Senior Care Records.

Facility Evaluation Report

Inner Circle Assisted Living #1, LLC, Villa Park08/29/2022Licence 306006166

Capacity6
Date signed08/29/2022 03:34:04 PM
The inspector’s account

Licensing Program Analyst (LPA) Kimberly Lyman made an announced visit to conduct a follow up pre-licensing inspection. LPA identified herself and discussed the purpose of the visit with Administrator/ Licensee Eric Lin. An initial application to operate a Residential Care Facility for the Elderly was received by CCL on 03/04/2022 for a capacity of five non-ambulatory and one bedridden resident.

During the visit, LPA toured the facility and observed the following:

Facility has an ample supply of emergency water stored in the garage.

All facility restrooms have hand washing signs.

Facility provided proof of purchase of outdoor seating with a ship date of 08/31/2022.

Facility has complied with the corrections and is ready to be licensed.

Exit interview conducted and a copy of this report was left at the facility.

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