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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306004529
Report Date: 01/11/2024
Date Signed: 01/11/2024 11:05:44 AM

Document Has Been Signed on 01/11/2024 11:05 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: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: 29DATE:
01/11/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Magda VazquezTIME COMPLETED:
11:20 AM
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Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Assistant Director Magda Vazquez and explained the purpose of the inspection.

During the inspection LPA and Assistant Director Vazquez conducted a tour of the inside and outside of the facility and observed the following:

This is a single-story commercial building and is shared with a church. Facility consists of three activity rooms, three bathrooms, one staff office, one staff lounge, and an enclosed shaded sitting area located at the back of the building. LPA observed one staff to four client ratios. Clients were observed engaging in various activities, such as games, puzzles, and snack time. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 103.1 F degrees; a Technical Advisory was given on this date.

LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. Clients bring lunch from home and day program provides snacks and water. Sharps, all and any toxic chemicals, cleaning solutions, and disinfectants are inaccessible to clients. Medication cabinet is located in the staff office and was observed to be locked. LPA reviewed five client files and three staff files. LPA interviewed four clients and three staff.

Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was left at the facility.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE: DATE: 01/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/11/2024
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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