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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306001666
Report Date: 10/12/2023
Date Signed: 10/12/2023 12:52:02 PM

Document Has Been Signed on 10/12/2023 12:52 PM - 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 ASC, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:EMPOWER COMMUNITY DAY PROGRAMFACILITY NUMBER:
306001666
ADMINISTRATOR:MICHAEL J. MURPHYFACILITY TYPE:
775
ADDRESS:8381 KATELLA AVE. STE C,D, & ETELEPHONE:
(310) 902-2562
CITY:STANTONSTATE: CAZIP CODE:
90680
CAPACITY: 72CENSUS: 63DATE:
10/12/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:TIME COMPLETED:
01:06 PM
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Licensing Program Analyst (LPA) Dwayne Mason Jr. arrived at Empower Community Day Program to conduct an unannounced Required 1 Year Inspection. LPA arrived at the facility at 10:50am, LPA was greeted and granted entry by Supervisor Wendy Rivas. Administrator (AD) Michael Murphy and Program Director (PD) Karen Stanton met LPA upon arrival.

The facility is comprised of three units in a commercial building. The units are connected to one another and each is two stories. The second floor of each unit is office space. The first floor of each unit has a large activity room and bathroom. Hot water measured at 113.8 degrees Fahrenheit in the Unit C and D bathrooms and 111.7 degrees Fahrenheit in the Unit E bathroom. The first floor of Unit C has a reception area and quarantine room. The reception area is where everyone enters the facility and signs in. The quarantine room is used as needed to isolate COVID-positive consumers. The first floor of Unit D has a computer lab and kitchen. LPA observed clients watching videos, playing educational and leisurely games and listening to music in the computer lab. LPA observed no hazards in the kitchen. Client’s bring their own food to day program. The first floor of Unit E has the Library/Arts and Crafts room. LPA did not observe any hazards or obstacles throughout the facility. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to clients and will be stored and locked in closets in two of the three units. First Aid kits are mounted on walls in each of the activity rooms. Staff also carry first aid kits in their vehicles for when they are with clients in the field. LPA reviewed three client files. LPA reviewed two staff files. LPA interviewed three clients and two staff. The fire extinguishers are fully charged and were last serviced on 6/29/23. The program offers academic/career enrichment, arts & crafts, social development and more. Smoke and carbon monoxide detector tested operational.

Based on the observations made during today's visit, no deficiency is being cited as per Title 22 Division 6 Chapter 2 of the California Code of Regulations. An exit interview was conducted with Administrator Michael Murphy and Program Director Karen Stanton, and a copy of this report was provided.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Dwayne L Mason
LICENSING EVALUATOR SIGNATURE: DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/12/2023
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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