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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306003744
Report Date: 11/18/2021
Date Signed: 11/23/2021 12:39:51 PM

Document Has Been Signed on 11/23/2021 12:39 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
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:QUALITY CARE PLUSFACILITY NUMBER:
306003744
ADMINISTRATOR:MARJAN ARASTOOFACILITY TYPE:
735
ADDRESS:1652 W. BROADWAYTELEPHONE:
(714) 635-6561
CITY:ANAHEIMSTATE: CAZIP CODE:
92802
CAPACITY: 80CENSUS: 76DATE:
11/18/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Marjan ArastooTIME COMPLETED:
11:10 AM
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
Regional Manager (RM) Marina Stanic and Licensing Program Analysts (LPAs) Lydia Martinez and Albert Marin made an unannounced Case Management Health and Safety check visit. LPA's met with Licensee/Administrator Marjan Arastoo and Assistant Administrator Abdul Arastoo and reason for visit was explained.


The purpose of the visit is to conduct Health and Safety checks and to assist Behavioral Health Services of Orange County Health Care Agency, Patient Rights Advocates, and TeleCare representatives in evaluating the needs of the Clients and to determine the appropriateness and the level of care that each needs.

RM Stanic and LPAs Martinez and Marin conducted a tour of the interior and exterior portions of the facility. LPAs inspected random Client rooms and common areas which included but not limited to dining area, kitchen and patio.

No citation has been issued at this time.

LPA Martinez conducted an exit interview with Administrator Marjan Arastoo and a copy of this report will be provided to AD via email.
SUPERVISORS NAME: Marina Stanic
LICENSING EVALUATOR NAME: Lydia Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/18/2021
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