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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306006224
Report Date: 03/30/2023
Date Signed: 03/30/2023 10:37:05 AM


Document Has Been Signed on 03/30/2023 10:37 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:OAKMONT OF FULLERTONFACILITY NUMBER:
306006224
ADMINISTRATOR:SCHROEDER, LINDSAYFACILITY TYPE:
740
ADDRESS:433 W. BASTENCHURY ROADTELEPHONE:
(714) 869-1940
CITY:FULLERTONSTATE: CAZIP CODE:
92835
CAPACITY:152CENSUS: 96DATE:
03/30/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:16 AM
MET WITH:Lindsay SchroederTIME COMPLETED:
10:46 AM
NARRATIVE
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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct a case management visit in conjunction with complaint number 22-AS-20230328105245. LPA met with Executive Director Lindsay Schroeder and explained the reason for the visit. During the complaint visit LPA observed that the facility did not have the PUB 475 poster (See Something, Say Something poster) posted in the main entry way of the facility as required by Title 22, Division 6, Chapter 8, 87468 (c)(2)(A). A technical assistance advisory note is being issued. LPA advised the Executive Director to have the PUB 475 poster posted in the main entry way by 4/7/23. The Executive Director stated she understood. An exit interview was conduced and a copy of the report provided.
SUPERVISOR'S NAME: Luz AdamsTELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Joseph AlejandreTELEPHONE: (951) 473-7041
LICENSING EVALUATOR SIGNATURE:
DATE: 03/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/30/2023
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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