Senior Care Records.

Facility Evaluation Report

Eclc - Wake Forest Villa, Costa Mesa11/19/2024Licence 306001960

Capacity6
Census5
Date signed11/19/2024 09:58:09 AM
The inspector’s account

On 11/19/2024, LPA Mason arrived at the facility for the purpose of amending deficiencies cited on 10/30/2024 as part of the Department's investigation into complaint #22-AS-20241021103457. LPA was greeted and granted entry by facility staff and met with Angelita David, Licensee.

LPA amended the LIC809-D to update the section cited to: 87468.1(a)(15). LPA stated to staff that the plan of correction would not change.

LPA observed no resident mail in the facility staff room during the inspection. LPA cleared the deficiency during the visit. A copy of this report, deficiency page, appeal rights and clear letter were provided to the facility.

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