Facility Evaluation Report, 05/01/2025 — Mercedes Diaz Homes, INC.

Licensing Program Analyst (LPA) Sean Haddad conducted this announced inspection for the purpose of conducting a pre-licensing inspection. LPA met with Staff #1 (S1) Brenda Venegas, discussed the purpose of the inspection, and toured the facility. Applicant (AP) Nicole Collar arrived during the inspection. Facility is to operate an Adult Residential Facility. Application was submitted to Community Care Licensing on November 18, 2024. This is a change of ownership with persons in care.

During the inspection, LPA and S1 observed the following: Structure: facility is a four-bedroom, two-bathroom, one-story house with a detached garage that is being used for storage. Facility telephone number is (562) 315-9824. Client Bedrooms: the four client bedrooms are spacious and will easily accommodate the clients’ furnishings. Lights, chairs, linens, and storage for each client bedroom inspected. Staff Bedrooms: there are no staff bedrooms. Bathrooms: were clean, faucets and toilets were operational. Water temperature: tested between 110 and 113 degrees F in the two client bathrooms. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: two days’ perishable and seven days’ nonperishable food supply reviewed. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the kitchen and laundry room. Medication cabinet is locked. First-Aid Kit & Activity Supplies: observed and available. Client & Staff Files: LPA reviewed two client files and two staff files. Fire clearance was approved by the City of La Habra Fire Department on March 18, 2025. Backyard exit gate is operational and unlocked. Backyard has shaded area for outdoor activities and sufficient seating for clients. Component III was completed with AP during today’s inspection. Facility has current insurance and surety bond.