Facility Evaluation Report

This unannounced Case Management – Incident inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of following up on a self-reported incident report received in the Orange County Regional Office (OCRO) on April 1, 2025 regarding Resident #1 (R1) and Staff #1 (S1). LPA met with Licensee (LE) Michelle Kellogg and discussed the purpose of the inspection.

During the inspection, LPA inspected the facility, conducted health and safety checks on residents, and observed no health and safety issues. LPA observed the facility to be clean and organized, the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations, and the medications, sharps, and toxins were properly stored. LPA interviewed staff, residents, and witnesses and requested and reviewed copies of the resident roster, staff roster, resident files, and staff files.

There were no health and safety concerns observed in the areas inspected. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.