Facility Evaluation Report

Licensing Program Analysts (LPA) Alvaro Ramirez, Jr. conducted an announced visit to the facility to conduct the pre-licensing inspection. LPA met with Applicant Katrina Buller and toured the facility.

An application for Change of Ownership (CHOW) to operate a Residential Care Facility for the Elderly (RCFE) was submitted to Community Care Licensing (CCL) on February 14, 2024. The facility is to have a capacity of six, of which five can be nonambulatory and one bedridden. Facility phone number 714-749-6629. LPA observed the following.

The facility is a one-story house with five resident bedrooms, three full size bathrooms, one half bathroom, a living room, a kitchen, a dining room, and an attached car garage. LPA observed the See Something, Say Something poster (PUB 475) in the facility mounted on the wall in the entranceway. There is a backyard with an exit gate on each side of the house. There is a shaded seating area and LPA did not observe any obstacles or hazards in the backyard.

Central air/heating system installed with a central panel to control entire house.

There are five resident bedrooms. All resident bedrooms had the required furnishings. LPA observed all beds had linens and blankets.