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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005817
Report Date: 06/13/2024
Date Signed: 06/13/2024 10:58:58 AM

Document Has Been Signed on 06/13/2024 10:58 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 ASC, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:DALLAS HOMES, INC.FACILITY NUMBER:
306005817
ADMINISTRATOR/
DIRECTOR:
MAGLALANG, LOUELAFACILITY TYPE:
735
ADDRESS:1900 W. VICTORIA AVENUETELEPHONE:
(714) 932-9466
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY: 6CENSUS: 4DATE:
06/13/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:25 AM
MET WITH:Louela Maglalang - AdministratorTIME VISIT/
INSPECTION COMPLETED:
11:13 AM
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Licensing Program Analyst (LPA) Dwayne Mason Jr. arrived unannounced for the purpose of conducting a required annual inspection. Upon knocking at the facility, no one answered. LPA attempted to call the facility but did not receive an answer. A facility staff member arrived at the facility while the LPA was still at the door. LPA was greeted and granted entry into facility by Angelito Pangan, Staff. LPA met with Louela Maglalang, Administrator and explained the nature of the inspection.

The facility is a one-story home with four client bedrooms, three bathrooms, kitchen, living room, staff office, backyard and attached two car garage. LPA observed all clients to be away at Day Program. All client rooms had required elements, including bed, chair, closet space and ample lighting. Hot water measured between 105 and 120 degrees F in the common bathrooms. LPA observed emergency food/water supply stored in the garage and kitchen. Carbon Monoxide/Smoke Detectors were tested and operational. Fire Extinguishers were fully charged. Medication for each resident is kept locked in a closet near the kitchen. The backyard has one shaded seating area. Exit gates were operational and pathways toward exits were unobstructed. Facility has an activity calendar posted and plenty of space for activities for clients.

LPA reviewed three staff files, two out of four client files, medication and P&I. LPA reviewed disaster drill log, infection control plan and emergency disaster plan. LPA was unable to interview clients as they were away at Day Program. LPA interviewed one staff.

Based on today's inspection, no deficiencies are being issued. LPA reviewed the report with the Administrator and a copy was provided.

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Dwayne L Mason
LICENSING EVALUATOR SIGNATURE: DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/13/2024
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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