Inspector’s narrative
What the inspector wrote
Licensing Program Analyst (LPA) Tuesday Cabiness conducted a PRE-LICENSING visit to the above address 26805 Cuatro Milpas St, Valencia, CA 91354. LPA met with Administrator Rowena Lamban. The inspection included, fire safety, personal accommodations, building and grounds, furniture/equipment, food service, and inside and outside of the facility. The garage has a permitted junior ADU (accessory dwelling unit) that connected to the main property. It is a studio dwelling, that has room, bathroom, and kitchen. Fire Inspection was approved on November 05, 2025 which met fire department requirements for (4) non-ambulatory and (1) bedridden room. Room # 4 is identified as bedridden, which includes an exit door. Fire doors are installed. Facility currently does not have a hospice waiver request; Administrator will follow-up with the applications unit. Dementia waiver has not been decided at this time. Facility sketch, emergency disaster plan, complaint procedures, personal rights, emergency exit plan, and other required Licensing documents were visibly posted.
The physical plant was toured inside and out with Administrator. The facility is a one level home, with (5) bedrooms; (2) shared, (2) private, and (1) staff/office room. There are (2) bathrooms. Food supply was inspected and observed, and storage areas, cabinets, pantries, cupboards counters, and refrigerator were clean and appropriate for food preparation. Knives and medication were stored in cabinets located in the kitchen area. Appliances were clean and functional, and utensils, plates, and cups were in good repair. Cleaning supplies, poisons, toxins and chemicals were locked and stored in the laundry room. There was enough supply of linens and towels.
The common areas included the dining, living, bathroom, bedrooms, and staff office. Doors and passageways were clear and unobstructed. Walls, ceilings, floors, window screens and all other rooms were clean, in good repair, and appropriately furnished. Resident rooms observed to have a mattress with pad,
sheets, pillow, bedspread, dresser, closet space, and chair. Bathrooms were clean had functional fixtures, with soap and towels, non-skid mats, and grab bars. The water temperature measured at 109.4 degrees Fahrenheit. The back yard is completely fenced with (3) exit gates that easily accessible and unlocked. There are no swimming pools or other bodies of water, no visible hazards around the surrounding grounds. Patio furniture with covering available for resident's use.
Smoke detectors and carbon monoxide were hardwired and operating correctly. Fire extinguisher is fully charged. Telephone installation was completed and operating. First aid kit inspected. Activities and games are available. Staff and client files are stored in the staff/office room.
COMP III was completed during the visit.
Exit interview conducted and copy of report provided to Administrator.
