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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306006073
Report Date: 05/04/2023
Date Signed: 05/04/2023 03:37:37 PM

Document Has Been Signed on 05/04/2023 03:37 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
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
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:
05/04/2023
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
01:56 PM
MET WITH:Clinical Director-Melody FathiTIME COMPLETED:
03:20 PM
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Licensing Program Analyst (LPA) Celine De Perio made an unannounced visit to conduct a case management: health and safety check. LPA De Perio met with Clinical Director (S1) - Melody Fathi and stated the purpose of this visit.

LPA De Perio conducted a tour of the facility with S1. The facility is a single level structure and is licensed for 6 adult clients. For today's visit, there is a total census of 4 clients in care. LPA De Perio observed client bedrooms to be in good repair, is equipped with clean linens, has adequate storage space, and is kept free of tripping hazards. Water temperature in restrooms were measured to be at 114.4 degrees Fahrenheit. Smoke and carbon monoxide detectors were operational. The restrooms were observed to be in good repair, and toilets were operational.

Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Facility had back-up emergency food and water supply. Sharp items and knives were locked and inaccessible to clients in care. Fire extinguisher was charged, mounted and located in the kitchen.

LPA De Perio observed patio furniture under shading, and the grounds were free of any hazards. LPA De Perio observed the emergency disaster and evacuation plan, which is posted in the staff office.

For this visit, LPA De Perio did not observe immediate threats on the health and safety of clients in care.

No citation has been issued at this time.

An exit interview was conducted and a copy of this report was provided and explained to S1.
SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Celine DePerio
LICENSING EVALUATOR SIGNATURE: DATE: 05/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/04/2023
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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