Senior Care Records.

Facility Evaluation Report

Our Lady of Guadalupe Home, Lake Forest01/18/2024Licence 306005504

Capacity6
Census4
Date signed01/18/2024 01:40:50 PM
The inspector’s account

Licensing Program Analyst, (LPA) Dwayne Mason Jr. arrived at the facility for the purpose of conducting a Plan of Corrections (POC) inspection. LPA was greeted and granted entry by Michelle Lobaton, Caregiver. LPA stated the purpose of the inspection. Administrator Cresencia Santiago joined the inspection approximately twenty minutes after LPA's arrival.

LPA observed clients to be away at Day Program or in their own rooms. LPA toured facility and observed the facility to be clean, sanitary and safe.

LPA reviewed Facility Drill Log. Based on record review, facility conducted a fire drill on 1/8/2024. LPA reviewed P&I with Administrator. P&I funds matched correctly with the ledger.

Based on today's inspection, the LPA determined that the facility has fulfilled the Plan of Corrections issued on 1/5/2024 by the assigned POC due date. An exit interview was conducted and a copy of this report was provided to the facility

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