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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005774
Report Date: 02/14/2024
Date Signed: 02/14/2024 11:18:07 AM

Document Has Been Signed on 02/14/2024 11:18 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:EASTERSEALS SENIOR DAY CAREFACILITY NUMBER:
306005774
ADMINISTRATOR:PHILLIPS, KELLYFACILITY TYPE:
775
ADDRESS:3100 E BIRCH STTELEPHONE:
(714) 672-0343
CITY:BREASTATE: CAZIP CODE:
92821
CAPACITY: 40CENSUS: 31DATE:
02/14/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Jill EfronTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPAs) Ruth Martinez made an unannounced visit for the purpose of conducting an annual required visit. LPA arrived at facility was greeted at the front desk by staff and granted entry. LPA met with Jill Efron, Director and explained the reason of the visit.

LPA accompanied by Director began the tour of the day program. The day program consists of client workspace, computer room, restrooms, isolation room, and office spaces. Fire Extinguishers were observed to be mounted on the wall throughout the facility. Fire drills are conducted quarterly. There are no pools, bodies of water at this location. The day program is maintained in a clean, safe, and sanitary condition. The premises and furnishings are in good repair. There are no food preparation areas at this site. Clients provide their own lunches and are stored in facility refrigerator. The facility provides snacks twice a day and LPA observed food storage areas. Clients were doing crafts at the time of their visit and are adequately supervised to meet their needs. The facility does not handle client’s medication and does not have any medication storage.LPA observed a first aid kit stored in a cabinet in common space. Facility has lockers that are used by clients for storage. LPA inspected restrooms and LPA measured the hot water temperature which measured 110.6 Fahrenheit degrees. All restrooms observed to have a supply of soap, toilet paper and towels. LPA began review of records. LPA reviewed three clients’ records. All the required documentation was present and current in client’s files reviewed. LPA reviewed two employee records. All employees present have a criminal record clearance and are associated to the facility. LPA observed records reviewed have a current First Aid certificate.



Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations.

This report was reviewed with the Director and a copy of this report was provided to the facility.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2024
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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