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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306004529
Report Date: 12/09/2022
Date Signed: 12/09/2022 09:40:44 AM

Document Has Been Signed on 12/09/2022 09:40 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 & INLAND A/SC, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:HELPING HANDS ADULT DAY CARE PROGRAMFACILITY NUMBER:
306004529
ADMINISTRATOR:JANET TOUNZENFACILITY TYPE:
775
ADDRESS:3330 E MIRALOMA AVETELEPHONE:
(714) 678-1794
CITY:ANAHEIMSTATE: CAZIP CODE:
92806
CAPACITY: 45CENSUS: 28DATE:
12/09/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Janet Tounzen and Magda VazquezTIME COMPLETED:
09:45 AM
NARRATIVE
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Licensing Program Analysts (LPAs) Lydia Martinez and Alvaro Ramirez, Jr. conducted an unannounced visit for the purpose of conducting a required annual visit. Facility is an Adult Day Program. LPAs were greeted and granted entry into facility by Administrator (AD) Janet Tounzen. LPAs explained the reason for the visit.

At 8:48 a.m. LPAs, AD Tounzen and Assistant Director Magda Vazquez toured the facility. Facility is a single story establishment that is shared within the same building as a church. The facility has 1 bathroom per every room (total of 3 rooms). LPAs observed all Staff were wearing masks. LPAs observed Clients were involved in various activities throughout the facility including, guided exercise, matching board games and cards. LPAs observed the Clients lunch boxes. Facility provides snacks and will provide lunch in case a Client forgets their lunch. LPAs observed multiple open activity rooms with arts and crafts supplies. LPAs observed all fire extinguishers were fully charged. LPAs observed that the entry of the facility has a check in station. Visitors and Staff are pre-screened for Covid-19 symptoms when they arrive. Hand sanitizer is available throughout the facility. There are pre-cautionary signs for Covid-19 mitigation. Facility is clean and organized. LPAs did not observe any obstacles or hazards inside or outside of the facility.

No deficiencies observed during today's visit. 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: Alisa Ortiz
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE: DATE: 12/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/09/2022
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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