<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306006099
Report Date: 07/30/2024
Date Signed: 07/30/2024 04:11:40 PM

Document Has Been Signed on 07/30/2024 04:11 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 COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:DREAMS OF AMERICAFACILITY NUMBER:
306006099
ADMINISTRATOR/
DIRECTOR:		FAZELI, TALAFACILITY TYPE:
775
ADDRESS:14 GOODYEAR SUITE 110TELEPHONE:
(949) 500-7067
CITY:IRVINESTATE: CAZIP CODE:
92618
CAPACITY: 140CENSUS: 65DATE:
07/30/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Jordan Herman, Assistant Program Director
Jillian Rivero, Operations Manager		TIME VISIT/
INSPECTION COMPLETED:
04:25 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On this day, Licensing Program Analysts (LPAs) Kevin Saborit-Guasch and Samer Haddadin made an unannounced visit to the facility for the purpose of conducting a required annual inspection. LPAs were granted and greeted entry by facility staff after introducing themselves and stating the purpose of the visit. Assistant Program Director Jordan Herman and Operations Manager Jillian Rivero arrived later to assist with the visit.

LPAs accompanied by facility staff conducted a tour of the physical plant. The facility is a two-level building located in an office park. The ground level is divided in four quarters dedicated to different activities and workshop. A lobby area is used as a relaxation space and to cool off when the warehouse spaces in the back get hot. There are spaces with board games, books, work training spaces, various activities as well as a computer lab for the use of program clients. The second level includes a media/movie room as well as a conference room and staff offices. On the day of the visit, there were 7 client absent out of a total client roster of 72. LPAs verified that the staff ratio was in compliance with the ratio specified by Regional Center of Orange County. There is no food service at the facility as all clients come with their prepared lunch. No food preparation area was observed during the tour of the physical plant.

Shuttles are observed picking up clients for transportation routes back to their respective residences. Program hours are stated to be typically from 9am until 3pm. The physical plant is confirmed to be well maintained and in good repair. LPAs interacted with multiple clients during the facility walk-through, all of whom appeared relaxed and well taken care of. All clients were observed to have left the program at approximately 3pm. The most recent inspection of the facility's fire safety equipment such as wired smoke/carbon monoxide detectors and a built-in sprinkler system were verified during the visit. There is no food preparation area as clients are stated to be bringing lunch from their residence. The facility does not dispense prescription or PRN medication as part of the program.
CONTINUED ON FORM LIC809-C
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE: DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/30/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: DREAMS OF AMERICA
FACILITY NUMBER: 306006099
VISIT DATE: 07/30/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
CONTINUED FROM FORM LIC809

LPAs reviewed the facility's current Emergency and Disaster Plan as well as the Infection Control Plan. Fire and Emergency drills have been conducted in October 2023, January 2024 and April 2024. Staff and client attendance for each three occurrences were verified to be documented. Six client files were reviewed in addition to five staff files. Client records all included an admission agreement as well as an Individual Program Plans for each client reviewed. Two physician report were stated to be in a separate location and will be provided to LPAs for review at the earliest convenience. All staff members were found to be background cleared and two staff members were associated to the licensed location in Guardian by licensing staff during the visit.

Based on the observations made during today's visit, no deficiencies were cited per the California Code of Regulations. A Technical Advisory Assistance Note on the presence of medical assessment in client files was issued. An exit interview was conducted and a copy of this report was provided to a facility representative.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3