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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306002980
Report Date: 09/28/2022
Date Signed: 09/29/2022 08:34:47 AM

Document Has Been Signed on 09/29/2022 08:34 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
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:ENCORE PROGRAMFACILITY NUMBER:
306002980
ADMINISTRATOR:JULIE MAUNDERSFACILITY TYPE:
775
ADDRESS:15241 SPRINGDALE STREETTELEPHONE:
(714) 898-8184
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92649
CAPACITY: 75CENSUS: 22DATE:
09/28/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:08 PM
MET WITH:Executive Director Julie MaundersTIME COMPLETED:
03:25 PM
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Licensing Program Analyst (LPA) Shobhana Frank made an unannounced visit for the purpose of conducting an annual inspection. LPA was greeted and met with Program Manager Shirley Meade and Executive Director Julie Maunders.
LPA observed COVID - station equipped with hand sanitizer, thermometer, Gloves, visitors log. LPA observed COVID posters throughout the facility.

LPA tour the interior and exterior of the facility. LPA observed walkways to be free of clutter and/or debris. Facility is a single story Day Program located inside a Commercial building. At time of visit there were 22 clients in care. LPA observed clients relaxing in Main Room working on activities, games and listening to live musician. Clients appeared clean in appearance and well taken care of. Clients and Staff were observed wearing face masks. All restrooms observed contained working water basin, soap, toilet paper and hand towels.

LPA observed the emergency disaster and evacuation plans posted. Facility has refrigerators for clients to store lunches and pantry with food supply for snacks. Facility has fire extinguishers mounted and fully charged. Facility has provided documentation for operating smoke detectors. Hot water temperature in resident bathrooms was measure 108.6 degrees F. LPA observed emergency supplies present. Facility's last fire drill was conducted on 8/4/22.
Facility has ample supply of PPE. Facility has a secured location for Client files. Facility has designated visitation area.
No deficiencies noted during today’s visit. An exit interview was conducted with Administrator and a copy of report was provided.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Shobhana Frank
LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2022
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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