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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306001156
Report Date: 05/19/2022
Date Signed: 05/19/2022 10:48:45 AM

Document Has Been Signed on 05/19/2022 10:48 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:CONSUMER CHOICE DAY ACTIVITY PROGRAMFACILITY NUMBER:
306001156
ADMINISTRATOR:HEARN, JOYCE A.FACILITY TYPE:
775
ADDRESS:225 CARL KARCHER WAYTELEPHONE:
(714) 744-5301
CITY:ANAHEIMSTATE: CAZIP CODE:
92801
CAPACITY: 100CENSUS: 70DATE:
05/19/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Michael Galliano, Sara Whitebirch, Eric Cid-LopezTIME COMPLETED:
11:02 AM
NARRATIVE
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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection (mitigation). LPA was screened for symptoms of Covid-19 and granted entry. LPA met with CEO Michael Galliano, Director of Operations (DO) Eric Cid-Lopez and Director of Program and Compliance, Sara Whitebirch. LPA explained the reason for the visit. LPA and CEO, Director of Operations and Director of Program and Compliance toured the facility. Facility is 58,600 square feet and has numerous rooms and offices. The offices are for the day to day operation of the facility. The activity rooms take up the majority of space and are used for clients. There are 4 restrooms for clients each with multiple stalls. Clients participate in group learning activities in groups ranging from 6 to 12 clients. Clients participate in activities such as updating their daily calendar, exercising, life/job skills coaching and music appreciation. LPA observed numerous clients participating in activities during the tour. LPA observed Covid-19 postings throughout the facility. LPA observed all staff and clients were wearing masks. LPA observed all fire extinguishers are fully charged. No obstacles or hazards observed inside or outside of the facility. No deficiencies observed during the visit. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.
SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE: DATE: 05/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/19/2022
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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