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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005793
Report Date: 11/04/2024
Date Signed: 11/04/2024 03:03:22 PM

Document Has Been Signed on 11/04/2024 03:03 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:SUNSHINE DAYS FOR THE ELDERLYFACILITY NUMBER:
306005793
ADMINISTRATOR/
DIRECTOR:
QUINTEROS, MAGALYFACILITY TYPE:
740
ADDRESS:13322 PROSPECT AVENUETELEPHONE:
(714) 673-4573
CITY:SANTA ANASTATE: CAZIP CODE:
92705
CAPACITY: 6CENSUS: 3DATE:
11/04/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:40 PM
MET WITH:Magaly QuinterosTIME VISIT/
INSPECTION COMPLETED:
03:40 PM
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Licensing Program Analyst (LPA) Ruth Martinez made an unannounced visit to the facility for the purpose of a case management visit. LPA was greeted and granted entry into the facility by staff. LPA met with Magaly Quintero, Administrator and explained the nature of the visit.

The purpose of the visit is to conduct a case management visit to follow up on a death of resident 1 (R1) who passed away on October 06, 2024. During today’s visit LPA interviewed staff, toured the physical plant of the facility, spoke to alert residents and reviewed pertinent documents pertaining to R1. LPA interviewed staff for further information regarding the death of R1 and the events that led up to R1’s death. Facility has not received a copy of OC Sheriff Corner’s office report or death certificate. LPA advised Administrator to forward any copies of reports or information regarding R1’s death to LPA as soon as it is available.

Based on observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was provided at the time of exit.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Ruth Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 11/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/04/2024
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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