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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300605585
Report Date: 09/24/2024
Date Signed: 09/24/2024 11:32:38 AM

Document Has Been Signed on 09/24/2024 11:32 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
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:LEARNING LIGHT FOUNDATION INC., THEFACILITY NUMBER:
300605585
ADMINISTRATOR/
DIRECTOR:		HANNAH TAYFOURFACILITY TYPE:
775
ADDRESS:1212 E. LINCOLN AVENUETELEPHONE:
(657) 657-4250
CITY:ANAHEIMSTATE: CAZIP CODE:
92805
CAPACITY: 40CENSUS: 30DATE:
09/24/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Patricia RiosTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
NARRATIVE
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Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Patricia Rios and explained the purpose of the inspection. Administrator (AD) Hannah Tayfour was contacted by phone and stated they were unable to be present for the inspection.

During the inspection, LPA and Staff Rios conducted a tour of the inside and outside of the facility and observed the following:

This is a two-story building that consists of various rooms used for storage, one staff office, and one changing room. The second floor is not in use. There are two staff restrooms and one client restroom with six toilets. LPA observed clients engaging in different activities, including arts and crafts, puzzles, and coloring. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 113.0 degrees Fahrenheit. Food service is not provided. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguishers were observed to be fully charged with service tags dated March 14, 2024. Toxic chemicals, cleaning solutions, and disinfectants were observed to be inaccessible to clients. Facility does not handle or manage client medication. LPA reviewed six client files and six staff files. Three of six client files did not include a written medical assessment; a Deficiency was cited on today’s date. LPA interviewed clients and two staff.

Based on the observations made during today’s inspection, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE: DATE: 09/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/24/2024
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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Document Has Been Signed on 09/24/2024 11:32 AM - It Cannot Be Edited


Created By: Claudia Gutierrez On 09/24/2024 at 10:50 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: LEARNING LIGHT FOUNDATION INC., THE
FACILITY NUMBER: 300605585

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/24/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Deficiency Dismissed
Type A
Section Cited
CCR
82069(a)
Client Medical Assessments
(a) Prior to or within 30 calendar days following the acceptance of a client, the licensee shall obtain a written medical assessment of the client that determines the licensee's ability to provide necessary health-related services to the client. The assessment shall be used in developing the Needs and Services Plan.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, AD interview, and record review, the licensee did not comply with the section cited above in three of six client files which poses an immediate health, safety and personal rights risk to persons in care.
POC Due Date: 09/25/2024
Plan of Correction
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Staff Rios stated a written medical assessment will be obtained for each client and a copy provided to LPA via email by POC date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Armando J Lucero
LICENSING EVALUATOR NAME:Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:
DATE: 09/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/24/2024


LIC809 (FAS) - (06/04)
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