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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300607488
Report Date: 03/11/2022
Date Signed: 03/11/2022 09:39:15 AM


Document Has Been Signed on 03/11/2022 09:39 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:HERITAGE POINTEFACILITY NUMBER:
300607488
ADMINISTRATOR:MIKE SILVERMANFACILITY TYPE:
740
ADDRESS:27356 BELLOGENTETELEPHONE:
(949) 364-9685
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:225CENSUS: 146DATE:
03/11/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Mike Silverman, Administrator
Autumn Conquest, Director of Human Resources		TIME COMPLETED:
09:55 AM
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Licensing Program Analysts (LPAs) Kevin Saborit-Guasch and Jerome Haley arrived unannounced to the facility on this day at 9:05am for the purpose of confirming an Order for Immediate Exclusion. LPAs met with Mike Silverman, Chief Executive Officer and Autumn Conquest, Director of Human Resources and informed them of the purpose of the visit.

AD Silverman is aware of the Letter of Immediate Exclusion from the Department of Social Services which was transmitted to the facility on 03/04/2022 "LETTER OF IMMEDIATE EXCLUSION" regarding staff member Jhon Garcia. AD Silverman confirmed that at this time Jhon Garcia has been physically removed from the facility, is no longer employed and that his access badge has been recovered.

Jhon Garcia was still associated and present on the staff roster, as attested by Guardian. LPA Kevin Saborit-Guasch clarified that the intended appeal does not suspend exclusion and explained the importance of having Jhon Garcia disassociated immediately. The facility's HR department notified LPA of the disassociation before the conclusion of the visit..

An exit interview was conducted with the administrator, and a copy of this report was provided to the facility at the time of the visit.
SUPERVISOR'S NAME: Alisa OrtizTELEPHONE: (714) 287-4084
LICENSING EVALUATOR NAME: Kevin Saborit-GuaschTELEPHONE: 714-703-2851
LICENSING EVALUATOR SIGNATURE:
DATE: 03/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/11/2022
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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