Facility Evaluation Report

Licensing Program Analysts (LPA) Jessica Cho and Eboni Bentley arrived announced for the purpose of conducting a Pre-Licensing visit for a Change of Ownership (CHOW). LPA conducted the visit with Applicant/Chief Executive Officer (CEO) Victoria Valencia and Administrator (Admin) Idamarie Valencia. The initial application to operate a Residential Care Facility for the Elderly (RCFE) was received by the Department of Social Services on April 17, 2024 for age range 60 and over. This facility is vendored by the Regional Center of Orange County (RCOC). This is a Level 4I home.

LPAs began the tour of the interior and exterior portion of the facility with Applicant and Administrator Valencia, and observed the following:

The facility is a single story property in a residential neighborhood comprised of four resident bedrooms and three resident bathrooms. LPAs observed all common areas which includes the living room, dining area, kitchen, and an attached two car garage which doubles as a laundry room. The Additional Dwelling Unit (ADU) is occupied by Administrator Idamarie and is under a different address: 12043 Gilbert St. Garden Grove. The backyard has two exit gates with one gate being secured as approved per the fire clearance. The patio also has sufficient shaded seating area.

Facility land line number (714) 867-6123 was tested and remains available.

No signal system, however residents utilize bells to alert the staff.