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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306004782
Report Date: 01/03/2025
Date Signed: 01/03/2025 01:10:46 PM

Document Has Been Signed on 01/03/2025 01:10 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:PLEASANTVIEW HOME, THEFACILITY NUMBER:
306004782
ADMINISTRATOR/
DIRECTOR:		PATRICK JOHN BESINGAFACILITY TYPE:
740
ADDRESS:28911 LA LITA LANETELEPHONE:
(949) 364-1933
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92692
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 6DATE:
01/03/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:40 PM
MET WITH:Lutgarda NunezTIME VISIT/
INSPECTION COMPLETED:
01:35 PM
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Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced visit to the facility for the purpose of a Plan of Correction (POC) visit, based upon the deficiencies cited in LIC form 809D on 12/16/2024. LPA was greeted and granted entry into the facility and explained the reason for the visit.

*Deficiency cited under Title 22 Regulation 87203 pertaining to Fire Safety has been cleared. During today's visit, smoke detectors are operational. Licensee has complied with the terms of the POC.

*Deficiency cited under Title 22 Regulation pertaining to Criminal Record Clearance has been cleared. Licensee submitted proof of correction. Licensee has complied with the terms of the POC.

*Deficiency cited under H & S Code 1569.311 pertaining to Carbon Monoxide Detectors has been cleared. Carbon monoxide detectors are operational during today's visit. Licensee has complied with the terms of the POC.

*Deficiency cited under H & S Code 1569.625(b)(2) pertaining to Training has been cleared. Licensee has provided proof of correction. Licensee has complied with the terms of the POC.

LPA observed toxins are secured during today's visit.


Licensee has been advised to maintain all items especially those that were previously deficient in the facility in accordance with Title 22 Regulations.

Copy of this report was provided to the facility.
Alisa OrtizTELEPHONE: (714) 703-2855
Kimberly LymanTELEPHONE: (714) 795-1497
DATE: 01/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/03/2025
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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