Facility Evaluation Report

Ivy Cottages III, Fountain Valley06/11/2026Licence 306003767

Capacity6
Census6
Date signed06/11/2026 03:09:32 PM
Name of licensing program analystEboni Bentley
Name of licensing program managerKevin Saborit-Guasch
The inspector’s account

On June 11, 2026, Licensing Program Analyst (LPA) Eboni Bentley arrived unannounced for the purposes of conducting a required 1-Year annual visit using the CARE Inspection Tool. LPA Bentley was greeted and granted entry into the facility by staff, after stating the reason for the visit. Administrator (Admin) Carmen Rodriguez arrived shortly to assist with the visit.

The facility is licensed to operate age 60 and over for (6) non-ambulatory residents, with a Hospice waiver for three (3). The building is a single story structure located in a residential neighborhood, which consists of the following: six (6) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, living area, dining room area, kitchen, an outdoor covered seating areas, and an attached three car garage. There is an office with four walls in the garage and an ADU in the backyard, separate from the main house.

LPA Bentley toured the inside and outside of the physical plant with Admin. There were no bodies of water or obstructions on the premises. All rooms were inspected and the facility was observed to be appropriately furnished at the time of visit. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Additional linens, comforters, and bath towels were adequately stocked and available. Bathrooms were found to be clean and operational with water temperatures measured between 111.5 degrees F to 114.6 degrees F. The kitchen was observed clean, all appliances were operational, and there is a two-day supply of perishable and seven-day supply of non-perishable food available. Toxins, disinfectants, sharps, and medications were secured and inaccessible to residents in care. The fireplace was covered with a screen and secure. The garage and backyard were observed free of clutter and debris and the facility has one exit gate that was operational during the visit.

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