Facility Evaluation Report

Licensing Program Analysts (LPA) Jerome Haley conducted an unannounced visit to the facility to complete the required Annual inspection. LPA Haley met with Licensee/Administrator Raul Reyes and Imelda Reyes and toured the facility.

The facility has a capacity of 6, of which 5 can be non-ambulatory and 1 may be bedridden. The facility phone number 714.340.3341

Structure : The facility is one level structure with five bedrooms. Currently four bedrooms are being occupied by residents and 1 bedroom is being used by staff.

Kitchen: Clean and organized. Sharps locked under the stove. A perishable food supply was observed in the refrigerator and freezer. Non-perishable food supply was observed in the cabinets.

There’s one stove with 4 burners, a refrigerator, dishwasher, microwave, washer, and dryer. All appliances are clean and operational.

All cleaning supplies and chemicals are locked under the kitchen sink. An additional supply of hazardous cleaning items are locked in a cabinet in the garage.

Medications, First-Aid Kit: Resident medications are locked in a filing cabinet in the office area next to the front door. There’s a brand new first aid kit in on the desk in the office area.

Resident & Staff Files : The Resident and Staff Records are kept in the office area with the medications and the first aid kit.

Bedrooms: Resident bedrooms were clean, organized and were in compliance with regulation guidelines.

Bathrooms: Both bathrooms have a working toilet, wash basin and shower. Grab bars were tightly secured to the wall.