Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an announced visit to conduct the pre-licensing inspection. LPA met with applicant Maria Avila and toured the facility.

An initial application to operate a Residential Care Facility for the Elderly (RCFE) was submitted to CCL on March 8, 2024. The facility is to have a capacity of 6 nonambulatory of which one can be bedridden (in bedroom 5 only). Applicant has requested a hospice waiver for 6 residents. Facility phone number 949-503-1864. LPA observed the following.

The facility is a one story house with an attached 2 car garage with 5 bedrooms, 2 bathrooms, dining room, kitchen and living room with a screened fireplace. There are 9 exits, a sliding glass door in each bedroom (5) and one in the kitchen (1) and living room (1). In addition an exit door is in the garage(1) and the front door (1). LPA observed the PUB 475 poster posted next to the front door.

Central air/heating system installed with a central panel to control entire house.

There are 5 Resident Bedrooms. Bedroom number 2 is a shared room, the rest are private. Bedroom 5 is approved for 1 bedridden resident. The bedrooms are spacious and will easily accommodate the residents' belongings. All resident rooms had the required furnishings and linens.

The first aid kit is stored in a cabinet in the dining room. The first aid kit t has all the required elements. Medications will be stored in a cabinet in the kitchen. The cabinet is kept locked.