Facility Evaluation Report

Licensing Program Analyst (LPA) Sean Haddad conducted this announced inspection for the purpose of conducting a pre-licensing inspection. LPA met with Applicant (AP) Soraya Taylor, discussed the purpose of the inspection, and toured the facility. Facility is to operate an Adult Residential Facility. Application was submitted to Community Care Licensing on October 16, 2024. This is an initial application with no clients in care.

During the inspection, LPA and AP observed the following: Structure: this is a one-story home. Facility is a 4-bedroom, 2-bathroom, one-story home with an attached garage that is being used for storage. Facility telephone number is (714) 914-7498. Client Bedrooms: the 4 client bedrooms are spacious and will easily accommodate the clients’ furnishings. Lamps, 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 112 and 115 F degrees in the two bathrooms. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: 7 days nonperishable food supply reviewed. AP stated they will obtain a 2 days supply of perishable food prior to accepting clients. 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: this is an initial inspection. LPA observed storage area for client and staff files. Fire clearance was approved by the Schools and Institutions Unit on January 23, 2025. Backyard exit gate is operational and unlocked. Back yard has shaded area for outdoor activities and sufficient seating for clients. Backyard has a pool with a gate that is at least 5 feet tall and properly latched. Component III was completed with AP during today’s inspection. AP will obtain liability insurance once the application is approved.