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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306001079
Report Date: 04/17/2024
Date Signed: 04/17/2024 11:26:06 AM

Document Has Been Signed on 04/17/2024 11:26 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:ABSOLUTE CAREFACILITY NUMBER:
306001079
ADMINISTRATOR/
DIRECTOR:
VLADIMIR KRAVCHENKOFACILITY TYPE:
740
ADDRESS:24651 PALACE CT.TELEPHONE:
(949) 249-6894
CITY:LAGUNA NIGUELSTATE: CAZIP CODE:
92677
CAPACITY: 6CENSUS: 2DATE:
04/17/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Vladimir KravchenkoTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Administrator Vladimir Kravchenko and explained the reason for the visit. LPA and Administrator toured the facility. Facility is a 4 bedroom house with 3 bathrooms, staff room, living room, family room, dining room and kitchen. LPA observed the fireplaces in the living room and family room are screened. LPA observed the see something say something poster posted in the living room (entry way) is 8 1/2 by 11 inches in size. Smoke detectors/carbon monoxide detectors tested operational. The fire extinguisher in the kitchen if fully charged. LPA observed a 2 day supply of perishable food in the kitchen and a 7 day supply of non-perishable food in the kitchen. LPA observed the kitchen is clean and organized. LPA observed the stove lights unassisted. LPA observed the medications are kept locked in a dining room cabinet. LPA observed all of the resident bedrooms have the required furnishings. LPA interviewed staff and residents. LPA observed all bathrooms are clean and operational. Hot water measured between 116.7 and 120.0 degrees Fahrenheit. The laundry room and garage are kept locked and used for storage. The garage has a refrigerator that is used for extra food storage. LPA and Administrator toured the backyard. LPA observed that there is an in-ground spa in the backyard. The spa is covered with a heavy wood cover that is safe to walk on. LPA observed the exit gate is operational. There is seating area with an umbrella for shade. No obstacles or hazards observed inside or outside of the facility. LPA reviewed two resident files and two resident medications. LPA reviewed 2 staff files. The Administrator and the staff both have valid Administrator's certificates. The Administrator's certificate expires 2/5/2025. No deficiencies observed in any of the files. LPA inspected the first-aid kit. The first-aid kit has all the required elements. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE: DATE: 04/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/17/2024
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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