Senior Care Records.

Facility Evaluation Report

Patchwork Quilt Guest Home II, Lake Forest03/24/2026Licence 306002201

Capacity6
Census5
Date signed03/24/2026 12:37:43 PM
Name of licensing program analystWilliam Vanegas
Name of licensing program managerArmando J Lucero
The inspector’s account

On today's date Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of conducting an annual inspection. Upon arrival LPA was greeted and granted entry to the facility by facility staff. LPA explained the purposes of the visit, and Administrator (AD) Rizalina "Sally" Reyes was notified via telephone and arrived shortly after to assist with the inspection. LPA Vanegas began a tour of the facility and observed the following. AD Rizalina "Sally" Reyes has an active administrator certificate valid from July 01, 2025 through June 30, 2027.

This is a one storied home with five bedrooms one of which is a staff room, and four of which are resident rooms, two bathroom, and an attached two car garage. LPA Vanegas observed kitchen area to be clean and free of any mildew and debris. LPA observed there to be a two day supply of perishable food and a seven day supply of non-perishable food on hand a long with a sufficient amount of emergency water on hand, LPA observed there to be a microwave, an electric stove, a refrigerator, dishwasher, dryer and washer. All appeared to be in good condition and tested operational.

LPA Vanegas observed all resident bedrooms to be clean and free of any hazards. LPA observed all rooms to have all required furnishings such as a bed, clean linens in good repair; meaning no strains or tares, a chair, reading lamp, and enough storage space to store personal belongings. LPA vanegas observed restrooms to be clean and free of any mildew and debris, LPA observed toilets and water faucets to be operational. LPA observed the hot water temperature to be between 107.8 and 108.9 degrees Fahrenheit. LPA observed bathrooms to have required furnishings such as a shower chair, slip resistant floor mats, and grab bars.

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