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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306003744
Report Date: 07/27/2023
Date Signed: 07/27/2023 04:24:05 PM

Document Has Been Signed on 07/27/2023 04:24 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: 69DATE:
07/27/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:46 PM
MET WITH:Facility Administrator - Marjan ArastooTIME COMPLETED:
04:45 PM
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Licensing Program Analyst (LPA) Celine De Perio and Licensing Program Manager (LPM) Sheila Santos conducted an unannounced case management visit at the facility and explained to facility administrator (AD) Marjan Arastoo about the purpose of the visit.

LPA and LPM discussed with AD Arastoo and and Assistant Administrator Abdol regarding the Non-Compliance Conference (NCC) held on 5/10/22.

During this visit, LPA and LPM verified the compliance plan in reference to the Department staff conducting additional visits.

For today's visit, no citations were issued.

An exit interview was conducted with AD Arastoo. A copy of this report was provided and explained.
SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Celine DePerio
LICENSING EVALUATOR SIGNATURE: DATE: 07/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/27/2023
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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