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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306006230
Report Date: 09/24/2024
Date Signed: 09/24/2024 10:01:38 AM

Document Has Been Signed on 09/24/2024 10:01 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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:TNL RESIDENTIAL CAREFACILITY NUMBER:
306006230
ADMINISTRATOR/
DIRECTOR:		LUU, THIENFACILITY TYPE:
735
ADDRESS:1665 S. IVANHOE ST.TELEPHONE:
(714) 797-6057
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY: 4CENSUS: 4DATE:
09/24/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:38 AM
MET WITH:Thien Luu, AdministratorTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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) Rose Ruppert conducted an unannounced case management visit to follow up on an Incident Report received in our office on September 17, 2024. LPA was greeted and granted entry into the facility by Thien Luu, Administrator and explained the reason for the visit.

The purpose of our visit is follow-up on a bathroom remodel, which began on September 16, 2024, to convert a bathtub to a standing shower to accommodate the clients' access. LPA observed another bathroom which the four clients may use while the remodel is taking place. All families, as well as our Department and Regional Center,were notified of the temporary construction which is estimated to take two weeks.

During the tour, LPA observed a client asleep on the couch and another waiting by the door for transportation to Day Program. LPA spoke with Administrator Luu regarding estimated time of completion. LPA shared contact information, as well.

A copy of this report was given to the Administrator at time of exit.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE: DATE: 09/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/24/2024
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