Facility Evaluation Report

On August 13, 2024, at 1:00pm, Licensing Program Analyst (LPA) Edward Kim conducted an announced visit to the facility to conduct the pre-licensing inspection. LPA Kim met with Applicants Mushaira Mosharraf and Shaira Mosharraf, and toured the facility.

An initial application to operate a Residential Care Facility for the Elderly (RCFE) was submitted to CCL on December 29, 2023. The facility is to have a capacity of six (6), of which six (6) can be nonambulatory and of which one (1) may be bedridden. Applicant has requested a hospice waiver for six (6) residents. Facility phone number (714)723-6746. LPA Kim observed the following.

The facility is a one story house with an attached 2 car garage with four (4) bedrooms (1 is for staff), 2 bathrooms, dining room, a kitchen, and a living room. There are 4 exits: one exit door in the kitchen, one in the living room, one in the front door, and one in bedroom #3 which is the bedridden room.

Central air/heating system installed with a central panel to control entire house located in the hallway.

There are three (3) Resident Bedrooms. The bedrooms are spacious and will easily accommodate the residents' belongings. All resident rooms had the required furnishings.

There is one bedroom designated as the staff bedroom