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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005793
Report Date: 10/20/2023
Date Signed: 10/20/2023 11:11:50 AM


Document Has Been Signed on 10/20/2023 11:11 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
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868



FACILITY NAME:SUNSHINE DAYS FOR THE ELDERLYFACILITY NUMBER:
306005793
ADMINISTRATOR:QUINTEROS, MAGALYFACILITY TYPE:
740
ADDRESS:13322 PROSPECT AVENUETELEPHONE:
(714) 673-4573
CITY:SANTA ANASTATE: CAZIP CODE:
92705
CAPACITY:6CENSUS: 3DATE:
10/20/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Magaly QuinterosTIME COMPLETED:
11:30 AM
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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 with Administrator (AD) Magaly Quinteros and discussed the purpose of the inspection. During the inspection LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following:

This is a one-story home with five bedrooms, five bathrooms, living room, tv room, dining area, kitchen, laundry room, and attached two car garage. The pool in the backyard was observed to be fenced as required by regulations. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. The back yard, front yard, and side courtyard have a shaded sitting area. LPA observed two staff and three residents present. Residents were observed engaging in day program and listening to music in the tv room. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 106.8 F degrees. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. A 2-day supply of perishable and a 7-day supply of non-perishable foods was observed during today’s visit. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged. Appliances were all inspected. Sharps were observed locked in a kitchen drawer. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents. Medication cart was observed to be locked. LPA reviewed three resident files and three staff files. LPA interviewed staff and clients present.

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.

SUPERVISOR'S NAME: Armando J LuceroTELEPHONE: (714) 703-2840
LICENSING EVALUATOR NAME: Claudia GutierrezTELEPHONE: 714-703-2840
LICENSING EVALUATOR SIGNATURE:
DATE: 10/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/20/2023
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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