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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005399
Report Date: 03/02/2022
Date Signed: 03/02/2022 03:38:04 PM

Document Has Been Signed on 03/02/2022 03:38 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
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:AFESTIN HOMES SAN JUANFACILITY NUMBER:
306005399
ADMINISTRATOR:FESTIN, ALIZAFACILITY TYPE:
735
ADDRESS:6991 SAN JUAN CIRTELEPHONE:
(714) 886-2519
CITY:BUENA PARKSTATE: CAZIP CODE:
90620
CAPACITY: 6CENSUS: 6DATE:
03/02/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:48 AM
MET WITH:Thelma Abrantes and Aliza FestinTIME COMPLETED:
11:20 AM
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Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPA was greeted and granted entry into the facility by Caregiver Thelma Abrantes and explained the reason for the visit. There are two caregivers present during today's visit. Licensee/ Administrator Aliza Festin arrived during the visit. Licensee Aliza Festin has a current administrator certificate expiring on 03/12/2023.

At 10:20 AM, LPA toured the facility with Caregiver Abrantes. Licensee Festin joined the tour in progress. Facility has six clients present during today's visit. LPA observed clients relaxing in the facility. All clients appeared happy and well taken care of. All client rooms had the required elements as well as restrooms stocked with soap/ sanitizer. LPA observed the screening/ sanitizing station in the entrance of the facility. Facility takes client and staff temperatures daily and documents. Facility has covid precaution postings as well as all required department postings. The facility mitigation plan has been completed and approved. LPA observed ample emergency food and water as well as the first aid kit. First aid kit contained all required items. LPA observed locked medication closet. Facility follows the posted menu and LPA observed lunch preparation matched the menu. There is ample fresh food present. Fire extinguisher is mounted and charged. LPA toured the outside grounds and observed multiple outside shaded visitation areas. Exit gates are unlocked and self latching. LPA observed the posted activity schedule including exercise, music, movies and outings in the community.. Facility has a plan for covid testing clients and staff as needed as well as a plan for isolation. All staff and clients are vaccinated for Covid-19.


No deficiencies noted during today's visit. Exit interview conducted and a copy of this report was left at the facility.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE: DATE: 03/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/02/2022
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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