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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005978
Report Date: 09/15/2021
Date Signed: 09/15/2021 10:58:50 AM

Document Has Been Signed on 09/15/2021 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
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:OASIS HOMEFACILITY NUMBER:
306005978
ADMINISTRATOR:TAWFIK, MAGDYFACILITY TYPE:
735
ADDRESS:7902 LA CASA WAYTELEPHONE:
(714) 458-9593
CITY:BUENA PARKSTATE: CAZIP CODE:
90620
CAPACITY: 4CENSUS: 0DATE:
09/15/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Magdy TawfikTIME COMPLETED:
11:14 AM
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Licensing Program Analysts (LPAs) Joseph Alejandre and Jerome Haley made an announced visit to conduct the second pre-licensing inspection. LPAs were greeted and granted entry by Licensee/Administrator Magdy Tawfik. LPAs explained the reason for the visit. LPAs and Licensee/Administrator toured the facility. LPAs observed that the following items have been corrected.

1. All 4 bedroom chairs have been replaced and are in good condition. 2. Hole in hallway closet ceiling has been repaired. 3. A new Screen Door (sliding door) in hallway next to kitchen has been installed. 4. Ceiling lighting fixture has been repaired so it hangs 8 inches from the ceiling and no longer poses a risk to potential clients. 5. Lighting fixture on side of garage by side door has been removed and a plate concealing the wires has been installed. 6. Air Conditioning (AC) unit now drains through a hose onto the lawn so water will not pool or collect next to the house or AC unit. 7. Exit path 2 on the side of the garage has been cleared so there are no obstructions or obstacles. . 8. The cable hanging from the beam connecting the garage to the house has been secured so it is mounted on the beam on no longer hangs freely next to the house. 9. All loose bricks and blocks have been removed from the backyard. 10. The table in the backyard now has an umbrella mounted to the center of the table so it now provides shade for the seating area.

All items have been corrected. LPAs did not observe any new deficiencies. The facility is ready for licensure.
During the visit LPA Alejandre explained the process of this application and also about post licensing visit once the facility is licensed. Applicant was informed today that the final approval will be processed by the CAU supervisor in Sacramento. Component III was waived during the visit due to applicant is a current licensee for a licensed ARF facility and in compliance status, supervisor approved.

An exit interview was conducted and a copy of this report, LIC809 was explained and provided to applicant Magdy Tawfik.
SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2021
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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