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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306002980
Report Date: 09/05/2024
Date Signed: 09/05/2024 11:56:23 AM

Document Has Been Signed on 09/05/2024 11:56 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:ENCORE PROGRAMFACILITY NUMBER:
306002980
ADMINISTRATOR/
DIRECTOR:		JULIE MAUNDERSFACILITY TYPE:
775
ADDRESS:15241 SPRINGDALE STREETTELEPHONE:
(714) 898-8184
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92649
CAPACITY: 75CENSUS: 60DATE:
09/05/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:08 AM
MET WITH:Julie MaundersTIME VISIT/
INSPECTION COMPLETED:
12:10 PM
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Licensing Program Analyst (LPA) Michael Tea made an unannounced visit for the purpose of conducting an annual required visit. At 8:08 AM, LPA arrived at the facility and was greeted and granted entry by Director of Programs (DP) Lisa Crowley and Program Manager (PM) Shirley Meade. LPA explained the nature of the visit. Executive Director (ED) Julie Maunders arrived shortly to assist with the visit.

During the inspection around 8:46 AM LPA reviewed four staff records and six client records. Client files and staff files contained all required documentation.



Around 10:00 AM, LPA accompanied by DP Crowley and PM Meade began the tour of the day program. The day program is split by two different programs Encore and CAVA which each program has their own client workspace/ main common areas, therapy rooms, kitchens and restrooms. There is an office administrative space, with staff break rooms and a garage storage area in the middle of the two programs. LPA observe that the facility fire clearance is maintained by an approved fire code permit by City of Huntington Beach Fire Department issued annually for the 2024 – 2025 year. The fire extinguishers throughout the facility are fully charged and serviced June 3, 2024. Fire alarms and sprinklers are maintained and serviced by a third party company. The facility conducts disaster drills, the most recent one conducted on August 12, 2024, for earthquakes and July 2, 2024 for fires. Toxin substances are inaccessible to clients and stored in a locked cabinet with sharps in the kitchen for Encore program. LPA observes knives and toxic substances locked underneath the sink in the kitchen area for the CAVA program. The day program is maintained in a clean, safe, and sanitary condition. The premises and furnishings are in good repair. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 113.7 F degrees. Clients provide their own lunches and are stored in facility refrigerator. Facility provides snacks, which is adequately stock. Emergency food supplies and water was observed to be stored in the garage storage area. During today’s visit LPA observed clients painting during an art class session at the time of visit.
Continuation of annual inspection on LIC809-C
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2024
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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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: ENCORE PROGRAM
FACILITY NUMBER: 306002980
VISIT DATE: 09/05/2024
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Some clients were dancing and singing. First aid supplies are adequate, and LPA observed a first aid kit stored in locked cabinets in the kitchen area. Facility has lockers that are used by clients for storage.

Around 10:30 AM LPA reviewed medication storage and administration. Medications are stored in a locked cabinet in the garage/storage area. Medications are being administered per physician order. LPA interviewed clients regarding their quality of care and spoke to staff present regarding care provided.

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 Executive Director, Julie Maunders and a copy of this report LIC809, 809-C, LIC858, LIC859, was read and provided to the facility.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
LIC809 (FAS) - (06/04)
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