Senior Care Records.

Facility Evaluation Report

Sam's Homecare, Yorba Linda08/11/2025Licence 306004176

Capacity6
Census4
Date signed08/11/2025 11:13:46 AM
Name of licensing program analystEdward Kim
Name of licensing program managerLourdes Montoya
The inspector’s account

On August 11, 2025, at 9:00 AM, Licensing Program Analysts (LPA) Edward Kim arrived to complete the required 1-year annual visit that started August 4, 2025. LPA Kim met with Administrator Juhayna Diaz and explained the purpose of today's visit.

During the visit, LPA Kim conducted a full audit of all staff files and medication and medication administration record that were all in order and complete. LPA conducted interviews with two staff and two residents. The first aid kit was reviewed and contained all the required items. LPA observed the facility has a tablet that has internet capability and video conferencing technology dedicated to the residents.

No deficiencies were cited during this visit.

An exit interview was conducted, and a copy of this report was provided to Administrator Juhayna Diaz.

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