306006213-5-15-2026-22-AS-ARJR-DU4QUD-20260515122834

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 306006213
Report Date: 05/15/2026
Date Signed: 05/15/2026 12:28:48 PM

Document Has Been Signed on 05/15/2026 12:28 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 AMERICA		FACILITY NUMBER:	306006213
ADMINISTRATOR/ DIRECTOR:	FAZELI, TALA		FACILITY TYPE:	775
ADDRESS:	18 GOODYEAR STE 115		TELEPHONE:	(949) 398-7067
CITY:	IRVINE	STATE: CA	ZIP CODE:	92618
CAPACITY: 140		CENSUS: 67	DATE:	05/15/2026
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:49 AM
MET WITH:	Jordan Herman-Assistant Program Director, Tala Fazeli-Program Director		TIME VISIT/ INSPECTION COMPLETED:	12:40 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	Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by Manager Richard Stromberg. LPA explained the reason for the visit. Assistant Program Director (APD) Jordan Herman arrived shortly after. The facility is an Adult Day Program (ADP) licensed for 140 ambulatory clients. The facility operates from Monday through Friday, 9 AM to 3 PM. The facility is a two story commercial building located in an office park. The first level of the facility includes a reception area, a movie room, three activity areas, a staff break room, and four shared client bathrooms. The second story of the facility includes a library, a classroom area, and five staff offices. LPA, accompanied by the APD, conducted a tour of the physical plant. On today's visit, LPA observed clients participating in activities including dancing and stretching. LPA inspected all three activity areas, the reception area, the movie room, and the staff break room and observed them to be clear of hazards. LPA inspected the four shared client bathrooms and observed them to be clear of hazards. Faucets and toilets were operational. Hot water temperature measured 107.9 degrees Fahrenheit. LPA inspected the library, the classroom area, and the five staff offices on the second level and observed them to be free of hazards. LPA observed the facility to be maintained in good repair. Fire extinguishers were charged and located throughout the facility. Fire extinguishers were last service on December 22, 2025. CONTINUED ON 809-C.

NAME OF LICENSING PROGRAM MANAGER: Sheila Santos
NAME OF LICENSING PROGRAM ANALYST: Alvaro Ramirez Jr.
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/15/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: DREAMS OF AMERICA	FACILITY NUMBER: 306006213
	VISIT DATE: 05/15/2026

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LPA tested the individual carbon monoxide detectors on the first and second level which tested operational. There is no food service at the facility and clients bring their own prepared lunch or will have outings to purchase lunch. LPA observed that chemicals and toxins are stored in a locked storage room. LPA observed a First Aid Kit to be stored in a cabinet near the reception area and it 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. Seven client files and seven 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 seven clients and six staff. All seven 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 APD.

NAME OF LICENSING PROGRAM MANAGER: Sheila Santos
NAME OF LICENSING PROGRAM ANALYST: Alvaro Ramirez Jr.
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/15/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026

LIC809 (FAS) - (06/04)

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