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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306000959
Report Date: 07/28/2022
Date Signed: 07/28/2022 11:26:30 AM

Document Has Been Signed on 07/28/2022 11:26 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:HIGH HOPES HEAD INJURY PROGRAMFACILITY NUMBER:
306000959
ADMINISTRATOR:DESMOND, MARK J.FACILITY TYPE:
775
ADDRESS:2953 & 2961 EDINGER AVE.TELEPHONE:
(949) 733-0044
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY: 120CENSUS: 30DATE:
07/28/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Mark Desmond, DirectorTIME COMPLETED:
11:30 AM
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On 07/28/2022 at 10:00am, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility in order to conduct a required annual inspection. LPA arrived at facility, was greeted and granted entry by Mark Desmond, Director after explaining the purpose of the visit.

At approximately 10:15am, LPA accompanied by Director toured the physical plant of the facility after being presented informational content on the specificity of the program. Facility is licensed for 120 clients but currently only cares for approximately 30 clients on any given day. The facility is clean, sanitary and free of odors in all areas inspected.

LPA observed the required Department posting on COVID-19 precautions at entrance of facility. There is a sign-in procedure in place and hand sanitizer for use. LPA observed that all staff were wearing face masks. The facility has an approved Infection Control Plan on file. LPA toured class rooms and activity rooms, all rooms where within regulations. Personal Protective Equipment (PPE) supply is available. The facility monitors the students regularly for any COVID-19 symptoms/change of condition and documents. The facility does not provide meals or snacks for the students, only allows students to store their lunches in the facility refrigerators. Students are required to bring their own meals and snacks.

Based on the observations made during today’s visit, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with facility representative and a copy of this report was provided and left at facility.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE: DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/28/2022
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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