Facility Evaluation Report

Licensing Program Analyst (LPA) Edward Kim and Licensing Program Manager (LPM) Lourdes Montoya conducted an announced visit to the facility to conduct the pre-licensing inspection. LPA Kim and LPM Montoya met with Applicant Fregil Jimenez and toured the facility.

An initial application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing Division (CCLD) on November 6, 2023. The applicant requested a capacity of 6 nonambulatory residents and of which one (1) bedridden. Applicant has requested a hospice waiver for two (2) residents. Facility phone number (714)968-6042. LPA Kim and LPM Montoya observed the following.

The facility is a one story house with an attached 2 car garage with five (5) bedrooms (1 is for staff), 2 full bathrooms, family room, dining room, a kitchen, and living room with a screened fireplace. There are 6 exits, one exit door in the family room, the exit in the front door, the exit in bedroom 1, the exit in bedroom 2, the exit in bedroom 3 which is approved for 1 bedridden resident, and the exit in bedroom 4.

Central air/heating system installed with a central panel to control entire house.

There are four (4) Resident Bedrooms. There are 3 private resident bedrooms and 1 shared bedroom (#4). The bedrooms are spacious and will easily accommodate the residents' belongings. All resident rooms had the required furnishings. Bedroom 5 is designated as the staff bedroom