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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005447
Report Date: 09/09/2022
Date Signed: 09/09/2022 10:46:56 AM


Document Has Been Signed on 09/09/2022 10:46 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
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868



FACILITY NAME:LAMBERT HOME CAREFACILITY NUMBER:
306005447
ADMINISTRATOR:ASAWADILO, YANINEEFACILITY TYPE:
740
ADDRESS:8191 LAMBERT DRIVETELEPHONE:
(714) 848-1982
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92647
CAPACITY:6CENSUS: 5DATE:
09/09/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Administrator/Licensee Yaninee AsawadiloTIME COMPLETED:
11:00 AM
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An informal conference was conducted on this date in the Orange County Adult and Senior Care Regional Office. The purpose of this informal conference was to discuss concerns regarding the compliance of the facility.

Licensing Program Manager Alisa Ortiz, Licensing Program Analysts Jenifer Tirre, Alvaro Ramirez and Licensee Yaninee Asawadillo were present.

During the meeting the following were discussed:
  • Neglect and lack of care & supervision.
  • Uncleared employees

The following was agree to by Administrator:
  • Medication Management is to be handled only by designated employees
  • Staff Training is to be maintained up to date and current
  • Administrator is to continue to provide appropriate over sight over the facility to maintain compliance.

During the meeting Technical Support Program (TSP) was offered to Administrator Yaninee Asawadilo who agreed to accept services.

An exit interview was conducted with Licensee and copy of report was provided.
SUPERVISOR'S NAME: Alisa OrtizTELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Jenifer TirreTELEPHONE: (714) 703-2840
LICENSING EVALUATOR SIGNATURE:
DATE: 09/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/09/2022
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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