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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006073
Report Date: 09/21/2022
Date Signed: 09/21/2022 11:36:26 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/13/2022 and conducted by Evaluator Celine DePerio
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20220913083741
FACILITY NAME:EDEN BY ENHANCEFACILITY NUMBER:
306006073
ADMINISTRATOR:KHOUIE, CHRISTINAFACILITY TYPE:
772
ADDRESS:35 MANN STREETTELEPHONE:
(714) 475-7013
CITY:IRVINESTATE: CAZIP CODE:
92612
CAPACITY:6CENSUS: 4DATE:
09/21/2022
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Clinical Director TIME COMPLETED:
11:50 AM
ALLEGATION(S):
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Facility does not list their license number on their website.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Celine De Perio made an unannounced visit to conduct a 10-day visit for the complaint received on 9/13/22 and to deliver the findings for the allegation listed above. LPA De Perio explained reason for visit and was greeted and granted entry by staff on duty, who attempted to contact facility administrator Christina Khouie, however, was unable to receive a response. Staff on duty then contacted Clinical Director who arrived at facility at 10:40 AM. For today’s visit, LPA De Perio observed a total of 4 clients in care and two staff on duty.

This agency has investigated the complaint alleging that facility does not list their license number on their website. Per review of website (https://edenbyenhance.com) conducted by LPA De Perio and Licensing Program Manager (LPM) Luz Adams, it was observed that facility website does not have facility number listed. Facility website includes facility address, phone number, types of services offered, types of insurances accepted, types of diagnosis served.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Celine DePerio
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 22-AS-20220913083741
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: EDEN BY ENHANCE
FACILITY NUMBER: 306006073
VISIT DATE: 09/21/2022
NARRATIVE
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Interviews were conducted with staff on duty and clinical director who stated that they were unaware that a facility number needed to be posted on the website.

Based on LPA’s observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

For today's visit a citation was issued per Title 22 Division 6 of the California Code of Regulations.


See LIC9099-D.

LPA De Perio conducted an exit interview with Clinical Director and a copy of this report, and regulation section was provided to the facility.
SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Celine DePerio
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20220913083741
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: EDEN BY ENHANCE
FACILITY NUMBER: 306006073
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/21/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/21/2022
Section Cited
CCR
81011(a)
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81011 Advertisements and License Number (a) Licensees shall reveal each facility licence number in all advertisements in accordance with Health and Safety Code section 1514.
This requirement is not met as evidenced by:
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Clinical Director stated that the information provided for today’s visit will be relayed to facility administrator who will ensure that facility number is listed on website on or by 10/05/2022.
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Based on observation, and interviews, facility did not list facility number on website and staff were unaware that a facility number needed to be posted. This poses a potential threat on safety of clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Celine DePerio
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3