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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306006355
Report Date: 01/30/2025
Date Signed: 01/30/2025 03:49:08 PM

Document Has Been Signed on 01/30/2025 03:49 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:CONNECTIONS MENTAL HEALTHFACILITY NUMBER:
306006355
ADMINISTRATOR/
DIRECTOR:		MORGAN, REESEFACILITY TYPE:
772
ADDRESS:17811 BIGELOW PARKTELEPHONE:
(949) 742-0172
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY: 6CENSUS: 5DATE:
01/30/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Justine Caballero- Lead TIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct an annual visit. LPA was greeted and granted entry into the facility by Justine Caballero and explained the reason for the visit. Operations Manager, Maxwell Kaminski arrived shortly after along with Director of Operations Pablo Alcala

LPA Mendivil toured the facility with Justine, Support Staff team lead. The facility is 3 bedrooms, 2 bathroom, one story home with an attached garage that is used as staff area. LPA Mendivil inspected the clients' bedrooms. LPA Mendivil observed that the bedrooms were clean, lights were operational, and furniture were in good conditions. LPA Mendivil observed that the bathrooms; toilets and sinks were clean.

LPA Mendivil inspected the kitchen. LPA Mendivil observed that the facility had a two-day supply of perishable food and a supply of seven-day of non-perishable foods as required. LPA Mendivil tested the facility smoke detectors and carbon monoxide detectors the detectors were operational. LPA Mendivil observed the poster PUB 475 Let Us No in hallway, visible to the public. LPA Mendivil observed that toxic chemicals were kept in locked laundry room and the chemicals were not accessible to clients. LPA Mendivil observed that emergency food and water. LPA Mendivil observed secured and locked medication cabinet. LPA Mendivil observed that the clients medications were labeled. LPA Mendivil reviewed clients records and files.

Therefore, and based on the observations made during this annual inspection conducted per Title 22 of the California Code of Regulations, no citations were issued. An exit interview was conducted with Pablo Alcala,Director of Operations and a copy of this report was provided.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE: DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2025
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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