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Facility Evaluation Report

Century Guest Home, the, Santa Ana11/06/2025Licence 300606285

Capacity6
Census2
Date signed11/06/2025 11:55:49 AM
Name of licensing program analystBrandon Lopez
Name of licensing program managerSheila Santos
The inspector’s account

On November 6, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Licensee (LI) Liezl Deocampo was notified via telephone but could not arrive to assist with today's inspection. LPA observed that Liezl Deocampo has a valid Administrator certificate which expires on September 14, 2027.

The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents and has a hospice waiver for three. The facility is a single story home with seven bedrooms, two of which are currently used by residents, five bathrooms, a living room, a dining room, a kitchen, a den, and an attached three car garage. LPA, accompanied by a care giving staff, conducted a tour of the interior portions of the facility. On today's visit, LPA observed two resident in care and two care giving staff present. LPA observed residents watching TV in their respective bedrooms. LPA inspected the two resident bedrooms and observed them to be free of hazards. LPA observed resident bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed additional linens to be stored in a hallway closet. LPA inspected the resident bathrooms and observed them to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 115.4 and 116.7 degrees Fahrenheit. LPA observed the staff bedrooms to be kept locked and inaccessible to residents in care.

LPA observed the kitchen has a two day perishable and a seven day non-perishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed the five burner gas stove lights unassisted. LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. CONTINUED ON LIC809-C

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