Senior Care Records.

Facility Evaluation Report

Socal Empowered LLC, Lake Forest07/30/2025Licence 306005605

Capacity6
Census5
Date signed07/30/2025 01:01:40 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 required annual inspection. LPA Rodriguez explained reason for visit and was greeted and granted entry by staff on duty. During the visit, LPA Rodriguez met with staff on duty (S1) Melanie Mitrovich.

LPA Rodriguez toured the interior and exterior portions of the facility with S1. The facility is a two level structure and is licensed for 6 clients. For this visit, there are a total of 5 clients in care, and 1 client pending admission later in the afternoon. The PUB475 "See Something, Say Something" poster was observed in the facility hallway.

There are a total of 2 shared client bedrooms, and 2 client private rooms. All bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. There are two bathrooms designated for client use, and restrooms were observed to be in good repair, toilets were operational, and water temperature in restrooms were measured at 113.1 degrees Fahrenheit.

Smoke and carbon monoxide detector were tested and operational. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to clients in care. LPA Rodriguez observed fire extinguishers charged, mounted, located in multiple areas of the facility and dated for 2025. LPA Rodriguez observed the emergency disaster and evacuation plan, which is posted in the hallway. Facility had back-up emergency food and water supply, located in the garage. LPA Rodriguez observed that the facility First Aid Kit had all the required components. Medications and toxins were in a locked cabinet located in the garage.

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