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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306004645
Report Date: 02/20/2025
Date Signed: 02/20/2025 10:38:03 AM

Document Has Been Signed on 02/20/2025 10:38 AM - 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 COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:ORANGE HILL QUALITY CARE, LLCFACILITY NUMBER:
306004645
ADMINISTRATOR/
DIRECTOR:		LUIZA MICUFACILITY TYPE:
740
ADDRESS:113 S. ORANGE HILL LANETELEPHONE:
(714) 998-8264
CITY:ANAHEIM HILLSSTATE: CAZIP CODE:
92807
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 5DATE:
02/20/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
07:06 AM
MET WITH:Administrator Luiza MicuTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On February 20, 2025, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Administrator (Admin) Luiza Micu arrived shortly after to assist with the facility inspection on today's date.

The facility is licensed for six (6) bedridden residents with approved hospice waiver for six (6) residents. Currently, there are three (3) Hospice residents present during today’s visit.

This is a single story with a attached garage home. The facility has five bedrooms, two full bathrooms and two half bathrooms.

At around 7:50 AM, LPA conducted a tour of the physical plant accompanied by Administrator Luiza Micu, and the following was observed: Facility has backyard pool on the premises with enclosed fence. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at between 110.4 to 113.0 degrees F. A comfortable temperature of 73 degrees F. was maintained in the facility.



LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, toxins and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Facility has emergency food and water supply. Facility has two fire extinguishers which were charged and fully mounted. A review of the Medication Records Administration (MAR) was conducted, and LPA observed the records are in compliance.

CONTINUED on 809C
Lourdes MontoyaTELEPHONE: (714) 703-2870
Jenifer TirreTELEPHONE: (714) 401-6844
DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: ORANGE HILL QUALITY CARE, LLC
FACILITY NUMBER: 306004645
VISIT DATE: 02/20/2025
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During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations upon entrance. LPA observed the facility has a supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted.

LPA observed a working land line phone was operational. The last fire drill was conducted on 11/16/2024. The facility had operational smoke and carbon monoxide in bedrooms and common areas. The facility has current liability insurance on file effective 8/1/2024 - 8/1/2025.

A review of five residents (R1-R5) service files and three staff (S1-S3) personnel files revealed to be complete. The facility has the current administrator's certification on file for Luiza Micu # 7008540740 - Expiration 9/24/2025.

No deficiencies during this inspection visit.

An exit interview was conducted with Administrator Luiza Micu, and a copy of the report was provided.
SUPERVISOR'S NAME: Lourdes MontoyaTELEPHONE: (714) 703-2870
LICENSING EVALUATOR NAME: Jenifer TirreTELEPHONE: (714) 401-6844
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025
LIC809 (FAS) - (06/04)
Page: 2 of 2