Senior Care Records.

Facility Evaluation Report

A Mission for Michael, San Juan Capistrano07/16/2026Licence 306005813

Capacity6
Census2
Date signed07/16/2026 02:33:01 PM
Name of licensing program analystKimberly Lyman
Name of licensing program managerAlisa Ortiz
The inspector’s account

Licensing Program Analysts (LPAs) Kimberly Lyman and Andrea Mendivil made an unannounced Plan of Correction (POC) visit to the facility for the purpose of following up on citations issued on LIC form 809D dated 07/03/2026. LPAs were greeted and granted entry into the facility and explained the reason for the visit.

*Deficiency cited under Title 22 Regulation 81087(c) pertaining to Buildings and Grounds has been cleared. Exit door is clear during today's visit. Licensee has complied with the terms of the POC.

Licensee has been advised to maintain all items especially those that were previously deficient in the facility in accordance with Title 22 Regulations.

Copy of this report was provided to the facility.

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