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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 12:38:07 PM

Document Has Been Signed on 07/28/2022 12:38 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:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:31 AM
MET WITH:Marjan ArastooTIME COMPLETED:
12:45 PM
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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct a case management visit to check compliance of the items addressed in the Noncompliance Conference dated 5/13/2022. LPA met with Administrator Marjan Arastoo. LPA observed the following.
Facility mounted video cameras in the common areas on the first floor. Facility hired new staff, an assistant administrator, activities director, housekeeper, kitchen staff and caregiver. Facility now has a resident council and held an election for a resident council president. Facility menu is on display. Client files are updated with proper contact information. LPA did not observe any physical plant issues. LPA inspected 6 resident rooms and all rooms were clean and the bathrooms were operational. Hot water measured between 112.4 to 115.7 degrees Fahrenheit. LPA did not observe any deficiencies during the visit. LPA observed the vending machines in the lobby have been removed. Facility is providing laundry services to clients who request service. Facility is completing the items from the Noncompliance Conference. 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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