Facility Evaluation Report

Wendy & Peter Care Home, Costa Mesa11/30/2023Licence 306004489

Capacity6
Census5
Date signed11/30/2023 03:27:11 PM
The inspector’s account

Licensing Program Analyst (LPA) Dwayne Mason Jr. arrived for an unannounced visit for the purpose of conducting a required annual inspection. LPA was greeted and granted entry by Direct Care Staff (DCS) Rosanna Magkawas

The facility is a one-story home with three resident bedrooms, two bathrooms, kitchen, dining room, living room, staff room, back yard and attached two-car garage. LPA observed facility to be clean, sanitary and in good repair. All resident rooms had required elements, including bed, chair, closet space and ample lighting. Restroom hot water measured at 111.9 degrees Fahrenheit in the bathroom closest to the client rooms and 114 degrees Fahrenheit in the bathroom closest to the staff room. LPA observed board games, exercise equipment and books for resident use. Facility has one shaded seating area in the backyard. Smoke and Carbon Monoxide detectors tested operational. LPA observed facility has emergency food and water supply in the front closet. Appliances are operational. Facility has a 2-day supply of perishable food and a 7-day supply of non-perishable food. Fire Extinguisher was observed to be fully charged as indicated by the built-in meter. LPA observed facility has a storage shed in the backyard. The shed remains locked and appears to only be used for miscellaneous storage. LPA observed client medication and staff files to be locked in a cabinet in the living room. LPA reviewed medication for three clients and all of the clients' files. Medication appeared to be properly administered and documented. LPA also reviewed P&I with DCS. Client money and expenses appear to be properly stored and documented. LPA reviewed three staff files.

Based on today’s inspection, no deficiencies were cited.. An exit interview was conducted and a copy of this report was provided.

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