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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306006316
Report Date: 04/09/2024
Date Signed: 04/09/2024 12:01:20 PM

Document Has Been Signed on 04/09/2024 12:01 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:ROSE HOUSEFACILITY NUMBER:
306006316
ADMINISTRATOR/
DIRECTOR:		OLUSOJI, ADEDOLAPOFACILITY TYPE:
735
ADDRESS:6639 SAN ALANO CIRCLETELEPHONE:
(714) 886-2120
CITY:BUENA PARKSTATE: CAZIP CODE:
90620
CAPACITY: 4CENSUS: 0DATE:
04/09/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:20 AM
MET WITH:Omodupe Taiwo - Applicant TIME VISIT/
INSPECTION COMPLETED:
12:10 PM
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Licensing Program Analyst (LPA) Jerome Haley made an announced visit to conduct the second pre-licensing inspection. LPA Haley was greeted and granted entry by Applicant Omodupe Taiwo. LPA Haley explained the reason for the visit upon entry.

During a tour of the facility, LPA Haley observed that the following items have been corrected.

1. 20x26 PUB475 See Something Say Something poster hanging on the wall near the front door. 2. Bedroom 2 – bed has been repositioned and fix closet door hinge 3. Fully charged mounted Fire Extinguisher mounted on the wall in the living room. 4. All cameras were removed. 5. All items were removed from behind the bushes in the backyard. 6. Garage has been completed and all exposed wires have been covered. 7. All clutter and excess items have been removed from the garage. 8. Nonskid matts have been added to the shower. 9. Tablet with internet access available for the clients. 10. Selection of board games, cards, arts and crafts items, and a soccer goal (backyard) 11. Several evacuation plans with arrows were posted throughout the facility. 12. Hot water was measured at 113 degrees Fahrenheit in bathroom #1 and 106.8 degrees Fahrenheit in bathroom # 2.



All items have been corrected. No new deficiencies were observed. The facility is ready for licensure.

Component III was presented to applicant Omodupe Taiwo and Eniola Azeez at the end of the inspection.

An exit interview was conducted and a copy of this report was provided to applicant Omodupe Taiwo.

SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE: DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/09/2024
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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