Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway conducted an announced Pre-Licensing Inspection to the above listed facility. Upon arrival LPA met with Administrator, Estrella “Lillian” Alarcon. Entrance interview conducted.

An application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on 08/30/2024. A Fire Clearance was approved on 12/02/2024, however further clarification is need it regarding capacity designation. This pending facility has a dementia care program and a pending hospice care waiver for 6 (six) residents.

The proposed physical plant is a one (1) story single family dwelling located in a residential neighborhood of Camarillo, CA. This facility will be housing residents with dementia. There are no client residing in the facility at the moment. This facility doesn’t have a staff room, facility will provide 24/7 care. Administrator will provide an updated facility sketch (LIC 999) changing floor plan to reflect “garage” instead of “staff room”.

The facility consists of six (6) bedrooms. Each bedroom has its own bathroom; however, bathroom located in Room #6 will be shared with staff and visitors. At the time of the visit, LPA informed Administrator that a door is required to separate the bedroom in Room #6 from the shared bathroom. This measure is necessary to ensure the privacy of residents occupying the bedroom.

LPA inspected facility for Fire Safety, Personal Accommodations and Services, Medication Procedures, and Food Service.