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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306003744
Report Date: 09/27/2023
Date Signed: 09/27/2023 04:24:25 PM

Document Has Been Signed on 09/27/2023 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:
09/27/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:31 PM
MET WITH:Marjan ArastooTIME COMPLETED:
04:40 PM
NARRATIVE
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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct a case management visit. LPA met with Administrator Marjan Arastoo and explained the reason for the visit. During the complaint investigation (see complaint #22-AS-20200910153105) LPA observed the following. LPA toured the facility with the Administrator, LPA observed the second floor door for the stairway was kept open by makeshift rope around the door knob and handrail. LPA also observed small potholes in the parking lot of the facility. LPA observed all common restrooms were clean and operational. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed all medications were secured in the medication room which is kept locked when staff are not present in the room. No deficiencies are being cited as a result of this visit.. LPA consulted with the Administrator concerning physical plant issues. 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: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2023
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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