Facility Evaluation Report

On May 4, 2026, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced case management visit for a Health and Safety check. Upon arrival at the facility, LPA Kim met with Administrator Eleazar Cuyson and explained the purpose of the visit.

LPA Kim conducted a health and safety check with ADMIN Cuyson. During the visit, LPA toured the facility and observed the following: LPA observed two staff on duty providing care to five residents. Facility maintained ample 2-day perishables and 7-day non-perishables in the kitchen. Staff stated food gets delivered one time per week. Resident hygiene supplies are stored in their bathrooms and extra supplies in the garage. The indoor temperature measured at 74 degrees F. All smoke detectors and carbon monoxide detectors were operational. The fire extinguisher mounted in the kitchen and in the hallway were last serviced on March 23, 2026. All emergency disaster supplies were prepared and available in the garage. Facility land line, (949) 490-4062 was tested and remains available. Utilities are all in working order as well as kitchen appliances. No obstacles or hazards observed in the backyard. The backyard and the front yard grass has been mowed today during the visit. All staff on LIC 500 are cleared and associated to the facility. LPA conducted interviews with two residents and four staff. Residents interviewed stated satisfaction with facility services and denied any issues with food supply or utilities. LPA Kim reviewed and received copies of the facility staff roster and resident roster. Certificate of Liability insurance is effective on April 8, 2026, to April 8, 2027.

An exit interview was conducted, and a copy of this report was provided to Caregiver Angelo Sanguyo.