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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306006073
Report Date: 09/06/2023
Date Signed: 10/18/2023 11:12:07 AM

Document Has Been Signed on 10/18/2023 11:12 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:EDEN BY ENHANCEFACILITY NUMBER:
306006073
ADMINISTRATOR:KHOUIE, CHRISTINAFACILITY TYPE:
772
ADDRESS:35 MANN STREETTELEPHONE:
(949) 617-5642
CITY:IRVINESTATE: CAZIP CODE:
92612
CAPACITY: 6CENSUS: 3DATE:
09/06/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Sara Bashash, Melody FathiTIME COMPLETED:
03:30 PM
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This is an amended report.

This unannounced Case Management – Incident inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of following on self-reported incident reports received in the Orange County Regional Office (OCRO) on 08/28/23 regarding multiple incidents of Client #1 (C1) eloping from the facility. LPA met with Staff #1 (S1) Sara Bashash and discussed the purpose of the inspection. Program Director (PD) Melody Fathi arrived during the inspection.

The incident reports state the following: On 08/24/23 at approximately 2:35PM, C1 returned to the facility after eloping and stated they had been at the beach and were returned by their family member. On 08/25/23 at approximately 5:34PM, C1 left the facility, staff attempted to follow but were unsuccessful, and C1 was returned to the facility by police at 3:44PM. On 08/26/23 at approximately 11:00AM, C1 became aggressive, threatened staff and attempted to spit on staff, and stormed out of the facility.

During the inspection, LPA inspected the facility, observed 4 staff and 3 clients present, conducted health and safety checks on the clients, and observed no health and safety issues.

There were no health and safety concerns observed in the areas inspected. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 09/06/2023
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This is an amended report.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023
LIC809 (FAS) - (06/04)
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