Facility Evaluation Report, 10/25/2022 — Saddleback F.m.j. Elderly Care Home, Mission Viejo CA

On 10/25/2022 at 11:02am, Licensing Program Analyst (LPA) Jessica Cho arrived at Saddleback F.M.J. Elderly Care Home to conduct an unannounced visit. The purpose of today's visit was to conduct a Required 1 Year with an emphasis on Infection Control. At 11:04am, LPA Cho was greeted and granted entry by Licensee/Administrator (Admin) Maria Jimenez. LPA completed the Coronavirus 2019 (COVID-19) screening procedure and also met with Co-Licensee Francisco Jimenez. Caregiver Maria Reyes was also present today. There are no active COVID-19 cases as of today. Facility documents daily temperatures of visitors on a sign in sheet. COVID-19 symptom checks are conducted and documented daily for residents and staff. LPA observed the required COVID-19 precautionary signs were posted in the entryway. The Complaint Poster (PUB475) met the size requirement. The facility is licensed for six non-ambulatory residents and has a hospice waiver for two. There are currently four residents living in the facility of which one is receiving hospice care.

At 11:13am, LPA Cho conducted a tour of the physical plant with Licensee/Administrator Maria Jimenez. The single story home consists of three resident bedrooms and two resident bathrooms. The are three additional private bedrooms and one bathroom utilized by the Administrator's family. The facility also has a living room, TV Room utilized as a family room, kitchen, laundry room, and garage. LPA inspected the resident bedrooms. The resident bedrooms had the required furnishings.The resident bathrooms were checked. Grab bars were secure, the toilets worked properly, the showers were free of mold/mildew, and non-skid mats were in place. Resident bath towels and personal hygiene supplies were adequately stocked including paper towels and hand soaps. LPA observed hand washing signs in the bathrooms. LPA Cho tested the hot water temperatures and the water temperatures measured at 114.9 degree Fahrenheit in Bathroom #1 and 116.4 degree Fahrenheit in Bathroom #2. LPA Cho inspected the kitchen. Perishable and non-perishable food supplies were checked and adequately stocked at the time of the visit.