Senior Care Records.A MITRYXA product
For operatorsSign in

Facility Evaluation Report

Mydor's Open Guest Homes, INC. V, Nipomo03/12/2026Licence 405801849

Capacity6
Census2
Date signed03/12/2026 11:36:37 AM
Name of licensing program analystMelisa Rankin
Name of licensing program managerKelly Burley
The inspector’s account

Licensing Program Analyst (LPA) Rankin arrived at 9:22 am to conduct a 1 year annual visit to the facility above. LPA met with Administrator Amelita Antonio and Juanito Pasion and explained the purpose of the visit.

A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit:

Physical Plant & Environment Safety: The fire extinguisher was last charged and inspected on 2/25/26. The facility has 4 resident bedrooms and 2 bathrooms currently occupying 2 residents. The facility has smoke and carbon monoxide detectors which were tested and working at time of visit. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The showers have non-skid flooring. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant and cleaning solutions are inaccessible to residents in care and locked in laundry room cupboards. The facility has sufficient space inside and outside for activities and visiting. The facility has a fenced backyard for client use with plenty of shade. The facility has telephone and internet service for resident use.

Operational Requirements: The Facility is operating in compliance with the granted fire clearance. The facility has current liability insurance and expires on 12/30/26. The facility is approved for a capacity of 6. The fire clearance is granted for 6 Non-Ambulatory of which 2 may be bedridden. Hospice is approved for 4.

Staffing, Records & Training: The facility currently employs 1 full-time and 2 Administrators and has additional on call staff if needed. Staff records are kept confidential. Files reviewed had current 1st Aid, Personnel Records/Application, Health screening with TB results, Criminal Record statements, and Fingerprint clearance/Associations/exemptions. Current Administrator Certificates will expire 08/02/27 and 03/22/28. Staff have annual training completed for all subjects/topics and hours for 2025. Continued 809-C

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