Facility Evaluation Report, 12/09/2025 — Pleasantview Home, the, Mission Viejo CA

Facility Evaluation Report

Pleasantview Home, the, Mission Viejo12/09/2025Licence 306004782

Capacity6

Census5

Date signed12/09/2025 02:30:00 PM

Name of licensing program analystKimberly Lyman

Name of licensing program managerAlisa Ortiz

The inspector’s account

Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced visit to the facility for the purpose of a Plan of Correction (POC) visit, based upon the deficiencies cited in LIC form 809D on 12/02/2025. LPA was greeted and granted entry into the facility and explained the reason for the visit.

*Deficiency cited under Title 22 Regulation 87202(a) pertaining to Fire Clearance has been cleared. Licensee removed bed from storage area. Licensee has complied with the terms of the POC.

*Deficiency cited under Title 22 Regulation 87309(a) pertaining to Storage Space has been cleared. LPA observed toxins are secured. Licensee has complied with the terms of the POC.

*Deficiency cited under Title 22 Regulation 87309(a)(2)(A) pertaining to Storage Space has been cleared. Licensee provided proof of correction. Licensee has complied with the terms of the POC.

*Deficiency cited under Title 22 Regulation 87307(e)(1)(A) pertaining to Personal Accommodations and Services has been cleared. Licensee has provided proof of correction. Licensee has complied with the terms of the POC.

*Deficiency cited under Title 22 Regulation 87456(a)(6) pertaining to Incidental Medical and Dental has been cleared. Licensee provided proof of correction. Licensee has complied with the terms of the POC.

Licensee has been advised to maintain all items especially those that were previously deficient in the facility in accordance with Title 22 Regulations.

Copy of this report was provided to the facility.

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