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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 335530201
Report Date: 05/21/2024
Date Signed: 05/21/2024 10:28:35 AM


Document Has Been Signed on 05/21/2024 10:28 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
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507



FACILITY NAME:ALL YOUNG AT HEART LLCFACILITY NUMBER:
335530201
ADMINISTRATOR:OREGEL, MIGUELFACILITY TYPE:
740
ADDRESS:692 VIA JOSEFATELEPHONE:
(714) 913-8584
CITY:CORONASTATE: CAZIP CODE:
92882
CAPACITY:6CENSUS: 0DATE:
05/21/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Miguel Oregel TIME COMPLETED:
10:45 AM
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Licensing Program Analysts(LPA) Mary Rico conducted an announced Pre-Licensing visit to the facility. LPA met with Facility Administrator Miguel Oregel. The pending application is for an Residential Facility Elderly. The facility has been granted a fire clearance for a total capacity of five (5) non- ambulatory and one (1) bedridden on 3/4/2024. The Administrator accompanied LPA on a tour of the inside and outside of the facility. The home is a four (4) bedroom and (2) two bathroom and with a living room, dining room, and kitchen. The home has a private unit located in the garage. The private unit is not part of the facility. The physical plant, in general, was in good repair. The buildings and grounds are free from hazards. The indoor and outdoor passageways are free of obstruction. There are no pools, bodies of water, firearms, or ammunition. All bedrooms are furnished with a bed, night stand, dresser, and chair. All bedrooms have adequate lighting for clients use. Bathroom's toilet, shower and tubs are in good repair and have non-skid mats. LPA measured and observed the water temperatures in the bathroom to be at 110 degrees F. LPA observed food storage and preparation areas to be clean and sanitary. Refrigerator and freezer are maintained at appropriate temperatures. All appliances are clean and operating properly. Dishes, glasses, and utensils were in good condition. There is a sufficient supply of linens, towels, and personal hygiene items. The first aid kit was reviewed; all items are present. The backyard is completely enclosed with functioning gate to exit to front yard. The outdoor space is suitable for client use. LPA observed fully charged fire extinguisher present in the facility. Smoke alarms and carbon monoxide are present and functional. Medications are stored and secured in a locked cabinet inaccessible to clients. The facility had a designated area for staff and client records. Emergency disaster plans, personal rights, and complaint procedures were posted in a prominent area. There is adequate seating in the common areas. Facility had a supply of activities for the clients.

Pre-licensing inspection is complete, and no corrections are needed to be made.

An exit interview was conducted, and a copy of this report was provided to Administrator Miguel Oregel.

SUPERVISOR'S NAME: Efren MalagonTELEPHONE: (951) 248-0337
LICENSING EVALUATOR NAME: Mary RicoTELEPHONE: (951) 248-0293
LICENSING EVALUATOR SIGNATURE:
DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/21/2024
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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