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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005879
Report Date: 02/07/2025
Date Signed: 02/07/2025 11:50:50 AM

Document Has Been Signed on 02/07/2025 11:50 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:SOUTHERN CALIFORNIA SUNRISE RECOVERY CENTER, LLCFACILITY NUMBER:
306005879
ADMINISTRATOR/
DIRECTOR:		VILLARREAL, MICHAELFACILITY TYPE:
772
ADDRESS:24372 AUGUSTIN STTELEPHONE:
(949) 533-3046
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY: 6CENSUS: 4DATE:
02/07/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Andrew Crawford, Program DirectorTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analysts (LPAs) Rose Ruppert and Hanna Gough are conducting this unannounced visit to complete the required annual inspection. LPAs arrived at the facility was greeted and granted entry by staff. LPAs met with Andrew Crawford, Program Director, and explained the nature of the visit.

The Facility is a four bedroom, three bathroom, single story home with an office, living room, dining room, kitchen and therapy room. The garage is attached with the entrance being inaccessible to clients. Four clients currently reside at this location, all clients were present at the time of the visit. LPAs accompanied by Program Director began the tour of the inside and outside of the facility. LPAs observed required department postings throughout the facility. Facility stays within the capacity limitations. LPAs toured the kitchen and food storage areas. There is a minimum of seven days of non-perishables foods and two days of perishable foods readily available with an emergency food and water supply stored in the supply closet. There is additional food stored in the garage refrigerator with all temperatures between regulatory degrees. LPAs inspected that medications are centrally stored in the medication office behind a locked door. LPAs reviewed medications and observed medications were labeled and stored inaccessible to clients in the locked med room in a locked med cart. LPAs measured the hot water temperature which measured between 113.0 and 113.5 degrees Fahrenheit. All bathrooms observed to have a supply of soap, toilet paper and paper towels. The facility is equipped with extra hand hygiene, cleaning, and disinfecting supplies that are locked in a closet at the main entry of the facility. LPAs observed that toxic chemicals, cleaning solutions and disinfectants are stored in the garage and inaccessible to clients. LPAs observed that the facility has a clean supply of linens that are stored in the hall cupboard. LPAs inspected client’s
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: SOUTHERN CALIFORNIA SUNRISE RECOVERY CENTER, LLC
FACILITY NUMBER: 306005879
VISIT DATE: 02/07/2025
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bedrooms which had all the required furnishings and components. Fire and carbon monoxide detectors were tested and found to be operational. LPAs toured the outside of the facility and observed outdoor passageways are free of obstructions and has shaded seating area for client use. Facility has activities calendar posted with an adequate supply of books, games, and craft materials.
LPAs observed a fire extinguisher in the kitchen with a service date of June 26, 2024. Fire drills are conducted quarterly, and LPAs verified last fire drill was conducted on October 18, 2024. LPAs gave a Technical Advisory for facility to conduct their quarterly drills as soon as possible. LPAs reviewed four of four staff and four of four client records electronically and no discrepancies were observed. All staff present had a criminal record clearance and associated to the facility. LPAs observed the facility medication room storage and client medication lists and no discrepancies were observed.

Based on the observations 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 Program Director Andrew Crawford, an exit interview was conducted and a copy of this report was left at the facility.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2025
LIC809 (FAS) - (06/04)
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