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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306006015
Report Date: 01/25/2023
Date Signed: 01/25/2023 01:15:29 PM

Document Has Been Signed on 01/25/2023 01:15 PM - 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 & INLAND A/SC, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:SOUTHERN CALIFORNIA SUNRISE RECOVERY CENTER, LLCFACILITY NUMBER:
306006015
ADMINISTRATOR:VILLARREAL, MICHAELFACILITY TYPE:
772
ADDRESS:24751 ARGUS DRTELEPHONE:
(949) 533-4025
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY: 6CENSUS: 5DATE:
01/25/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Reza KamerajTIME COMPLETED:
01:35 PM
NARRATIVE
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Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit for the purpose of conducting a required inspection visit. LPA arrived at the facility was greeted and granted entry by staff. LPA spoke with Michael Villareal, Administrator via telephone call and explained the nature of the visit.

LPA began the tour of the facility. There are currently five clients in care. Upon entry LPA observed clients in the facility having lunch. Facility appears to be clean and sanitary in all areas inspected. LPA observed a check in station in the main entry of the facility. Facility is taking temperatures on a daily basis and documenting the results. LPA observed the facility has covid precautionary postings throughout the facility and all required department postings. LPA observed the emergency food supply and water as well as first aid kit in the facility. Facility has PPE supply through out the facility as well as medication room. LPA toured the outside of the facility and observed seating for client’s enjoyment. LPA inspected client’s bedroom; all bedrooms were observed to have all required components. Facility has a mitigation plan in place.

Based on the observations made during today’s visit, no deficiencies were noted today per Title 22 Division 6 of the California Code of Regulations.

This report was reviewed with facility representative and a copy of this report was provided and left at facility.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/25/2023
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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