Facility Evaluation Report, 03/30/2023 — Epic Assistance Care Home, Mission Viejo CA

Licensing Program Analyst (LPA) Lydia Martinez made an unannounced visit to conduct a Required – 1 Year Annual inspection. Upon arrival LPA was greeted and granted entry by Carestaff AnnaMarie and Darwin Gamboa. LPA began inspection with introduction and visit purpose. There are currently 6 Residents residing and present at the facility. Facility currently has 4 Residents receiving Hospice care. Administrator (AD) Liza Mesdjian arrived shortly after.

LPA along with Carestaff AnnaMarie conducted a tour of the inside and outside of the facility. LPA observed the facility to be clean and in good repair. The home is maintained at a comfortable temperature for the Residents. Lighting is sufficient for safety and comfort. The facility is a one story, 7 bedroom, 8 bathroom home with a dining room, living room, kitchen, and attached garage. There is a back yard with a patio table and chairs and a canopy for shade. Resident bedrooms were observed to be spacious and easily accommodate furnishings such as lamps, chair, dresser and a bed. Bathrooms were clean, faucets, showers and toilets were operational. Hot water in bathrooms was within regulatory requirements. Linen and hygiene supplies were stocked in hallway closets. Emergency Phone Numbers and Exit Plan were reviewed. Food prep areas are clean and organized. Food supply meets the requirement of one (1) week supply of non-perishable and two (2) day supply of perishables. Emergency food and water supply is available. Smoke and Carbon Monoxide detectors are centrally wired and were found to be operational. Fire Extinguishers were charged and mounted, last serviced on 02/28/2023. Stove burners, microwave, dishwasher, washer, and dryer are operational. There is a locked location for chemicals and sharps in the kitchen. Laundry is done in the laundry room. The garage is used for storage. Medications are centrally stored and locked in a locked kitchen cabinet. LPA reviewed medication for Residents. Medications reviewed appear to have been dispensed accurately.