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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306006252
Report Date: 02/19/2025
Date Signed: 02/19/2025 09:45:10 AM

Document Has Been Signed on 02/19/2025 09:45 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:DIAMOND MANOR 2FACILITY NUMBER:
306006252
ADMINISTRATOR/
DIRECTOR:		HAMAMA, HAFEEZFACILITY TYPE:
740
ADDRESS:1631 W TEDMAR AVETELEPHONE:
(714) 502-0121
CITY:ANAHEIMSTATE: CAZIP CODE:
92802
CAPACITY: 6CENSUS: 3DATE:
02/19/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:27 AM
MET WITH:Basyony ElsayedTIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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On February 19th, 2025 Licensing Program Analyst (LPA) William Vanegas made an unannounced visit to conduct a plan of correction visit. Upon arrival LPA Vanegas was greeted and granted entry by Care Giver (CG) Samah Elmathena. LPA Vanegas explained the nature of the visit and observed the following.

Administrator (AD) made the following corrections. AD ensured that all staff files were up to date, and had all required documentation, and training completed. AD made sure that all centrally stored medications were documented, and are now up to date with accurate medications that are being taken. AD hung up all required postings such as personal rights, ombudsman, and PUB 475 see something say something.

Based on observations made during today's visit no deficiencies will be cited per title 22 chapter six of the California Code Of Regulations. An exit interview was conducted and a copy of this report was left at the facility.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: William Vanegas
LICENSING EVALUATOR SIGNATURE: DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/19/2025
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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