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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005790
Report Date: 06/10/2020
Date Signed: 06/10/2020 09:50:31 AM

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:BAUER ASSISTED LIVINGFACILITY NUMBER:
306005790
ADMINISTRATOR:BAUER, BRINDUSAFACILITY TYPE:
740
ADDRESS:570 S. GREENWICH ST.TELEPHONE:
(714) 635-9096
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY:6CENSUS: 0DATE:
06/10/2020
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Brindusa Bauer - AdministratorTIME COMPLETED:
09:50 AM
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Licensing Program Analyst (LPA) Patricia Velazquez conducted an announced visit via phone FaceTime virtual technology to Bauer Assisted Living due to the Coronavirus Pandemic and precautionary measures. The purpose of today's subsequent Pre-Licensing visit was to follow-up on the issues that were present during the initial Pre-Licensing visit dated 04/29/2020. The following issues were observed and required correction:
  • Repair the exit gate that does self close or latch
  • Install patio furniture in the backyard
  • Install emergency lighting
  • Repair the ramp area
  • Install key pad lock on the door leading to the garage
  • Provide missing dresser drawers
  • Post Ombudsman and Complaint Posters
  • Obtain materials for activities such as games and equipment
On today's phone FaceTime visit the aforementioned items have been addressed and corrected. The items reviewed during this visit are in compliance. The Pre-Licensing is complete and the facility appears ready for licensure. The license will be granted upon completion of a final review and approval from the Licensing Program Manager and the Central Applications Bureau. Administrator Brindusa Bauer was reminded of the statute that requires her to notify the Department within 5 business days of admitting the first resident. This notification may be done by phone, mail or fax. An exit phone interview was conducted with Administrator Brindusa Bauer and a copy of this report was signed by LPA Patricia Velazquez. This report will be sent via email to Ms. Brindusa Bauer who agrees to sign and date the report. This report was sent via email and an electronic read receipt confirms receiving the report. Ms. Bauer agrees to send the original report by mail to the CCLD Regional Office (RO) in Orange. LPA Velazquez provided the RO address to Administrator Brindusa Bauer.
SUPERVISOR'S NAME: Luz AdamsTELEPHONE: (714) 703-2870
LICENSING EVALUATOR NAME: Patricia VelazquezTELEPHONE: (714) 380-0440
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2020
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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