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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306000959
Report Date: 07/29/2024
Date Signed: 07/29/2024 11:41:35 AM

Document Has Been Signed on 07/29/2024 11:41 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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:HIGH HOPES HEAD INJURY PROGRAMFACILITY NUMBER:
306000959
ADMINISTRATOR/
DIRECTOR:		DESMOND, MARK J.FACILITY TYPE:
775
ADDRESS:2953 & 2961 EDINGER AVE.TELEPHONE:
(949) 733-0044
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY: 120CENSUS: 33DATE:
07/29/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:08 AM
MET WITH:Mark Desmond & Tracey DesmondTIME VISIT/
INSPECTION COMPLETED:
11:55 AM
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Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Mark Desmond, Administrator at 8:08 AM.

The facility is a two-story industrial building with an approved fire clearance of thirty non-ambulatory clients. It is attached to several businesses who share the building, The facility currently has a census of thirty-three clients in attendance.

At 8:15AM, LPA was shown the marketing video, toured the facility and inspected the physical plant, There are various rooms for physcial therapy, occupational therapy, computer labs, art therapy and cognitive instruction and robotics equipment throughout the facility.

At 8:45 LPA observed clients attending an orientation session and actively using equipment LPA toured the staff/ kitchen area and found there were no sharps or detergents accessible. Clients provide their own lunches and Day Program does not handle client medications. Clients are able to store their lunches in a refrigerator and LPA observed a locked staff room with a refrigerator, washer, dryer and supplies.

At 9:00am LPA observed the check-in area, at the rear of the building, where clients are transported and enter. The facility has masks and Infection control procedures in place to measure client temperatures upon entry.

The hot water temperature measured between 111.5 and 111.7 degrees Fahrenheit in the public men and women's restrooms. The facility tests fire alarm and smoke detectors quarterly and was serviced on June 7, 2024 with American Alarm Systems. All alarms are operational and are interconnected with three adjacent businesses in the industrial building.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE: DATE: 07/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/29/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: HIGH HOPES HEAD INJURY PROGRAM
FACILITY NUMBER: 306000959
VISIT DATE: 07/29/2024
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The fire extinguishers are charged and serviced on April 15, 2024 . The facility’s last fire drill was conducted on June 4, 2024. Several first aid kits, and a manual, were observed throughout the facility.

LPA reviewed four of four staff training and fingerprint records. LPA interviewed alert clients regarding their quality of services and spoke to staff present regarding services provided.

Based on the observations made during today’s visit, the facility appears to be in compliance with Title 22 Division 6 of the California Code of Regulations, no deficiencies cited on this date. An exit interview was conducted with Tracey Desmond and a copy of the report and files reviewed (LIC 859) were given at the time of the visit.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2024
LIC809 (FAS) - (06/04)
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