<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306003529
Report Date: 12/15/2021
Date Signed: 12/15/2021 02:47:01 PM

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:GUARDIAN ANGELS HOMES IFACILITY NUMBER:
306003529
ADMINISTRATOR:SONIA GARCIAFACILITY TYPE:
740
ADDRESS:18021 E. SANTA CLARA AVENUETELEPHONE:
(714) 269-7307
CITY:SANTA ANASTATE: CAZIP CODE:
92705
CAPACITY:6CENSUS: 5DATE:
12/15/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Sonia GarciaTIME COMPLETED:
02:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst Michelle Reed arrived at the facility to conduct a case management visit. The purpose of the visit was to check on the communication between Resident #1 and her family. Upon arrival, LPA met with Staff Arnell Lopez and Stephanie Magana. Administrator Sonia Garcia was contacted and she arrived a short time later. R1 was interviewed and she stated that does speak with all of her family and she can make phone calls when she wants. R1 has a landline in her room that was working at the time of this visit. The phone also has an answering machine.

Ms. Garcia stated to LPA that she does understand that all residents have a personal right to facetime their family and friends and that she has an ipad residents can use. Staff stated that they know how to use the ipad.

An exit interview was conducted and a copy of this report was provided.
SUPERVISOR'S NAME: Sheila SantosTELEPHONE: (714) 703-2857
LICENSING EVALUATOR NAME: Michelle ReedTELEPHONE: (714) 743-4958
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2021
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 1