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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005709
Report Date: 07/05/2023
Date Signed: 07/05/2023 05:31:59 PM

Document Has Been Signed on 07/05/2023 05:31 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 & INLAND A/SC, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:GENERATIONS OF ANAHEIM ASSISTED LIVING, INCFACILITY NUMBER:
306005709
ADMINISTRATOR:MANALAD, JOSELITOFACILITY TYPE:
735
ADDRESS:1941 E. CENTER STREETTELEPHONE:
(714) 533-3640
CITY:ANAHEIMSTATE: CAZIP CODE:
92805
CAPACITY: 42CENSUS: 40DATE:
07/05/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
04:46 PM
MET WITH:Kyle Watanabe, AdministratorTIME COMPLETED:
05:00 PM
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On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility in order to follow up on the plan of corrections issued after a case management visit led on May 22, 2023 during which deficiencies had been observed and cited.

LPA accompanied with administrator toured unit 1 along with the adjoining shared bathroom. The physical plant is observed to be in clean and sanitary conditions, as prescribed by the Plan of corrections. A client interview confirms that staff has been keeping the bathroom clean. The administrator added that additional staff had been hired for that purpose and that extensive in-service training and documentation of cleanliness checks had been implemented.

As a result, LPA was able to clear the citation issued on May 22, 2023. An exit interview was provided and a copy of this report along with a clearance letter were provided during the visit.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE: DATE: 07/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/05/2023
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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