Facility Evaluation Report

Pilgrims Guest Home, Buena Park09/22/2025Licence 306003954

Capacity6
Census4
Date signed09/22/2025 11:43:32 AM
Name of licensing program analystGarlli Tat
Name of licensing program managerSheila Santos
The inspector’s account

On September 22, 2025, Licensing Program Analyst (LPA) Garlli Tat conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA explained the purpose for the visit and was greeted and granted entry by the Administrator (AD) Normita Vibar. For this visit, there are three staff members on duty, including AD, Co-administrator, and caregiver, all of which are background cleared and associated. AD assisted with the inspection.

The PUB475 ‘See Something, Say Something’ poster was observed to be located by the front entrance. LPA observed the Administrator's Certificate for Normita Vibar, which expires on June 5, 2026.

The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, six of which may be non-ambulatory, none of which may be bedridden, and one of which may be on hospice. LPA toured the interior and exterior portions of the facility with AD. For this visit, there are a total of four ambulatory residents in care, none of which are on hospice or are bedridden.

The facility is a single-story home. There are a total of five bedrooms, four of which are private resident rooms, and one serves as staff quarters. LPA toured each bedroom with the AD and observed bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and free of any hazards. LPA observed the staff quarters to be kept locked and inaccessible to residents in care. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of two bathrooms, both of which are for residents and staff.

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