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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300607488
Report Date: 01/18/2023
Date Signed: 01/18/2023 12:44:38 PM


Document Has Been Signed on 01/18/2023 12:44 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE & INLAND A/SC, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868



FACILITY NAME:HERITAGE POINTEFACILITY NUMBER:
300607488
ADMINISTRATOR:MIKE SILVERMANFACILITY TYPE:
740
ADDRESS:27356 BELLOGENTETELEPHONE:
(949) 364-9685
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:225CENSUS: 123DATE:
01/18/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Georgianna Mendez, AdministratorTIME COMPLETED:
01:00 PM
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On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch conducted a case management visit for the purpose of inspecting the recently updated Sage wing of the facility. LPA was greeted and granted entry by Administrator Georgianna Mendez after explaining the purpose of the visit.

At approximately 11:35am, LPA accompanied by administrator toured the physical plant of the Sage wing. New construction was delivered on November 15, 2022 and includes a mix of three (3) shared, three (3) studios and three (3) one-bedroom units, along with a kitchen/dining room where meals from the central kitchen are brought up, stored and served to the residents. LPA also observed a centralized Nurse station, a laundry room for the exclusive use of facility staff, secured by a facility fob, restrooms and a spa equipped with a shower and walk-in jetted bath tub.

At the time of the visit, only one unit is occupied by one resident. Another unit was briefly allocated to a resident on hospice who later moved out and passed away at home.

Most units are not yet furnished as most residents wish to be able to bring in their own furniture upon moving into the facility. The occupied and model units are however observed to include all required items of furnishing. In-unit bathrooms are observed to be equipped with grab bars and non-slip floor surfaces. Individual climate control is observed in the units and shared areas with current temperatures observed to be within acceptable range.

Based on the observations made during today’s case management visit, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with facility representative and a copy of this report was provided and left at facility.
SUPERVISOR'S NAME: Sheila SantosTELEPHONE: (714) 334-2062
LICENSING EVALUATOR NAME: Kevin Saborit-GuaschTELEPHONE: (714) 497-8754
LICENSING EVALUATOR SIGNATURE:
DATE: 01/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/18/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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