<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005399
Report Date: 04/02/2024
Date Signed: 07/22/2025 12:26:53 PM

Document Has Been Signed on 07/22/2025 12:26 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: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: 4DATE:
04/02/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Aliza Festin - AdministratorTIME COMPLETED:
04:30 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 Analysts (LPA) Jerome Haley made an unannounced visit for the purpose of conducting a required one year annual inspection. LPA Haley was greeted and granted entry by staff and explained the reason for the visit. Staff contacted Administrator Aliza Festin who arrived a short time later and was present for the remainder of the of the visit.

During the inspection, LPA Haley observed all client bedrooms and bathrooms. All client bedrooms had the necessary elements and were in compliance with regulation guidelines.

Client bathrooms were clean and organized. Hot water temperatures were measured in the range of 105.7 degrees Fahrenheit and 109.0 degrees Fahrenheit. No hazardous items were observed in the client bathrooms, and all grab bars were tightly secured to the wall.

In the kitchen knives and sharp objects are kept locked under the sink. A perishable food supply that meets regulation requirements was observed in the refrigerator. A non-perishable food supply that meets regulation requirements was observed in the cabinets. A new fully charged fire extinguisher was observed in the kitchen on the counter. A first aid kit with all the required elements was observed in a cabinet in the kitchen. There’s a locked file cabinet with client medication, client files, P&I funds, and staff files right next to the kitchen in the dining room area.

The garage is used for storage and walkways were free of obstruction. A locked cabinet with a supply of hazardous cleaning items was observed. Some of the items being stored in the garage during the visit were old client files, old client clothing, new client clothing, and other facility items like bed frames and a wheelchair. Emergency bags for the clients were observed as well.

An emergency food supply, and an emergency supply of water was observed in the staff room.

Continued on LIC809C

NAME OF LICENSING PROGRAM MANAGER: Luz Adams
NAME OF LICENSING PROGRAM ANALYST: Jerome Haley
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/02/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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 JUAN
FACILITY NUMBER: 306005399
VISIT DATE: 04/02/2024
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
26
27
28
29
30
31
32
The backyard was clean, organized, and walkways were free of obstruction. A table and chairs was observed. There is a locked shed in the backyard used to store miscellaneous facility items. The side exit gate is self-closing and self-latching.

The smoke/carbon monoxide detectors tested operational.

An emergency evacuation drill was conducted January 7, 2024 and will continue to be conducted quarterly for staff on each shift.

No deficiencies are being cited as a result of today’s visit.

An exit interview conducted, and a copy of this report was provided to Administrator Aliza Festin.

NAME OF LICENSING PROGRAM MANAGER: Luz Adams
NAME OF LICENSING PROGRAM ANALYST: Jerome Haley
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2