Facility Evaluation Report

Licensing Program Analysts (LPAs) Celine De Perio and Albert Marin conducted an announced pre-licensing visit and was greeted by Facility Administrator (AD) Wendy Duran and Licensee Olga Fabiola “Favi” Lugo. Prior to being granted entry into the facility, AD Duran took LPAs temperatures and conducted sign-in. LPAs observed the Administrator's Certificate for Wendy Duran which expires on 1/19/2024 and is posted at the entrance at the facility.

Facility is undergoing a change in ownership. Previous license for facility: "A Mission Residential Care for the Elderly" has been approved for 6 non-ambulatory residents, of which 2 may be on hospice and 0 may be bedridden.

LPAs De Perio and Marin toured the interior and exterior portions of the facility with AD Duran and Licensee. For today’s visit, LPAs observed a total of 4 residents in care of which 1 is on hospice, and a total of three staff on duty of which all have been cleared and associated to facility.

Structure: Facility is a 2 level structure. On March 23, 2022, the Orange County Fire Authority granted a fire clearance for a capacity of 6 non-ambulatory residents. Facility has requested to be granted licensure for 6 non-ambulatory residents of which 6 may be on hospice and and 0 bedridden. There are a total of 3 shared bedrooms, which there are no single rooms. The upper level is utilized for staff members and not for resident use.

Bedrooms: All three bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept hazard free.

Bathrooms: The restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature in restrooms were measured to be at 105 degrees Fahrenheit and hand washing signs were observed.