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25 | Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA explained the reason for the visit. Facility is licensed for a capacity of 6, of which 5 can be non-ambulatory and 1 bedridden in bedroom 1 only and a hospice waiver for 3. Facility is operating within it's license. Facility has 6 resident rooms, 1 staff room, 3 bathrooms, living room with a screened fireplace, dining room, kitchen and a 2 car garage. Facility has a new phone number, 949-503-2404. LPA and staff toured the facility. 4 residents and 2 staff were present during the visit. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. Knives are kept locked in a kitchen drawer. LPA observed medications are kept locked in a kitchen cabinet. LPA observed there is no See Something Say Something poster (PUB 475) posted in the facility. The Administrator observed all the occupied resident rooms (4) had the required furnishings and bed linens. Smoke detectors/carbon monoxide detectors tested operational. The garage is kept locked and used for storage. LPA and staff toured the backyard. No bodies of water observed. There is shaded seating for the residents to sit outside. Both exit gates are operational. During the visit the Administrators Ruth and Chet Khay arrived. Ruth Khay's Administrator's Certificate expires on 1/19/2026. LPA reviewed 2 staff files. Both staff members are background cleared and associated to the facility. Both staff members have the required training including CPR/First Aid training. LPA reviewed 4 resident files and medications. No discrepancies observed. LPA consulted with the Administrators regarding reporting requirements. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided. |