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Facility Evaluation Report

Divine Residential Home, Lake Elsinore12/09/2025Licence 331881149

Capacity4
Census2
Date signed12/09/2025 02:14:34 PM
Name of licensing program analystHannah Rodgers
Name of licensing program managerEfren Malagon
The inspector’s account

Licensing Program Analyst (LPA) Hannah Rodgers conducted an announced case management visit to cite deficiencies observed during a complaint visit that are unrelated to the complaint allegations. LPA identified herself to, was greeted by, and explained the purpose of the visit to Staff Muideen Salami.

During the unrelated complaint visit, review of facility records revealed that the last employee schedule was dated January 1, 2024 and interviews revealed that it was inconsistent with the current facility staffing.

Therefore, a deficiency is being cited per California Code of Regulations Title 22 and noted on the attached LIC809-D page.

An exit interview was conducted with Staff Muideen Salami, to whom a copy of this report, and the Licensee Appeal Rights (LIC9058 3/22).

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