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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306006189
Report Date: 08/19/2024
Date Signed: 08/19/2024 03:56:17 PM


Document Has Been Signed on 08/19/2024 03:56 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:KAEGO'S RICHMAN GARDENSFACILITY NUMBER:
306006189
ADMINISTRATOR:HARVEY, LUPEFACILITY TYPE:
740
ADDRESS:317 N. RICHMAN GARDENSTELEPHONE:
(714) 733-7518
CITY:FULLERTONSTATE: CAZIP CODE:
92831
CAPACITY:26CENSUS: 25DATE:
08/19/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Wendy CruzTIME COMPLETED:
04:10 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
This unannounced POC inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of verifying correction of deficiencies issued during the Required – 1 Year Inspection conducted on August 13, 2024. LPA met with Administrator (AD) Wendy Cruz and discussed the purpose of the inspection. During the inspection, LPA and AD toured the facility and observed the following:

Type A Violation cited under California Code of Regulations (CCR) Title 22, Section 87303(e)(2) pertaining to hot water that tested at 126, 138, and 85 degrees F in the Tea Rose, Jasmine, and Calla Lilly buildings, respectively, has been CLEARED. AD stated that the facility adjusted the temperature in the Tea Rose and Jasmine buildings and purchased and installed a new water heater in the Calla Lilly building. During the inspection, LPA and AD tested the water temperatures and observed that the water temperature tested at 111, 120, and 120 degrees F in the Tea Rose, Jasmine, and Calla Lilly buildings, respectively.

There were no deficiencies 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.
SUPERVISOR'S NAME: Armando J LuceroTELEPHONE: (714) 703-2840
LICENSING EVALUATOR NAME: Sean HaddadTELEPHONE: (714) 335-7094
LICENSING EVALUATOR SIGNATURE:
DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/19/2024
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 1