA, MANIZHEHFACILITY TYPE:
775
ADDRESS:18980 MONTEREY ROADTELEPHONE:
(408) 778-5600
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY: 81CENSUS: 58DATE:
03/06/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:20 AM
MET WITH:Michelle VillarrealTIME VISIT/
INSPECTION COMPLETED:
11:35 AM
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Licensing Program Analyst (LPA) Christine Kabariti arrived at the facility unannounced to conduct a case management – other visit. LPA met with Program Director Michelle Villarreal.

The purpose of the visit is to hand deliver an immediate exclusion letter for a staff member (S1) who the Department determined engaged in conduct inimical.

The immediate exclusion letter for S1 was handed to the Program Director.

Program Director confirmed S1 does not currently work for the facility. The Program Director was informed to remove S1 from any contact with clients and not allow S1 to be physically present in the facility.

LPA advised to separate S1 from the facility roster.

No deficiencies were cited per California Code of Regulations, Title 22.

This report was reviewed with Program Director Michelle Villarreal and a copy of the report was provided.
SUPERVISORS NAME: Jackie Jin
LICENSING EVALUATOR NAME: Christine Kabariti
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2025
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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