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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 366426169
Report Date: 07/31/2023
Date Signed: 07/31/2023 04:31:00 PM

Document Has Been Signed on 07/31/2023 04:31 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
LA & TRI-COASTAL CR, 1000 CORPORATE CNTR DR. #200A
MONTEREY PARK, CA 91754
FACILITY NAME:A POSITIVE ATTITUDE OUTLOOK OF SOUTHERN CALIFORNIAFACILITY NUMBER:
366426169
ADMINISTRATOR:R.MCGEE & S. YONANFACILITY TYPE:
430
ADDRESS:8632 ARCHIBALD SUITE 103TELEPHONE:
(909) 466-4023
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY: 8CENSUS: 5DATE:
07/31/2023
TYPE OF VISIT:Required - 2 YearUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Kitty Thompson - Supervising Social WorkerTIME COMPLETED:
03:00 PM
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On July 31st at 11:30AM Licensing Program Analyst (LPA) Ashley Ruacho conducted an unannounced inspection at the above facility for the purpose of conducting an annual/required inspection. LPA met with Foster Family Agency (FFA) Supervising Social Worker, Kitty Thompson.

LPA inspected inside of the facility with Ms. Thompson. The FFA is housed in Suite 103 in a commercial building. The FFA office consists of reception/lobby area, multiple staff offices, training room, staff break room and restrooms located outside of the suite. There are working telephones, office equipment, furniture, and supplies located throughout the office. Children's files are kept in locked and secured cabinets within the storage room. Resource Family Home (RFH) files are kept in locked and secured cabinets within social worker office and staff files are kept in locked and secured cabinets within the Human Resources office.



For this review LPA selected five (5) foster child files for the sample to assess the level of care and services they receive. All the children's records have the required documents including medical history, immunization records and medical consent form.

A review of board meeting minutes revealed the FFA is conducting quarterly meetings.

The inspection will continue a different day. An exit interview was conducted, and a copy of this report was provided to the Supervising Social Worker.
SUPERVISORS NAME: Tira Logan
LICENSING EVALUATOR NAME: Ashley Ruacho
LICENSING EVALUATOR SIGNATURE: DATE: 07/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/31/2023
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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