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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306004785
Report Date: 09/28/2022
Date Signed: 09/28/2022 11:54:38 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 09/28/2022 11:54 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
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:CARE MERIDIANFACILITY NUMBER:
306004785
ADMINISTRATOR:DANIELLE HARRIS-NGUYENFACILITY TYPE:
775
ADDRESS:7732 E SANTIAGO CANYON ROADTELEPHONE:
(714) 771-5276
CITY:ORANGESTATE: CAZIP CODE:
92869
CAPACITY: 20CENSUS: 6DATE:
09/28/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:46 AM
MET WITH:Program Director (PD) Ronn Desrosiers and Julie Mennealy, Office Manager (OM)TIME COMPLETED:
12:05 PM
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On today’s date, Licensing Program Analyst (LPA) LPA Rosie Quiroz conducted an unannounced visit for the purpose of conducting a required annual inspection. LPA Quiroz was greeted, COVID-19 screened and granted entry into the facility by Office Manager (OM)Julie Mennealy. LPA Quiroz met with Program Director (PD) Ronn Desrosiers and Julie Mennealy and explained the nature of the visit.

This facility is licensed to provide services to Developmentally and Mentally Disabled clients, 15 Ambulatory clients and 5 Non-Ambulatory clients. Administrator Danielle Harris-Nguyen has an Administrator Certificate with expiration date of 10/01/2023.

On or about 9:46am while conducting Annual inspection tour for Facility # 306004784, LPA Quiroz along with (PD) Desrosiers and (OM) Mennealy toured the inside and outside of the facility. There are six (6) clients enrolled in Day program Services. There are no active COVID-19 cases.

During today's inspection visit, LPA Quiroz observed 3 clients engaging in treatment services with the Occupational Therapist, Physical Therapist and Speech Therapist. Three of six clients are out today due to normal therapy schedule. The clients present in the facility appeared to be clean and well taken care of. LPA Quiroz observed required department postings in the facility as well as hand washing signs in the restrooms. All restrooms observed to have ample soap/sanitizer and appeared clean. LPA Quiroz observed a check in station in the main entry of the facility. (PD) Desrosiers indicated facility is taking temperatures daily upon arrival to the facility; and documenting results.

LPA Quiroz observed the emergency disaster and evacuation plan. Facility has back-up emergency food, water supply as well as PPE supplies. LPA Quiroz toured the outside of the facility and observed ample seating area with tables and chairs for clients enjoyment in backyard, front and side area.

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SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Rosie Quiroz
LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: CARE MERIDIAN
FACILITY NUMBER: 306004785
VISIT DATE: 09/28/2022
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Facility has completed the LIC 808 Mitigation plan dated 1/24/2021. The LIC 808 Mitigation Plan was approved by LPA Quiroz on 12/1/2021.

During today's visit, LPA Quiroz reviewed 6 of 6 clients records during today's visit.

Based on the observation made during today’s visit, no deficiencies were noted today per Title 22 Division 6 of the California Code of Regulations.

This report was reviewed with (PD) Desrosiers and a copy of this report and LIC 811 were provided at exit.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Rosie Quiroz
LICENSING EVALUATOR SIGNATURE:

DATE: 09/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2022
LIC809 (FAS) - (06/04)
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