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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306001818
Report Date: 08/06/2024
Date Signed: 08/06/2024 02:48:42 PM


Document Has Been Signed on 08/06/2024 02:48 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 RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868



FACILITY NAME:D'BEST CAREFACILITY NUMBER:
306001818
ADMINISTRATOR:MA DINAH DELA CRUZFACILITY TYPE:
740
ADDRESS:3608 W. ASH AVENUETELEPHONE:
(714) 278-0528
CITY:FULLERTONSTATE: CAZIP CODE:
92833
CAPACITY:6CENSUS: 2DATE:
08/06/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Lucille NofiesTIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Lydia Martinez made an unannounced visit on this day for the purpose of conducting a Required - 1 Year inspection. LPA was granted entry into the facility by Caregiver Lucille Nofies and purpose of visit was explained. Administrator (AD) Dinah DeLaCruz was unavailable.

Facility is a one story house with 5 bedrooms, of which two are used by staff, 3 bathrooms, a detached garage that has been converted into living space, a living room, a dining room, TV room and kitchen.

LPA Martinez spoke to alert residents regarding their quality of care. LPA reviewed food services, and inspected the kitchen. In addition, Hot water temperature was within regulatory requirements. Resident areas were noted to be at a comfortable temperature. Fire Extinguisher was mounted in the kitchen which was last serviced on 7/22/2023. LPA confirmed food supply: 2 day supply of perishables and 7 day supply of non-perishable food is available for the number of residents present. Hygiene supplies and supply of linen were observed in quantities for the number of residents in care. LPA observed locked areas for toxins, sharps and hazardous items. Medications were observed locked in a cabinet located in kitchen area. Medications reviewed appear to have been dispensed accurately. LPA Martinez interviewed 1 staff, 2 residents and reviewed files. Upon record review LPA noted emergency care requirements were met. LPA observed covered patio with tables and chairs for residents use. Administrator's Certificate expires on 05/09/2025.

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. An exit interview was conducted with Staff present and a copy of this report was provided at the end of the visit via email.
SUPERVISOR'S NAME: Lourdes MontoyaTELEPHONE: (714) 748-2936
LICENSING EVALUATOR NAME: Lydia MartinezTELEPHONE: (714) 705-6004
LICENSING EVALUATOR SIGNATURE:
DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/06/2024
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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