Facility Evaluation Report

Respit Manor, Lake Forest11/06/2025Licence 306005865

Capacity6
Census6
Date signed11/06/2025 03:18:34 PM
Name of licensing program analystCeline Rodriguez
Name of licensing program managerSheila Santos
The inspector’s account

Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced case management visit to deliver an amended report in conjunction to complaint: 22-AS-20251024105308.

LPA Rodriguez explained reason for visit and was greeted and granted entry by staff on duty. During the visit, staff on duty contacted facility administrator (AD) Mark Mendez about visit. AD Mendez was unable to be present, however provide consent for staff on duty (S1) Michael Abada to receive and sign report. For this visit, there are 2 staff members on duty, and a total of 6 residents, of which 1 is on hospice.

For today's visit no deficiencies were issued. No citations were issued.

An exit interview was conducted with S1 Abada.

A copy of this report and amended report dated for 11/6/2025, was explained and provided.

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