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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306006213
Report Date: 12/12/2024
Date Signed: 12/12/2024 12:00:47 PM

Document Has Been Signed on 12/12/2024 12:00 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:
306006213
ADMINISTRATOR/
DIRECTOR:
FAZELI, TALAFACILITY TYPE:
775
ADDRESS:18 GOODYEAR STE 115TELEPHONE:
(949) 398-7067
CITY:IRVINESTATE: CAZIP CODE:
92618
CAPACITY: 140CENSUS: 63DATE:
12/12/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:52 AM
MET WITH:Jordan Herman-Assistant Program Director, Tala Fazeli-DirectorTIME VISIT/
INSPECTION COMPLETED:
12:16 PM
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On this day, Licensing Program Analysts (LPA) Alvaro Ramirez, Jr. made an unannounced visit to the facility for the purpose of conducting a required annual inspection. LPA was granted and greeted entry by Assistant Program Director Jordan Herman. LPA explained the purpose of the visit. Director Tala Fazeli arrived shortly after to assist with the visit.

LPA and Assistant Program Director 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 waiting area. There are spaces with board games, an activity room, a movie/game room. During today's visit LPA observed as some clients were participating in the morning exercises/stretching, morning walk, while others were being transported to their college class. The second level includes a library/reading room, classroom, a conference room and staff offices. During today's visit there were 63 clients present. LPA 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 were observed picking up clients for transportation to the library, college and volunteer work at the local donation center. Program hours are from 9am until 3pm. The physical plant is confirmed to be well maintained and in good repair. During today's visit LPA observed a group of clients participating in an online class called Introduction to Art. 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. The last annual inspection was conducted on February 29, 2024 by Fire Service Corp.


CONTINUED ON FORM LIC809-C
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2024
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 2
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: 306006213
VISIT DATE: 12/12/2024
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Fire extinguishers were charged and located throughout the facility. Fire extinguishers were last service on February 12, 2024. LPA observed that First Aid Kit had all the required components.

LPA reviewed the facility's current Emergency and Disaster Plan which is located by the main entryway. Fire and Emergency drills are being conducted quarterly. Five client files and five staff files were reviewed. All client records include an admission agreement as well as an Individual Program Plan (IPP). All staff members were background cleared and associated in Guardian.



During today's visit LPA interviewed six clients and six staff. All six clients stated that they like the variety of activities the program offers and stated that staff are nice and helpful.

Based on the observations made during today's visit, no deficiencies were cited per the California Code of Regulations. An exit interview was conducted and a copy of this report was provided to a facility representative.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024
LIC809 (FAS) - (06/04)
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