Senior Care Records.

Facility Evaluation Report

Polly's Place, Anaheim10/10/2025Licence 306006178

Capacity6
Census6
Date signed10/13/2025 01:45:43 PM
Name of licensing program analystSamer Haddadin
Name of licensing program managerAlisa Ortiz
The inspector’s account

Licensing Program Analyst (LPA) Sam Haddadin conducted an unannounced Required One-Year Inspection. Upon arrival, LPA met with Administrator Polly Valencia and explained the purpose of the visit.

The facility is licensed to operate as a Residential Care Facility for the Elderly (RCFE) serving six (6) residents, ages 60 and above. At the time of the visit, six residents were present in care. The facility is a one-story residence consisting of six bedrooms, seven bathrooms, and a detached garage used for storage.

LPA inspected all resident bedrooms, which were observed to be clean, well-furnished with a bed, chair, and linens in good condition. Adequate storage space was available, and no tripping hazards were observed. The kitchen was clean and well-maintained, with all major appliances functioning properly. Knives and sharps were stored securely and were inaccessible to residents in care.The exterior grounds were observed to be clean, safe, and well-maintained. Outdoor pathways were unobstructed, and a shaded seating area was available for residents’ use. The fire extinguisher was fully charged, with the gauge indicator in the green zone. Hot water temperature was measured at 108.6 degrees Fahrenheit, which is within the regulatory range. Facility records indicated that the most recent emergency drill was conducted on October 1, 2025.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction