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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306006378
Report Date: 11/05/2024
Date Signed: 11/05/2024 08:48:10 AM

Document Has Been Signed on 11/05/2024 08:48 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:LANTANA HOMEFACILITY NUMBER:
306006378
ADMINISTRATOR/
DIRECTOR:		SHARMA, NARESHFACILITY TYPE:
735
ADDRESS:7704 LANTANA DRTELEPHONE:
(714) 858-2351
CITY:BUENA PARKSTATE: CAZIP CODE:
90620
CAPACITY: 4CENSUS: 3DATE:
11/05/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:00 AM
MET WITH:Naresh Sharma- AdministratorTIME VISIT/
INSPECTION COMPLETED:
09:00 AM
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Licensing Program Analyst (LPA) Jessica Cho arrived unannounced for the purpose of following up and clearing the deficiency issued during the annual inspection on October 2, 2024. LPA was greeted and granted entry by Administrator (Admin) Naresh Sharma and explained the reason for the visit. Prior to entry, LPA and Admin inspected the garage and observed the clutter was cleared. Upon entry, LPA observed the sofa and kitchen appliances/drawers were disinfected and sanitized as well as the flooring mopped.
  • 80087 Buildings and Grounds (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.


Facility has complied with the terms of the plan of correction. The deficiency is now cleared.

An exit interview was conducted with Administrator Naresh Sharma, and a copy of this report including the Letter of Deficiency Citations Cleared were provided at the end of the visit.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE: DATE: 11/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/05/2024
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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