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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300607448
Report Date: 02/05/2025
Date Signed: 02/05/2025 09:41:56 AM

Document Has Been Signed on 02/05/2025 09:41 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:MAGNOLIA TREE BOARD AND CARE HOME, THEFACILITY NUMBER:
300607448
ADMINISTRATOR/
DIRECTOR:		SABIO, MARILOUFACILITY TYPE:
740
ADDRESS:805 E WILSON AVETELEPHONE:
(714) 538-6046
CITY:ORANGESTATE: CAZIP CODE:
92867
CAPACITY: 6CENSUS: 4DATE:
02/05/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:25 AM
MET WITH:Vera ManligasTIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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On February 5th, 2025 Licensing Program Analyst (LPA) William Vanegas made an unannounced visit to complete a Plan Of Correction (POC) visit. Upon arrival LPA Vanegas was greeted and granted entry to the facility by Care Giver (CG) and explained the purpose of the visit.

LPA Vanegas began to review items of correction and observed the following all annual staff training has been completed and it has been filed in staff files. All staff files have been updated and all required documentation is in order. Water temperature was corrected and pool has been cleaned and appears to be in good repair.

Based on observations made during today's visit no deficiencies have been cited an exit interview was completed and a copy of this report was left at the facility. .
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: William Vanegas
LICENSING EVALUATOR SIGNATURE: DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2025
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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