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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306006171
Report Date: 02/16/2023
Date Signed: 02/16/2023 09:31:29 AM

Document Has Been Signed on 02/16/2023 09:31 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:ABLELIGHT, INC. -- PAPAGAYOFACILITY NUMBER:
306006171
ADMINISTRATOR:KUM, JENNIFERFACILITY TYPE:
735
ADDRESS:26372 PAPAGAYO DRTELEPHONE:
(707) 685-7067
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY: 4CENSUS: 0DATE:
02/16/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Tony Duarte and Jennifer HrabelTIME COMPLETED:
09:50 AM
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Licensing Program Analyst (LPA) Kimberly Lyman made an announced visit to conduct a follow up pre-licensing inspection. LPA identified herself and discussed the purpose of the visit with Area Manager Tony Duarte. An initial application to operate an Adult Residential Facility was received by CCL on 03/18/2022 for a capacity of four ambulatory clients. Administrator Jennifer Hrabal arrived during the visit.

At 9:09 AM, LPA toured the facility and observed the following:
  • Burner on the cook-top has been repaired and is operational.
  • Facility has posted the activity schedule as well as the facility menu. Both items are complete.
  • Facility has hand washing signs posted in all facility restrooms.
  • Facility has covid precaution signage at entrance as well as a screening station.








Facility has complied with all corrections and is ready to be licensed.


Exit interview conducted and a copy of this report was left at the facility.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE: DATE: 02/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/16/2023
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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