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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306003744
Report Date: 08/03/2023
Date Signed: 08/03/2023 10:25:11 AM

Document Has Been Signed on 08/03/2023 10:25 AM - 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: 68DATE:
08/03/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Marjan Arastoo- AdministratorTIME COMPLETED:
10:35 AM
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On today's date, Licensing Program Analyst (LPA) Jessica Cho arrived unannounced to conduct a case management visit to deliver an amended report for a visit conducted on July 20, 2023 from 9:42am to 5:30pm in connection to Complaint Control #: 22-AS-20230712165830.

During today's visit, LPA Cho met with Administrator (Admin) Marjan Arastoo and explained the reason for the visit. The initial report was delivered on July 20, 2023. LPA reviewed the amended report with Admin and addressed changes on the amended report and concerns and/or questions regarding the amendment of the report. LPA retrieved the original report during the visit.

An exit interview was conducted with Administrator Marjan Arastoo, and a copy of this report along with the amended complaint report (LIC9099, LIC9099-C) were provided to the Administrator at exit.




SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE: DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/03/2023
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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