Facility Evaluation Report

South Star #2, Costa Mesa03/15/2024Licence 306005706

Capacity5
Census3
Date signed03/15/2024 01:43:01 PM
The inspector’s account

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit for the purpose of conducting a Required Annual Inspection. LPA was greeted and granted entry by staff after introducing himself and stating the purpose of the visit. Administrator Lommel Tumbokon was also present to assist with the visit.

During the inspection, LPA and administrator conducted a tour of the physical plant and observed the following: The facility is a one-level home with five client bedrooms, three bathrooms, a large kitchen/living/dining common area, an activity room and a medication room. There are two patios accessible from both wings of the house.

There are currently three clients in care at the facility. All client bedrooms have the required furnishings. LPA observed all beds had linens and blankets and an adequate additional supply is present. The backyard has a shaded sitting area and additional umbrellas for the central courtyard and the route of egress is free of clutter and obstructions.

Bathrooms faucets and toilets were operational. Water temperature is noted to be in the appropriate temperature range. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted.

Food menu was also posted and visible. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Emergency food and water supply are observed to be stored in the garage. Facility is replenishing its grocery stock on Saturdays as observed on the weekly schedule.

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