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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005466
Report Date: 07/02/2024
Date Signed: 07/02/2024 11:04:06 AM

Document Has Been Signed on 07/02/2024 11:04 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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:MY DAY COUNTS - TRAINING ACTIVITY PROGRAMFACILITY NUMBER:
306005466
ADMINISTRATOR/
DIRECTOR:		BRITTAIN, KINSLEYFACILITY TYPE:
775
ADDRESS:227 W. CARL KARCHER WAYTELEPHONE:
(714) 744-5301
CITY:ANAHEIMSTATE: CAZIP CODE:
92801
CAPACITY: 200CENSUS: 96DATE:
07/02/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:Karen Errington- Program DirectorTIME VISIT/
INSPECTION COMPLETED:
11:10 AM
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Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of interviewing Client #1 (C1) in connection to Complaint Control #: 22-AS-20230721111639 which unrelated to this facility.

During today's visit, LPA met with Program Director Karen Errington and explained the reason for the visit. LPA interviewed C1 and one staff during the visit.

An exit interview was conducted with Program Director Karen Errington, and a copy of this report along with the LIC811 were provided at the end of the visit.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE: DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/02/2024
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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