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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306002443
Report Date: 02/14/2025
Date Signed: 02/14/2025 01:59:25 PM

Document Has Been Signed on 02/14/2025 01:59 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:TABI'S FACILITY HOME CAREFACILITY NUMBER:
306002443
ADMINISTRATOR/
DIRECTOR:		CLAUDIA T. BISCOSFACILITY TYPE:
740
ADDRESS:2429 W. OLIVE AVENUETELEPHONE:
(714) 853-1313
CITY:FULLERTONSTATE: CAZIP CODE:
92833
CAPACITY: 6CENSUS: 0DATE:
02/14/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Licensee Claudia BiscosTIME VISIT/
INSPECTION COMPLETED:
02:05 PM
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Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA was greeted and granted entry by Licensee Claudia Biscos after explaining the purpose for the visit.

LPA was informed by the licensee that she notified the Department that no residents were in care since the last admitted resident passed away in July 2023. LPA accompanied with Licensee conducted a walk-through of the interior and exterior portions of the facility and confirmed that the facility is not in operation and that there are no residents in care at the time of visit. LPA advised Licensee Claudia Biscos to notify the department if they admit a resident in the future.

Based on the observations made during today's visit, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Licensee Claudia Biscos and a copy of this report was provided.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2025
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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