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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300605585
Report Date: 09/28/2021
Date Signed: 09/29/2021 08:51:40 AM

Document Has Been Signed on 09/29/2021 08:51 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
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:LEARNING LIGHT FOUNDATION ADULT DEVEL. PROGRA, THEFACILITY NUMBER:
300605585
ADMINISTRATOR:PABLO GARAYFACILITY TYPE:
775
ADDRESS:1212 E. LINCOLN AVENUETELEPHONE:
(714) 533-2314
CITY:ANAHEIMSTATE: CAZIP CODE:
92805
CAPACITY: 40CENSUS: 37DATE:
09/28/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Pablo Garay, Program DirectorTIME COMPLETED:
12:20 PM
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Licensing Program Analyst, Kathrina Chin made an unannounced visit today for the purpose of conducting a Required - 1 Year evaluation. LPA Chin met with Program Director Pablo Garay, who accompanied LPA's on a tour of the inside and outside of the facility. The Day Program consists of several rooms; Activity rooms, an office, a changing room, and one client restroom with 6 toilets. LPA observed changing room to be dirty and disorganized. Poisons, toxic substances and other dangerous objects are stored and locked in a hallway closet. Basic items reviewed: furnishings, trash cans with lids, cleanliness and state of repair were inspected. Lunch is not provided since client's bring their own lunch and the program provides snacks. LPA observed two clients participating a group exercise. Smoke detectors and Carbon Monoxide detectors were inspected and were found to be operational. The last Fire Drill was conducted on 08/25/2021. Fire Extinguisher were observed to be charged. Water temperature was measured at 110 degrees F. in client restroom. Day program has no transportation car; staff use their personal car to transport clients or clients use public transportation. There are 11 staff, and 35 client via Zoom and 2 clients on the premises. Random selection of Staff and Clients files were reviewed. There is no medication handling for any of the clients. Program is providing the following activities: social skills, advocacy class, music, arts & crafts, sports, socialization and communication. No P&I money is handled at the day program.

Based on the observations made during today’s visit, there no deficiencies cited this review as per Title 22 of the California Code of Regulations.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kathrina Chin
LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2021
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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