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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005157
Report Date: 07/10/2023
Date Signed: 07/11/2023 06:48:45 AM

Document Has Been Signed on 07/11/2023 06:48 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:LCS HOMES/DIANAFACILITY NUMBER:
306005157
ADMINISTRATOR:LEONARDO C SANTOS JRFACILITY TYPE:
735
ADDRESS:2769 E DIANA AVETELEPHONE:
(714) 632-8487
CITY:ANAHEIMSTATE: CAZIP CODE:
92806
CAPACITY: 6CENSUS: 6DATE:
07/10/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Cecil SantosTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Lydia Martinez made an announced visit to the facility to conduct a Required - 1 Year inspection. LPA was greeted and granted entry by Administrator Cecil Santos and reason for visit was shared. AD Leonardo Santos is awaiting his current Administrator's Certificate from Sacramento. Administrator Cecil Santos certificate expires on 08/02/2023. Three staff and four clients were present during today's visit. LPA Martinez, along with Administrator Cecil toured the inside and outside of facility. LPA observed all required postings at the entrance of the facility. There is no Live-in staff. The kitchen was clean and well organized. All knives and sharp objects are inaccessible to clients. The facility has a two day supply of perishable food items, a seven day supply of non perishable food items, and a variety of fruit available. All hazardous chemicals were locked in a locked steal cabinet. Fire Extinguisher was mounted and charged, last serviced on 01/06/2023. The garage was clean, organized and walkways were free of tripping hazards. LPA observed a variety of food items and an emergency supply of water and food. LPA observed emergency bags and emergency kits prepared and ready to go for each client in care. Client bedrooms were clean, well organized, and equipped with all the necessary requirements: night stand, chair, lamp and storage space. Bathrooms were clean and sanitary. Hot water temperature in client bathrooms was within regulatory requirements. The backyard area was clean, organized and free of clutter and walkways were free of tripping hazards. Side exit gate is self closing and self latching. Ample supply of linen and hygiene supplies were observed to meet the needs of all clients in care. Emergency Phone Numbers and Exit Plan was in place. Fire drills are conducted monthly and LPA verified last Fire Drill was conducted on 06/03/2023. Medications are centrally stored in a locked hallway closet. Medications reviewed appear to have been dispensed accurately. First-Aid Kit had all the required elements and Activity Supplies were observed and available. There is a working land line at the facility. The LIC610D, Emergency Disaster Plan is posted. LPA reviewed six client files and two staff files. LPA interviewed clients and staff. The clients P&I records were reviewed, LPA observed that an individual log is maintained for each client.
Based on observations made, no deficiencies were observed at this time in the areas evaluated. Copy of this report will be sent to email on file.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Lydia Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 07/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/10/2023
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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