<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306006189
Report Date: 01/08/2025
Date Signed: 01/08/2025 11:27:29 AM

Document Has Been Signed on 01/08/2025 11:27 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
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:KAEGO'S RICHMAN GARDENSFACILITY NUMBER:
306006189
ADMINISTRATOR/
DIRECTOR:		HARVEY, LUPEFACILITY TYPE:
740
ADDRESS:317 N. RICHMAN GARDENSTELEPHONE:
(714) 733-7518
CITY:FULLERTONSTATE: CAZIP CODE:
92831
CAPACITY: 26CENSUS: 24DATE:
01/08/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:18 AM
MET WITH:Wendy CruzTIME VISIT/
INSPECTION COMPLETED:
11:50 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced plan of correction (POC) visit to follow up on citations issued on 12/23/2024. LPA was greeted and granted entry into the facility and explained the reason for the visit.

*Citation issued on 12/23/2024 regarding Basic Services, 87464(f)(1) has been cleared. Licensee provided proof of correction. Licensee has complied with the POC.

*Citation issued on 12/23/2024 regarding False Claims, 87207 has been cleared. Licensee provided proof of correction. Licensee has complied with the POC.

*Citation issued on 12/23/2024 regarding Care of Persons with Dementia, 87705(j) has been cleared. Licensee provided proof of correction. Licensee has complied with the POC.

*Citation issued on 12/23/2024 regarding Storage Space, 87705(h) has been cleared. Licensee provided proof of correction. Licensee has complied with the POC.

Licensee has been advised to remain in compliance with items previously cited.





Exit interview conducted and a copy of this report was provided.


SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE: DATE: 01/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/08/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1