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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306002370
Report Date: 08/08/2024
Date Signed: 08/08/2024 12:32:25 PM

Document Has Been Signed on 08/08/2024 12:32 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:CHARIS CHATEAU, INCFACILITY NUMBER:
306002370
ADMINISTRATOR/
DIRECTOR:		MARIE NOELFACILITY TYPE:
735
ADDRESS:10231 DEWEY DRIVETELEPHONE:
(714) 636-6595
CITY:GARDEN GROVESTATE: CAZIP CODE:
92840
CAPACITY: 5CENSUS: 4DATE:
08/08/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Marie NoelTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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Licensing Program Analyst (LPAs) Ruth Martinez and William Vanegas are conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility was greeted and granted entry by staff and LPAs explained the nature of the visit. Marie Noel, Administrator arrived shortly after and met with LPAs.

Four clients reside at this facility, LPAs was informed three clients were out in the community. At the time of visit there was only one client present. LPAs began the tour of the inside and outside of the facility. LPA observed required department postings posted on the wall of facility. Facility stays within the capacity limitations. There is a minimum of one week of non-perishables foods and two days of perishables foods available. There is additional food storage in the spare two refrigerators in the garage. The facility is maintained at a comfortable temperature. LPAs inspected that medication are centrally stored in a safe locked storage cabinet located in the facility office space. LPAs reviewed medication and observed medication was labeled and stored inaccessible to clients in care. LPA inspected the bathroom and LPAs measured the hot water temperature which measured 105.7 Fahrenheit degrees. All bathrooms observed to have a supply of soap, toilet paper and towels. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPAs observed that toxic chemicals, cleaning solutions and disinfectants are stored locked in the garage. The facility has an available clean supply of linens. LPAs inspected client’s bedrooms which has sufficient lighting to ensure the safety and comfort. All bedrooms observed to have all required components. Storage space is provided for clients in their bedroom. Smoke detectors were tested and found to be operational. LPA toured the outside of the facility and observed outdoor passageways are free of obstructions. LPA observed there is shaded seating areas for client’s enjoyment. LPAs observed a swimming pool with a fence around it. LPA observed the pool gate has a self-latching entry door which opens towards

Continued on LIC809-C
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/08/2024
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: CHARIS CHATEAU, INC
FACILITY NUMBER: 306002370
VISIT DATE: 08/08/2024
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the pool. LPA Martinez measured the pool fence which measured 5.67ft from base of the floor to the top of the fence and it was observed to enclose the entire pool area. LPA observed the pool has two entry doors throughout the pool area. LPA observed a fire extinguisher with service date of June 5, 2024, in kitchen. Fire drills conducted every three months. LPA began review of records. LPA reviewed two clients’ records. All the required documentation was present and current in client’s files reviewed. The facility P&I records were reviewed. LPA observed that an individual log is maintained for each client. All monies are accounted for and attached receipts for record keeping. LPA reviewed two employee records. All employees present have a criminal record clearance and are associated to the facility. LPA observed records reviewed have a current First Aid certificate.

Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations.

This report was reviewed with the Administrator and a copy of this report was provided to the facility.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2024
LIC809 (FAS) - (06/04)
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