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Facility Evaluation Report

Hillside Senior Living, Lake Elsinore04/02/2025Licence 331881050

Capacity6
Census5
Date signed04/02/2025 12:53:51 PM
Name of licensing program analystMelody Brown
Name of licensing program managerEfren Malagon
The inspector’s account

On 04/02/2025 at 09:15 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct the required comprehensive annual inspection. LPA Brown met with a staff and was granted entry to the facility. Licensee/Administrator Jennifer Nguyen was informed of the visit. LPA Brown informed Licensee/Administrator Nguyen of the purpose of the visit. At the time of the visit there were three (3) staffs present, and five (5) residents present.

The facility is a four (4) bedroom, two (2) bathroom home with a kitchen/dining area, living room/activity room, laundry room and an attached garage. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of six (6) non-ambulatory residents of which one (1) may be bedridden. The facility’s approved for six (6) hospice waiver. The current census is five (5) residents. LPA Brown was accompanied by Licensee/Administrator Nguyen to conduct a general overall inspection, which included, but was not limited to the following:

Physical Plant : The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 72 degrees Fahrenheit (F). LPA Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. However, LPA Brown noted that there's no non-slip mat in residents' shared bathroom. Deficiency will be issued. LPA Brown observed sufficient furniture and lighting throughout the facility. LPA Brown measured and observed the water temperature in the resident bathroom to be at 110.8 degrees F. The facility is equipped with operating combined smoke detectors and carbon monoxide alarms. Charged fire extinguisher was also observed at the facility. Posters such as personal rights, the CCLD complaint poster, Ombudsman poster, and the disaster plan were posted in a common area. ***Continuation in LIC809C ***

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