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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300613273
Report Date: 11/27/2024
Date Signed: 11/27/2024 12:57:24 PM

Document Has Been Signed on 11/27/2024 12:57 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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:MORNINGSIDE OF FULLERTONFACILITY NUMBER:
300613273
ADMINISTRATOR/
DIRECTOR:		RICHARD ALLEN NORDSIEKFACILITY TYPE:
741
ADDRESS:800 MORNINGSIDE DR.TELEPHONE:
(714) 256-8000
CITY:FULLERTONSTATE: CAZIP CODE:
92835
CAPACITY: 712TOTAL ENROLLED CHILDREN: 0CENSUS: 404DATE:
11/27/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:00 AM
MET WITH:Christopher OakesonTIME VISIT/
INSPECTION COMPLETED:
01:10 PM
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On November 27, 2024, at 8:00 am, Licensing Program Analysts (LPA) Edward Kim and Eboni Bentley conducted a continuation visit for a required 1-year annual visit that was started on November 19, 2024. LPAs Kim and Bentley were greeted and gained entry to the facility by staff. Executive Director (ED) Christopher Oakeson arrived 8:45 am at the facility.

LPAs Kim and Bentley conducted an audit of staff files (S1-S13) and medication and medication administration record that were all in order and complete. LPA Kim conducted staff interviews (S1-S12). LPAs Kim and Bentley observed emergency water in each building, and emergency food and supplies in storage unit 61. LPAs Kim and Bentley observed Emergency Drills are conducted monthly. The First Aid Kit contained all the necessary elements.

An exit interview was conducted, and a copy of this report was provided to Christopher Oakeson.
Lourdes MontoyaTELEPHONE: (916) 956-7332
Edward KimTELEPHONE: (714) 293-1237
DATE: 11/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/27/2024
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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