Facility Evaluation Report

Agape Luxury Home, Placentia07/26/2023Licence 306006346

Capacity6
Date signed07/27/2023 04:36:02 PM
The inspector’s account

Licensing Program Analyst (LPA) Dwayne Mason Jr. made an announced inspection to the facility for purpose of conducting a pre-licensing inspection. LPA arrived at the facility at 9:00am and was greeted and granted entry by designated Administrator (AD) Andreea Moldovan. An application to operate a Residential Care Facility for Elderly (RCFE) for (6) capacity, (2) ambulatory, (3) non-ambulatory, and (1) bedridden clients was received by Community Care Licensing (CCL) on 2/28/2023.

The facility is located in a home behind the Administrator’s residence. The back house was built prior to AD moving in. AD showed LPA the permit allowing for two houses to be built on the same lot. LPA observed a sign on the fence nearest to the sidewalk directing facility residents and facility visitors to the back house. LPA obtained photos of the outside of the back house. The facility is a one-story home with three resident bedrooms, two bathrooms, living room, kitchen, dining room and outdoor seating areas. There are three seating areas outside between the facility and the AD’s residence. One of these seating areas is shaded. LPA observed the See Something, Say Something poster (PUB 475) in the facility mounted on the wall in the living room. There are two exit gates on each side of AD’s residence. LPA observed these exits to be accessible from the facility. LPA did not observe any obstacles or hazards leading to the outdoor exits or outside of the facility.

All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. There is auditory signal sent out whenever one of the doors leading outside of the house is opened.

Toxins: LPA observed chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to client and will be stored and locked in cabinets under the sink the bathroom and kitchen.

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