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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306006399
Report Date: 05/28/2024
Date Signed: 05/28/2024 03:46:54 PM

Document Has Been Signed on 05/28/2024 03:46 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:DISCOVERY DAY PROGRAM LLCFACILITY NUMBER:
306006399
ADMINISTRATOR/
DIRECTOR:		LE, JANEFACILITY TYPE:
775
ADDRESS:8900 KNOTT AVE.TELEPHONE:
(714) 952-9349
CITY:BUENA PARKSTATE: CAZIP CODE:
90620
CAPACITY: 120CENSUS: 83DATE:
05/28/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:05 PM
MET WITH:Jane LeTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Jerome Haley arrived to conduct an announced Pre-Licensing visit. LPA Haley explained the reason for the visit with staff. The Adult Day Program serves Developmentally Disabled Adults with a capacity of 120, 50 of whom may be non-ambulatory. The program operates Monday - Friday 8:00am – 2:00pm.

An initial application to operate an Adult Day Care, with a capacity of 120 was submitted to the department on July 28, 2023.

Fire clearance: Orange County Fire Prevention granted the Fire Clearance January 23, 2024.

Structure: The facility is one level structure with an open classroom setting.

Bathrooms: There are 12 bathrooms for program participants. All bathrooms had a working toilet, sink and all grab bars were tightly secured to the wall. Bathroom #9 has a shower used for emergencies only.

Food Service: Participants bring their own lunch to the program. The program provides light snacks for participants in the morning hours and has a backup supply of food items available if any of the participants do not have lunch. Lunch is one hour every day and runs from 11:00am – 12:00pm.

Hygiene Supplies: The facility has an adequate supply of hygiene items on hand. There are hygiene items locked in a room in the kitchen area and there’s a storage room located off the property used to store additional facility items.

pg.1 of 3
Continued on LIC809C
SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE: DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/28/2024
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: DISCOVERY DAY PROGRAM LLC
FACILITY NUMBER: 306006399
VISIT DATE: 05/28/2024
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Emergency Phone Numbers & Exit Plan: An emergency evacuation plan and emergency telephone numbers are posted on the wall right outside the main office. Additional evacuation plans are posted in different areas of the facility. An emergency evacuation drill was conducted April 29, 2024, and will be conducted quarterly.

Smoke Detectors: 14 smoke detectors and 2 carbon monoxide detectors are mounted on the walls in various locations in the facility. Smoke detectors are tested monthly using a scissor lift and recorded in log available for review. All smoke detectors were checked April 29, 2024, and are scheduled to be checked today, May 28, 2024 after all the clients have left the program around 3:00pm.

Appliances: All appliances were clean and in good working order. LPA Observed 6 microwaves, 2 refrigerators, 1 washer, 1 dryer, and 1 stove.

Water Temperature: Hot water was tested in all 12 bathrooms available for the participants. Hot water tested in the range of 105.6 – 119.3 degrees Fahrenheit.

Toxins: All Hazardous toxins are kept locked in a locked room in the kitchen area. In the locked room LPA observed a supply of hygiene items and the emergency shut off valve for the water. Right outside the locked room in the kitchen, there’s a fully charged fire extinguisher mounted on the wall.

Client & Staff Files: Are kept locked in a cabinet in the main office.

Medications: Are kept in a locked metal cabinet in between the main activity area and the kitchen area.

First-aid Kit & Book: There is a first aid box mounted on the wall right outside the main office. LPA Haley observed all the required elements including a first aid manual.

Reading Material, Games, Equipment and Other Activity Materials: LPA observed several different recreational activity items, games, and books for the participants to enjoy.
pg.2 of 3
Continued on LIC809C
SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: DISCOVERY DAY PROGRAM LLC
FACILITY NUMBER: 306006399
VISIT DATE: 05/28/2024
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Pool/Jacuzzi: No bodies of water are present.

Component III: Was presented to applicant Jane Le at the end of the visit.

No areas of concern were observed. The facility meets regulation requirements and is ready to be licensed.

An exit interview was conducted, and a copy of this report was provided to applicant Jane Le.




pg.3 of 3
SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3