306005466-12-22-2023-22-AS-CGUZ-CYRTAU-20231222133407

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 306005466
Report Date: 12/22/2023
Date Signed: 12/22/2023 01:34:09 PM

Document Has Been Signed on 12/22/2023 01:34 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:	MY DAY COUNTS - TRAINING ACTIVITY PROGRAM		FACILITY NUMBER:	306005466
ADMINISTRATOR:	BRITTAIN, KINSLEY		FACILITY TYPE:	775
ADDRESS:	227 W. CARL KARCHER WAY		TELEPHONE:	(714) 744-5301
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92801
CAPACITY: 200		CENSUS: 90	DATE:	12/22/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Program Director, Karen Errington Director of Operations, Eric Cid-Lope Senior Program Coordinator, Dorothy Rabusa		TIME COMPLETED:	01:50 PM

NARRATIVE

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Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA met Program Director (PM) Karen Errington, Senior Program Coordinator (SPC) Dorothy Rabusa and discussed the purpose of the inspection. Director of Operations, Administration (DOA) Eric Cid-Lope arrived at 9:45 a.m.

During the inspection LPA, PM, and SPC conducted a tour of the inside and outside of the facility, and observed the following:

This is a one-story commercial building with a lobby, conference room, 8 clubhouses (activity rooms), three storage rooms, three staff offices, a staff lounge, two client lunchrooms, five bathrooms, and an outdoor patio area. The outdoor patio is shaded and contains a sitting area. LPA observed 22 staff and 90 clients present. Clients were seen engaging with staff in classroom setting discussions and receiving assistance from staff with toileting. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 115.8 F degrees.

LPA observed emergency disaster plan and emergency phone numbers listed and posted. Means of exiting was not observed to be posted and facility disaster plan does not include the location of all utility shut-off valves and instructions for use.; a Technical Violation was given on this date. Facility does not provide food service or manage medication. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguishers were observed to be mounted throughout the facility and fully charged; per service tag, all fire extinguishers were services in June of 2023. Sharps, all toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to clients. LPA reviewed nine client files and five staff files. LPA interviewed three staff and six clients.

Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was left at the facility.

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 12/22/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2023

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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