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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005196
Report Date: 01/14/2025
Date Signed: 01/14/2025 03:45:52 PM

Document Has Been Signed on 01/14/2025 03:45 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 COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:CASA DEL SOLFACILITY NUMBER:
306005196
ADMINISTRATOR/
DIRECTOR:
MENDOZA, IRVINFACILITY TYPE:
740
ADDRESS:6486 EAST CALLE DEL NORTETELEPHONE:
(714) 602-8234
CITY:ANAHEIM HILLSSTATE: CAZIP CODE:
92807
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
01/14/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Irvin Harris MendozaTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Lydia Martinez made an unannounced visit to the facility to conduct a Required - 1 year inspection. LPA identified herself and was granted entry into the facility by Caregiver Julius Burnos. Administrator (AD) Irvin Harris Mendoza and Administrator Daniel Rescia arrived shortly after. AD Irvin Harris Mendoza's certificate expires on 02/03/2025.

Four residents and one staff were present during today's visit. LPA, along with Caregiver Burnos toured the physical plant. LPA observed the facility to be clean and in good repair. The home is maintained at a comfortable temperature. Resident bedrooms have the required furniture, bed linens and closet/drawer space to accommodate each Resident comfortably. Bathrooms were checked, toilets/water faucets worked properly and showers are free of mold/mildew. Hot water temperature is within regulatory requirements. Bath towels, toiletries and personal hygiene supplies are adequately stocked. Common areas were clean and clear of hazards, and doorways were free of obstructions. Kitchen is clean and organized. Perishable and non-perishable food supply was checked and adequately stocked. LPA observed sharps and cleaning supplies are inaccessible to the residents. Smoke detectors and carbon monoxide detector are operational. Fire extinguisher was fully charged and mounted. No bodies of water were observed outside. Walkways around the home were clear of hazards. Emergency/Fire Drills are conducted quarterly, last one conducted on 11/13/2024. LPA observed emergency supplies including food and water. LPA reviewed 4 resident files and 1 staff file. Medication was observed to be in a centrally stored location and medication reviewed appeared to have been dispensed accurately.

Based on the observations made during today’s visit, no deficiency is being cited. This report was discussed with the Administrator Harris and a copy of the LIC809 and LIC9102 Advisory were sent to email on file.
Lourdes MontoyaTELEPHONE: (714) 748-2936
Lydia MartinezTELEPHONE: (714) 705-6004
DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/14/2025
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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