Facility Evaluation Report
Licensing Program Analyst (LPA) Galarza conducted an unannounced case management visit. LPA met with unofficially appointed Andrew Escobar. The purpose of the visit was to follow-up on items addressed during the Noncompliance Conference (NCC) meeting held on September 17, 2025.
License/Administrator Ana Duenas is on vacation for an extended period of time. *NOTE: Licensee did not notify CCL or submit LIC 308 "Designation of Facility Responsibility" delegating authority to appropriate staff during Licensee's absence.
During the NCC meeting licensee agreed to:
Hire an additional staff member within 30 days of (9/17/25) that will work as needed for oversight of record documentation, and other facility responsibilities.
Status: Licensee Ana Duenas has not submitted to Community Care Licensing (CCL) proof
that a new staff member/Administrator has been hired. Mr. Andrew Escobar was hired on 11/3/25
but has not been associated to the facility. Licensee did not notify CCL of staffing changes.
Submit pending Type B plan of corrections within 30 days.
Status: Licensee submitted plan of corrections.
Licensee agreed to submit a written plan, update the Plan of Operation and facility sketch addressing live-in staff accommodations. If a permit for an additional dwelling unit (ADU) has been requested submit proof of documentation.
Status: Licensee/Administrator has not submitted an updated plan of operation, facility sketch, and a
written statement addressing live-in staff sleep accommodations. There are 2 live-in staff. One
sleeps in the garage and the other sleeps in the living room.
Andrew Escobar/Staff (S1's) file documents were obtained.
Pursuant to Title 22, citations were issued.
Exit interview was conducted and a copy of the report/appeal rights were issued to Andrew Escobar.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction