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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005350
Report Date: 04/28/2021
Date Signed: 04/28/2021 12:57:31 PM

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:REGENCY, THEFACILITY NUMBER:
306005350
ADMINISTRATOR:HEIDI CHARETTEFACILITY TYPE:
740
ADDRESS:24441 CALLE SONORATELEPHONE:
(949) 830-8057
CITY:LAGUNA WOODSSTATE: CAZIP CODE:
92637
CAPACITY:220CENSUS: DATE:
04/28/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Heidi CharetteTIME COMPLETED:
12:30 PM
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Licensing Program Analysts (LPA) Ruth Martinez conducted a Case Management via tele-visit due to COVID-19 and for pre-cautionary measures for the purpose to verify facility closure. LPAs spoke with Heidi Charette, Administrator and discussed the purpose of the visit.

This visit is being conducted as a result from an investigation to complaint number 22-AS-20200218141327. During todays visit LPA spoke to Administrator an explained that during the investigation it is understood that in review of LIC9060 resident theft and loss records indicating missing $200, LIC624 facility incident report, interviews and investigation conducted by facility indicate that resident trust facility staff and feels like item was lost or misplaced. However, per Health & Safety Code H&S 1569.153(i) requires facilities to report to authorities any theft over $100. Administrator understood and agreed that for any future incidents involving such it will be reported to the necessary agencies. LPA acknowledges that Administrator conducted an in-house training to all staff in December of 2019 and conducted a re in-service in February 2020 after incident. Incident occurred in February 2020 under previous Administrator, Heidi Charette Administrator came on board to facility January 2021 and agrees to maintain compliance in the above at all times.

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

An exit interview was conducted with facility representative via tele-visit and a copy of this report was provided to facility representative via email. An electronic email read receipt or response to email indicating as received as confirmation. Administrator agrees to send a signed copy by email.

SUPERVISOR'S NAME: Marina StanicTELEPHONE: (714) 703-2851
LICENSING EVALUATOR NAME: Ruth MartinezTELEPHONE: (657) 285-1397
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2021
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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