Senior Care Records.

Facility Evaluation Report

Leriza's Guest Home, San Clemente04/22/2025Licence 306003713

Capacity6
Census4
Date signed04/22/2025 10:34:29 AM
Name of licensing program analystKimberly Lyman
Name of licensing program managerAlisa Ortiz
The inspector’s account

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Leriza's Guest Home. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the home and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents, of which one may be bedridden. Facility has an approved hospice waiver for 5 residents and the home currently has 2 residents on hospice care. Administrator Mariza Oliva has a current administrator certificate expiring on 05/24/2026.

LPA Lyman along with Caregiver Dulce Fernandez toured the facility at 8:01 AM. LPA toured the physical plant, checked food service, reviewed records and the first aid kit. Facility appears to be clean, safe, and sanitary. The home consists of four resident bedrooms, one resident restroom, two common restrooms, one staff room, living room, dining room, and kitchen. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. LPA observed one resident with full bed rails. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 102.3 and 109 degrees F in all facility restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked in a kitchen drawer. Kitchen appliances are operational during today's visit. LPA observed facility has a protective mechanism on the cook top burners. Smoke detectors and Carbon Monoxide detectors are hardwired and tested operational during today's visit. Fire extinguishers are fully charged. LPA toured the outside grounds and there is ample shaded seating for residents. Exit gates are unlocked and self latching. LPA observed ample emergency food and water supply. LPA reviewed the emergency disaster plan during the visit. CONT ON LIC809-C DATED 04/22/2025

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