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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306006627
Report Date: 03/25/2025
Date Signed: 03/25/2025 11:45:06 AM

Document Has Been Signed on 03/25/2025 11:45 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:OC BRIDGESFACILITY NUMBER:
306006627
ADMINISTRATOR/
DIRECTOR:		PEREZ, RYANFACILITY TYPE:
775
ADDRESS:31351 RANCHO VIEJO RD STE 101TELEPHONE:
(949) 234-8250
CITY:SAN JUAN CAPISTRANOSTATE: CAZIP CODE:
92675
CAPACITY: 50CENSUS: 0DATE:
03/25/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:00 AM
MET WITH:Brittany StipesTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the pre-licensing inspection. LPA met with Program Director Brittany Stipes. An initial application to operate an Adult Day Program for 50 ambulatory clients was submitted to Community Care Licensing (CCL) on August 20, 2024. The Program Director reported most of the programs provided are community based and the facility does not have an outdoor activity area. Facility hours are Monday through Friday 7:30am to 3:30pm.

Structure. The facility is a two story building located in a business office complex. Facility has 5 rooms on the second floor and 3 rooms on the first floor. The second floor is for facility operations and will not be used for client activities. The first floor has a large open space with a reception area and 3 activity rooms. The rooms will be used for functional skills, art therapy, vocational skills, sensory room, music therapy and computer activities. LPA observed a fenced area with fitness equipment on the first floor. LPA observed games and puzzles stored in cabinets in the activity rooms. LPA observed all fire extinguishers on the first and second floor are fully charged. Facility phone number is 949-234-8250.

Furniture, LPA observed numerous tables and chairs for clients to sit and do activities at. Bathrooms. Facility has 2 restrooms on the first floor. Both restrooms are clean and operational. Water Temperature. LPA measured the hot water at 108.5 degrees Fahrenheit. Emergency Phone Numbers & Exit Plan. Posted at the reception area, stairway and on the second floor.. Appliances. None, facility has no appliances. Food Service. None, clients will bring their own food & snacks. Drinking Water. Available & located inside the building for clients use. Toxins and cleaning supplies. Locked in the storage closet inaccessible to clients. Clients & Staff Files. Will be stored electronically. Medications. Facility will not handle medication. First-Aid Kit & Book. There is a first aid kit on each floor. LPA observed both first aid kits have all the required elements. Reading Material, Games, Equipment & Materials. There are board games, magazines, books, televisions, music area, and arts and crafts for clients stored in the activity rooms.
NAME OF LICENSING PROGRAM MANAGER: Sheila Santos
NAME OF LICENSING PROGRAM ANALYST: Joseph Alejandre
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/25/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: OC BRIDGES
FACILITY NUMBER: 306006627
VISIT DATE: 03/25/2025
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Fire clearance, the fire clearance was approved by Orange County Fire Authority on October 24, 2024 for 50 ambulatory clients. Parking and Waiting Area The parking area will also serve a drop off and pick up area for the Clients. Transportation The Applicants will assist in providing transportation to clients. Smoke Detectors. The building has an automatic sprinkler system with smoke and carbon monoxide detectors. Component III: Conducted with the applicant. Information provided on how to operate the facility in compliance with Title 22.

No deficiencies observed. The facility is ready to be licensed. LPA informed the applicant that final approval for licensure will be approved by CAB in Sacramento.

Exit interview was conducted and a copy of this report was provided to the applicant.
NAME OF LICENSING PROGRAM MANAGER: Sheila Santos
NAME OF LICENSING PROGRAM ANALYST: Joseph Alejandre
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025
LIC809 (FAS) - (06/04)
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