Senior Care Records.

Facility Evaluation Report

Adriana Elderly Care Home I, Mission Viejo12/18/2025Licence 306003820

Capacity6
Census5
Date signed12/18/2025 11:17:42 AM
Name of licensing program analystJessica Cho
Name of licensing program managerLourdes Montoya
The inspector’s account

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver Johanna Reyes after stating the reason for the visit. Administrator (Admin) Richard Mendoza arrived on premise approximately 8:45am and remained at the facility to assist with the inspection. Admin has a valid administrator's certificate expiring on September 7, 2026.

The following was observed during the inspection:

This is a single story property located in a residential neighborhood comprised of six resident bedrooms, one staff bedroom, and four resident bathrooms. Facility operates within the conditions and limitations specified on the license. LPA observed five residents in care of which two are receiving hospice services. LPA observed two caregivers on duty and verified fingerprint clearance and association statuses including the administrator. LPA along with Caregiver Reyes toured the interior portion of the facility. All common areas were inspected which includes the attached two car garage. The fireplace is appropriately screened in the living room. LPA inspected all the resident bedrooms. The resident bedrooms' were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. All bathrooms were found be in compliance, clean, and operational. Slip resistant mats were available. The hot water temperature in the bathrooms measured at 110.3, 107.6, 107.0, and 107.6 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed ample two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction. The two exit gates on each side of the property are operational, and there were sufficient seating and shading in the patio area.

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