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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005371
Report Date: 04/01/2022
Date Signed: 04/01/2022 01:41:54 PM

Document Has Been Signed on 04/01/2022 01:41 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
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:GARDEN OF JOY GUEST HOMEFACILITY NUMBER:
306005371
ADMINISTRATOR:AZNAR, JESECAFACILITY TYPE:
740
ADDRESS:2716 N LAIRD STTELEPHONE:
(714) 462-6203
CITY:SANTA ANASTATE: CAZIP CODE:
92706
CAPACITY: 6CENSUS: 5DATE:
04/01/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:33 AM
MET WITH:Brenda AznarTIME COMPLETED:
01:56 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Joseph Alejandre and Celine De Perio made an unannounced visit to conduct the required annual inspection. (mitigation). LPAs temperature was checked and then staff granted entry to the facility. LPAs met with Administrator Brenda Aznar. Administrator Mary Aznar was also present. LPAs explained the reason for the visit. LPAs and Administrator toured the facility. Facility is a 4 bedroom (1 bedroom is for staff) 1 full bathroom and one half bathroom, living room, dining room, kitchen and a two car attached garage. LPAs and Administrators toured the facility. LPAs observed all client rooms had the required furnishing. All client rooms were clean and organized. LPAs observed the facility has a clean supply of linens for the clients. LPAs observed the bathroom is clean and operational. Hot water measured 105.9 degrees Fahrenheit. LPAs and Administrators toured the kitchen. LPAs observed sharp objects locked in a kitchen drawer. The kitchen is clean and organized. LPAs observed a 2 day perishable and a 7 day non-perishable food supply on hand. LPAs and Administrators toured the backyard. No bodies of water observed. LPAs observed a covered patio with a shaded seating area for clients. There is a small plastic storage closet shed and a large wooden storage shed. Both sheds are kept locked and used to store tools and supplies. Both exit gates are latched and operational. No obstacles or hazards observed in the backyard. LPAs and Administrators toured the garage. The garage is used to store supplies and extra food. The garage is kept locked and inaccessible to clients. Smoke detectors/carbon monoxide detectors tested operational. LPAs inspected the first aid kit. The first aid kit had all the required elements. Facility has a mitigation plan that is pending approval. No deficiencies observed during the visit. 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: Luz Adams
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE: DATE: 04/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/01/2022
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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