Senior Care Records.

Facility Evaluation Report

A Mission for Michael, San Juan Capistrano12/09/2025Licence 306005893

Capacity6
Census5
Date signed12/09/2025 12:52:54 PM
Name of licensing program analystKevin Saborit-Guasch
Name of licensing program managerSheila Santos
The inspector’s account

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by a facility direct service provider after introducing himself and stating the purpose of the visit. Compliance staff Kerri Bamper was notified and arrived later to assist with the visit along with Clinical Director David Asch and compliance staff Waylon Georgeson. Residential supervisor Kristina Perez also arrived during the visit and assisted.

There are currently five ambulatory clients in care. Clients are observed either relaxing in their respective bedrooms, receiving meals and participating in group activities in the facility's common living areas. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with three shared bedrooms used by clients in addition to a medication room, therapy room, laundry room, kitchen and living room. The attached garage is used for storage. There are two shared bathrooms used by clients.

All occupied bedrooms appear clean and sanitary. Bathrooms appear clean and sanitary as well. Hot water temperature measured at 108.9F at one of the faucets used for personal grooming. Linen and personal hygiene supplies are verified to be present. All cleaning supplies are stored in a locked cabinet in one of the facility's hallways. The laundry room is locked and used by clients only under staff supervision.

LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. There are no sharp items in the kitchen as all knives used for cooking are brought by the facility's chef and removed from the premises. Additional sharp items are stored in the same cabinet as the medication central storage located in the staff office/medication room.

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