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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005460
Report Date: 09/09/2020
Date Signed: 09/09/2020 05:27:28 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:MERIDIAN AT ANAHEIM HILLS, THEFACILITY NUMBER:
306005460
ADMINISTRATOR:BOTTINELLI, SHELIAFACILITY TYPE:
740
ADDRESS:525 S. ANAHEIM HILLS ROADTELEPHONE:
(714) 974-2226
CITY:ANAHEIMSTATE: CAZIP CODE:
92807
CAPACITY:120CENSUS: 85DATE:
09/09/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Administrator Sheila BotinelliTIME COMPLETED:
11:00 AM
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Acting Regional Manager Marina Stanic, Licensing Program Manager Luz Adams and LPA Michelle Reed contacted Administrator Sheila Botinelli via conference call to commence a case management visit due to COVID-19 and pre-cautionary measures. The conference was conducted to discuss the following:

1. The COVID19 outbreak at the facility

2. The facility Emergency Disaster Plan

3. Staffing plan

Administrator agreed to update the Emergency Disaster Plan for the facility and to provide a plan that will mitigate and isolate assisted living and memory care residents who are exposed to or diagnosed with COVID19. The plan will be provided by 9/16/20 close of business day.

The plan will be reviewed by CCL and the local Health Department.

An exit interview was conducted with Administrator Sheila Botinelli via telephone and a copy of this report was provided to Administrator Sheila Botinelli via email and an electronic email read receipt confirms receiving these documents.


SUPERVISOR'S NAME: Luz AdamsTELEPHONE: (714) 748-2936
LICENSING EVALUATOR NAME: Michelle ReedTELEPHONE: (714) 743-4958
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2020
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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