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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306002255
Report Date: 01/15/2025
Date Signed: 01/15/2025 02:30:50 PM

Document Has Been Signed on 01/15/2025 02:30 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
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:COVINGTON, THEFACILITY NUMBER:
306002255
ADMINISTRATOR/
DIRECTOR:		DONALD CASH BENTONFACILITY TYPE:
741
ADDRESS:3 PURSUITTELEPHONE:
(949) 389-8500
CITY:ALISO VIEJOSTATE: CAZIP CODE:
92656
CAPACITY: 343TOTAL ENROLLED CHILDREN: 0CENSUS: 236DATE:
01/15/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Cash BentonTIME VISIT/
INSPECTION COMPLETED:
02:50 PM
NARRATIVE
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Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit to follow up on fire evacuees relocated to the facility. LPA was greeted and granted entry into the facility and explained the reason for the visit.

On 01/08/2025, facility accepted 23 evacuees from their sister facility MonteCedro in Altadena. Select staff from MonteCedro are working at the facility as well.

At 1:00 PM, LPA toured the facility and observed the following: Facility appears clean and sanitary. LPA observed ample emergency food and water as well as the emergency disaster plan. LPA spoke with evacuees who verbalized satisfaction with facility services as well as feeling safe and taken care of. Facility has provided clothing and incidentals to the evacuees. Facility estimates a stay time of approximately three weeks.


No health and safety concerns noted.






Exit interview conducted and a copy of this report was left at the facility.
Alisa OrtizTELEPHONE: (714) 703-2855
Kimberly LymanTELEPHONE: (714) 795-1497
DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/15/2025
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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