Senior Care Records.

Facility Evaluation Report

Adriana Elderly Care Home III, Mission Viejo12/26/2025Licence 306003822

Capacity6
Census4
Date signed12/26/2025 10:47:39 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 Mauricio Herrera after stating the reason for the visit. Administrators (Admins) Richard Mendoza and Kevin Mendoza arrived on premise to assist with the inspection. Admin Richard has a valid administrator's certificate expiring on September 7, 2026 and April 6, 2027 for Adriana Mendoza.

The following was observed during the inspection:

This is a single story property located in a residential neighborhood comprised of five resident bedrooms and two resident bathrooms. Facility operates within the conditions and limitations specified on the license. LPA observed two caregivers on duty caring for four residents of which none are receiving hospice services. LPA verified fingerprint clearance and association statuses in which no concerns were noted. LPA along with Admin Kevin toured the interior portion of the facility. All common areas were inspected which includes the detached two car garage. The fireplace is screened. 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 116.6 and 115.5 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 exit gate on one side of the property is 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