Facility Evaluation Report

Licensing Program Analyst (LPA) Sean Haddad conducted this announced inspection for the purpose of conducting a pre-licensing inspection. LPA met with Applicant (AP) Whitney Buss, discussed the purpose of the inspection, and toured the facility. Facility is to operate a Social Rehabilitation Facility. Application was submitted to Community Care Licensing on 05/16/2024. This is a change of location with persons in care.

During the inspection, LPA and AP observed the following: Structure: facility is a 4-bedroom, 4-bathroom, 2-story house with a detached garage that is being used for storage and activities. Facility telephone number is (949) 317-3577. Client Bedrooms: the 4 client bedrooms are spacious and will easily accommodate the clients’ furnishings. Lamps, chairs, linens, and storage for each client bedroom inspected. Staff Bedrooms: there are no staff bedrooms. Bathrooms: were clean, faucets and toilets were operational. Water temperature: tested at 106 degrees F in all 3 client bathrooms. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed 7 days nonperishable food supply and AP stated they will obtain 2 days’ perishable food supply prior to admitting their first client. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the storage closet. Toxins: observed locked in the cleaning closet. Medication cabinet is locked. First-Aid Kit & Activity Supplies: observed and available. Client & Staff Files: LPA reviewed client and staff file storage area. Fire clearance was approved by Orange County Fire Authority on 05/30/2024. Backyard exit gate is operational and unlocked. Backyard has shaded area for outdoor activities and sufficient seating for clients. Component III was completed with AP during today’s inspection. LPA reviewed relocation plan with AP. AP stated that the clients will be relocated the same day as their belongings, medications, and food once the relocation has been approved. Staff will provide care and supervision during the entire moving process. Facility is currently operating under the liability insurance of current facility ALTER MENTAL HEALTH (306006083). AP will switch liability insurance to new facility once the application is approved. During the inspection, LPA explained the process of this application and about the post licensing inspection once the facility is licensed. AP was informed today that the facility is ready for licensure and final approval will be processed by the CAB supervisor in Sacramento. An exit interview was conducted and a copy of this report was discussed with and provided to AP.