Senior Care Records.A MITRYXA product
For operatorsSign in

Facility Evaluation Report

Missy's Guest Home, Garden Grove09/23/2025Licence 306000833

Capacity6
Census1
Date signed09/23/2025 04:52:13 PM
Name of licensing program analystMichael Tea
Name of licensing program managerAlisa Ortiz
The inspector’s account

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA Tea was greeted and granted entry into the facility by Administrator (AD) Maria Mendoza. Administrator (AD) Randy Mendoza arrived shortly to assist with the visit. The facility is licensed for 6 ambulatory clients. Currently there is one client living here during today's visit.

LPA Tea reviewed one client file and three staff files. Client files and staff files contained all required documentation. The administrator certificate expires on March 4, 2026. The facility’s last disaster drill was conducted on July 7, 2025.

LPA Tea along with the administrator toured the facility. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a one-story home that consists of five bedrooms, three are reserved for client bedrooms, and two are staff rooms, there is two and a half bathrooms. The facility has a kitchen, dining room, and living room, family den and a garage. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Client bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each client comfortably. Client bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, and shower was free of mold/mildew. Water temperature measured around 109.5 F degrees. Client bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked in a storage cabinet in the family den. LPA also observed toxin substances to be secured and locked and inaccessible to clients in a storage closet in the

(Continuation of annual report on LIC809C)

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