Facility Evaluation Report, 08/06/2024 — Glorious Home #3, Mission Viejo CA

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the Required Annual Inspection. LPA was greeted and granted entry by facility caregiving staff after introducing himself and stating the purpose of the inspection. Administrator Jeena Sharma was also present and able to assist with the visit. The facility is currently undergoing a change of ownership with a pending application that was submitted in the days prior to the present annual. No pending license number has been provided at this time.

During the inspection, LPA and administrator conducted a tour of the physical plant and observed the following: The facility is a one-story home with two private bedrooms, two shared bedrooms and two shared bathrooms in addition to the facility's common living areas. All resident bedrooms have the required furnishing, bathrooms are equipped with grab bars and slip mats. LPA observed all beds have linens and blankets.

The backyard has a shaded area and the route of egress is free of clutter and obstructions. There are currently five residents admitted to the facility, two of which are currently receiving hospice care, with one of these pending discharge from hospice. Residents are observed to be clean and appear well taken care of. Various activities are observed to be provided over the course of the visit. Bathrooms faucets and toilets are operational. Water temperature was verified to be within the required range. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted, however the facility is currently using form LIC610D which has been replaced by a new version, which was provided at the conclusion of the visit. Fire drills are conducted quarterly but are not being documented at this time. Smoke and carbon monoxide detectors tested operational. One fire extinguisher present is observed to be fully charged however maintenance is observed to have lapsed in April 2024.