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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306003744
Report Date: 07/28/2022
Date Signed: 07/28/2022 12:39:07 PM

Document Has Been Signed on 07/28/2022 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: 64DATE:
07/28/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:01 AM
MET WITH:Brian Mahinay, Marjan ArastooTIME COMPLETED:
10:30 AM
NARRATIVE
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Licensing Program Analyst (LPA) Joseph Alejandre and Kevin Gaines made an unannounced visit to conduct the required annual inspection (mitigation). LPA was greeted and granted entry by staff. LPA explained the reason for the visit. LPA met with staff Brian Mahinay toured the facility. Administrator Marjan Arastoo arrived during the tour. The facility is a 2 story building with 40 rooms, a dining room, kitchen, medication room, office and a recreation room with a TV. LPA observed all fire extinguishers are fully charged. LPA did not observe any Covid-19 postings in the facility. The dining room is clean and will accommodate all of the clients. LPA observed the fireplace is screened. The kitchen is clean and LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed the emergency water supply and emergency food supply stored in the kitchen. LPA observed there is one evacuation chair on the second floor placed between the 2 stairwells. LPA measured the hot water in 6 rooms and the hot water measured 112.4 to 115.7 degrees Fahrenheit. LPA observed the bathrooms in all 6 rooms were operational and clean. LPA observed the shared bathrooms with showers were clean and operational. LPA observed the laundry room is clean and organized. The laundry room is kept secured. LPA consulted with the Administrator concerning reporting requirements and continued Covid-19 mitigation procedures. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.
SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE: DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/28/2022
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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