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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306004016
Report Date: 02/22/2024
Date Signed: 02/22/2024 10:54:34 AM


Document Has Been Signed on 02/22/2024 10:54 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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868



FACILITY NAME:VERONA COURT VIIIFACILITY NUMBER:
306004016
ADMINISTRATOR:A KARDJIANFACILITY TYPE:
740
ADDRESS:26712 EL MAR DRIVETELEPHONE:
(949) 916-8974
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:6CENSUS: 0DATE:
02/22/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Arda Kardjian- AdministratorTIME COMPLETED:
11:10 AM
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Licensing Program Analyst (LPA) Jessica Cho made an unannounced visit for the purpose to conduct the Required 1 Year Inspection. LPA arrived at the facility and met with the property handyman who stated that there are no residents in care. LPA spoke with Administrator Arda Kardjian by telephone at 9:22am who stated that the facility has not been accepting residents due to the renovation. LPA verified during the record review that the Department was notified on November 14, 2020. Admin arrived at the facility approximately 9:55am and assisted LPA with the tour of the facility. The following were observed at the time of inspection: LPA observed there are no residents in care. This is a single story facility comprised of six resident bedrooms and two resident bathrooms, kitchen, dining room, and an additional dwelling unit. The two exit gates were self-closing and self-latching. LPA inspected the resident bedrooms. The bedrooms did not have furniture at this time. The water heater was turned off at the time of inspection so the reading was not measured. The fire extinguisher was serviced on December 14, 2023 and the auditory devices are in operating condition. Licensee will notify the Department to inform of when the renovation is complete and ready to accept new residents, or if any changes are made to the license.

Based on the observations made during today's visit, no deficiency is being cited as per the Title 22 Division 6 Chapter 2 of the California Code of Regulations.

An exit interview was conducted with Administrator Arda Karjian, and a copy of this report was provide at exit.
SUPERVISOR'S NAME: Lourdes MontoyaTELEPHONE: (714) -70-2870
LICENSING EVALUATOR NAME: Jessica ChoTELEPHONE: 714-703-2853
LICENSING EVALUATOR SIGNATURE:
DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/22/2024
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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