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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306002360
Report Date: 02/06/2025
Date Signed: 02/06/2025 11:45:17 AM

Document Has Been Signed on 02/06/2025 11:45 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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:PUNZALAN HOMEFACILITY NUMBER:
306002360
ADMINISTRATOR/
DIRECTOR:
ERLINDA S. PUNZALANFACILITY TYPE:
735
ADDRESS:1627 W. CATHERINE DRIVETELEPHONE:
(714) 535-2407
CITY:ANAHEIMSTATE: CAZIP CODE:
92801
CAPACITY: 6CENSUS: 6DATE:
02/06/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:26 AM
MET WITH: Nancy OrcinoTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Samer Haddadin is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA met with Administrator (AD)Nancy Orcino and discussed the purpose of the inspection.
LPA toured the interior and exterior facility and observed the following:
this is a one-story home. Facility is a 6-bedroom, 3-bathroom, 1 story house with detached garage that is being used for storage and emergency food and water. At time of visit the facility had 6 Clients in care which all were at day program.

LPA and AD tested smoke detectors/carbon monoxide in common areas and bedrooms; all were operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably.


LPAs observed fire extinguisher mounted in kitchen and garage areas with last inspection date of on May 8th, 2024. Upon review of record, emergency drill log indicated that the last drill was conducted on December 11, 2024
LPA observed sharps sand knives locked in the kitchen and are inaccessible to Clients in care.
Restrooms toilets and water faucets were also observed to be operational. Grab bars were secure, and showers were observed to be free of mold/mildew. Water temperature measured between at 119. degrees Fahrenheit and 117.9 degrees Fahrenheit. LPAs and AD toured the backyard of the facility and observed a shaded seating area for residents’ enjoyment. LPA checked emergency exits to be free of obstacles.

LPAs reviewed two residents’ and two staff files and observed they all had the required documentation.


Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report provided to AD at end of inspection.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Samer Haddadin
LICENSING EVALUATOR SIGNATURE: DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2025
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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