Senior Care Records.

Facility Evaluation Report

Cruz House II, Lake Forest05/09/2022Licence 306001250

Capacity6
Census5
Date signed05/09/2022 12:30:54 PM
The inspector’s account

Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit for the purpose of conducting a required inspection visit. LPA was greeted at the door by Administrator and granted entry. LPA met with Leovanis & Yaarah Cruz, Administrator and explained the nature of the visit.

LPA began the tour of the facility accompanied by Administrator. The facility currently has 5 clients in care. Facility appears clean and sanitary. Facility staff screens all visitors to the facility. Facility keeps documentation in regard to covid for all the staff, visitors and clients. LPA observed facility has covid precautionary posting throughout the facility as well as all required department postings. Facility has an active covid-19 prevention plan in place for the safety of clients in care. LPA observed ample of emergency food and water as well as first aid kits in the facility. Facility has an ample supply of PPE and cleaning supplies. Facility has sanitation precaution in place through out the facility and all common spaces. LPA toured the outside and observed a shaded outside space for client. Facility has a plan for covid testing residents and staff as needed as well as a plan for isolation as needed. The facility has completed the LIC808 Mitigation Plan. The Department reviewed and approved the plan on March 12, 2021.

Based on the observations made during today’s visit, no deficiencies were noted today the areas observed per Title 22 Division 6 of the California Code of Regulations.

This report was reviewed with Administrator and a copy of this report was provided and left at facility.

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