Senior Care Records.

Facility Evaluation Report

Angel's Haven Care Assisted Living Elsinore LLC, Lake Elsinore12/04/2024Licence 335530240

Capacity6
Census5
Date signed12/04/2024 01:57:57 PM
The inspector’s account

On 12/04/2024 at 08:45 AM, Licensing Program Analyst (LPA) Melody Brown conducted an announced visit to the facility for the purpose of a Change of Ownership evaluation. LPA met with Administrator/Applicant Ricardo Garcia and Administrator Johnny Mazariegos. An initial application for change of ownership to operate a Residential Care for the Elderly facility (RCFE) was submitted to the Central Applications Bureau (CAB) on 06/13/2024 for a total capacity of six (6). Fire clearance was granted on 05/17/2024 for four non-ambulatory and two (2) bedridden residents. LPA Brown observed the following:

Facility was a one-level house with five (5) bedrooms, three (3) resident/staff bathrooms, living room, dining area, laundry room and kitchen. There was an attached car garage observed..

Central heating and air conditioning system installed with a central panel located in the hallway to control the entire house.

Each resident bedrooms accommodate any non-ambulatory resident. All resident bedrooms were adequately furnished with bed, chair, closet, appropriate linens, adequate lighting, and an operable smoke alarm.

The three (3) resident/staff bathrooms have a working toilet, wash basin, and shower with an adequate supply of toilet paper and soap. At 09:45 AM, LPA tested the water temperature in the resident/staff shared bathrooms. LPA verified water temperature was measured at 108.6 degrees Fahrenheit. LPA Brown observed one resident/staff shared bathroom without non-slip mat in the bathtub/shower. Technical Assistance issued. During the visit, Administrator/Applicant Garcia purchased non-slip mat for one (1) resident/staff shared bathroom. Also, LPA Brown observed no night lights maintained in hallways and passages to non-private bathrooms. Technical Assistance issued. During the visit, Administrator/Applicant Garcia purchased the required night lights. ***CONTINUED ON LIC 809C***

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