306005285-9-17-2025-22-AS-JHAY-DLLSVD-20250917141235

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 306005285
Report Date: 09/17/2025
Date Signed: 09/17/2025 02:12:51 PM

Document Has Been Signed on 09/17/2025 02:12 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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME:	ALTERNATIVE RESOURCE DAY PROGRAM		FACILITY NUMBER:	306005285
ADMINISTRATOR/ DIRECTOR:	FESTIN, CRIS R		FACILITY TYPE:	775
ADDRESS:	7165 KATELLA AVE		TELEPHONE:	(714) 488-2493
CITY:	STANTON	STATE: CA	ZIP CODE:	90680
CAPACITY: 76		CENSUS: 32	DATE:	09/17/2025
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:25 PM
MET WITH:	Alexander Festin		TIME VISIT/ INSPECTION COMPLETED:	02:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one year annual Inspection. LPA Haley entered the day program and was greeted by staff and explained the reason for the visit. The program has a capacity of 76 and operates Monday through Friday, from 8:00 AM - 2:00 PM. During the annual inspection 32 participants were present. The program has an open classroom style setting with a divider that separates the large activity room/main hall. On one side of the program, LPA observed a treadmill, participant lockers, and staff explained participants watch movies on that side of the activity room. A TV and karaoke equipment was observed. Bathrooms are located on the other side of the activity hall. The bathrooms were clean and well organized. In the men’s bathroom area, LPA observed 3 toilets, 1 urinal, and 1 sink. In the women’s bathroom area, 4 toilets, 2 sinks, and 1 shower was observed. Staff explained the shower is for emergency situations. The program has an activity room with plenty of activities, arts and craft items and tables and chairs. Next to the activity room, there’s a computer room with three computer stations and plenty of tables and chairs. The program has a kitchen area with a refrigerator, sink, stove, and a few other appliances. The refrigerator is used by staff mostly. Participants bring their own lunch and snack. Snack time is at 10:00am and lunch is at 11:30am. Continued on LIC809C

NAME OF LICENSING PROGRAM MANAGER: Lourdes Montoya
NAME OF LICENSING PROGRAM ANALYST: Jerome Haley
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/17/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: ALTERNATIVE RESOURCE DAY PROGRAM	FACILITY NUMBER: 306005285
	VISIT DATE: 09/17/2025

NARRATIVE

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There are no sharps or chemicals stored in the kitchen. The gas stove was operational. A fire extinguisher and carbon monoxide detector was observed mounted on the wall in the kitchen.

In the exterior portion of the program, plenty of seating was observed under a shaded patio style area. Under the patio area is a locked outside closet where chemicals and detergents are stored. A gardening area for the participants was observed.

The fire and sprinkler system is inspected Annually by VFS. Fire extinguishers were observed mounted on the walls throughout the program.

Inside the office area LPA observed emergency items like food, water, and a brand new generator. The first aid kit is stored in the office. Staff and participant files are kept in a locked cabinet behind the reception desk. Emergency evacuation drills are conducted monthly, and the last drill was conducted August 26, 2025.

During the visit, 4 staff files were reviewed and 4 participant files were reviewed. The program’s annual fees are paid, and the program contact information was confirmed.

No deficiencies are being cited during today’s visit. An exit interview conducted, and a copy of the report was provided.

NAME OF LICENSING PROGRAM MANAGER: Lourdes Montoya
NAME OF LICENSING PROGRAM ANALYST: Jerome Haley
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/17/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025

LIC809 (FAS) - (06/04)

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