Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an announced visit to conduct the pre-licensing inspection. LPA met with applicant Maricel Nepomuceno and Administrator Rosendo Carlo Miranda

An initial application to operate a Residential Care Facility for the Elderly (RCFE) was submitted to CCL on August 29, 2023. The facility is to have a capacity of 6, of which 6 can be nonambulatory and zero bedridden. Applicant has requested a hospice waiver for 6 residents. Facility phone number 949-490-4062.

This is a change of ownership. There are 5 residents in care at the facility.

The facility is a two story house with an attached 2 car garage with 6 bedrooms (1 is for staff, upstairs), 6 bathrooms, 1 dining room, a kitchen and living room. There are 7 exits, one exit door in each downstairs bedroom, the front door, and an exit door in the main hallway by the staircase. The facility is a two-story home. LPA did not observe an evacuation chair mounted next to the top of the stairway.

The facility has a central heating system. Each resident room has it's own air conditioner.

There are 5 Resident Bedrooms. Room number 2 is a shared room. The bedrooms are spacious and will easily accommodate the residents' belongings. All resident rooms had the required furnishings.

The second floor bedroom is the designated staff bedroom.