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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005383
Report Date: 01/31/2025
Date Signed: 01/31/2025 11:57:25 AM

Document Has Been Signed on 01/31/2025 11:57 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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:VA & C HOMES/BRIDGEPORTFACILITY NUMBER:
306005383
ADMINISTRATOR/
DIRECTOR:		ANTHONY AUFACILITY TYPE:
735
ADDRESS:2859 W. BRIDGEPORT AVE.TELEPHONE:
(714) 952-9641
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY: 6CENSUS: 5DATE:
01/31/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Isangani "June" De Los Trinos, Staff DesigneeTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Rose Ruppert made an unannounced Plan of Correction (POC) visit to the facility on January 31, 2025. LPA met with Isangani "June" De Los Trinos at 11:00am. LPA explained the purpose of the visit was to amend the LIC 809-D from the annual visit on January 6, 2025 and to clear the deficiencies from that visit.

June toured the LPA through the exterior of the facility and demonstrated that the side gate was aligned and self-latches. The cracked restroom window was replaced and all screens were functional. Licensee Augustine Au had also emailed photos of the cleared deficiencies by the POC due date.

The Plan of Correction was cleared. A copy of the amended LIC 809-D, the Cleared POC letter and this report was left with Isangani "June" De Los Trinos upon exit.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE: DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/31/2025
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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