<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306002097
Report Date: 02/04/2025
Date Signed: 02/04/2025 01:45:14 PM

Document Has Been Signed on 02/04/2025 01:45 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:VERONA COURTFACILITY NUMBER:
306002097
ADMINISTRATOR/
DIRECTOR:		ARDA KARDJIANFACILITY TYPE:
740
ADDRESS:29681 PRESTON DRIVETELEPHONE:
(949) 218-9920
CITY:LAGUNA NIGUELSTATE: CAZIP CODE:
92677
CAPACITY: 6CENSUS: 0DATE:
02/04/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:01 PM
MET WITH:Arda KardjianTIME VISIT/
INSPECTION COMPLETED:
02:01 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Administrator Arda Kardjian and explained the reason for the visit. The Administrator reported that the facility has no residents or staff at this time because the facility is being remodeled/renovated. LPA and the Administrator toured the facility. LPA observed the facility is empty and has no furniture or personal belongings. LPA informed the Administrator to notify the Agency prior to admitting any residents, the Administrator stated she understood. LPA observed the facility has utilities and water service. 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: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE: DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2025
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 1