Senior Care Records.

Facility Evaluation Report

Country Gardens Terrace, INC., Costa Mesa07/12/2022Licence 306006152

Capacity6
Census6
Date signed07/12/2022 12:37:24 PM
The inspector’s account

Licensing Program Analyst (LPA) Patricia Velazquez conducted an announced visit to Country Gardens Terrace, Inc. LPA Velazquez was allowed entry into the facility and met with Administrator Jean Catacutan. The purpose of today's subsequent Pre-Licensing visit was to follow-up on the issues that were present during the initial Pre-Licensing visit dated 06/28/2022. The following issues were observed and required correction:

Repair or replace light and light switch in the kitchen

Repair or replace left rear burner for the stove-top

Remove excessive grease stains in oven and oven racks

On today's visit the aforementioned items have been addressed and corrected. The aforementioned items reviewed during this visit are in compliance. The Pre-Licensing is now complete. The license will be granted upon completion of a final review and approval from the Licensing Program Manager and the Central Applications Bureau. An exit interview was conducted with Administrator Jean Catacutan and a copy of this report was provided at the time of this visit.

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