Routine inspection·September 4, 2025

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver Chris Obana after explaining the purpose of the visit. Licensee/Administrator (Admin) Grace Radford arrived shortly and was advised of the visit. The facility is a single story structure located in a residential neighborhood. Facility operates within the conditions and limitations specified on the license. LPA observed four residents in care of which two are receiving services under hospice with three caregivers on duty. The following was observed during the inspection: LPA observed the facility to be clean, sanitary, and operational. There are six resident bedrooms and four resident bathrooms. There is one additional bedroom dedicated to two staff. All common areas were inspected including the attached two car garage. The residents' bedrooms were appropriately furnished. Beds and bedding supplies were in good condition, adequate lighting was provided, sufficient storage space for each residents' personal belongings were observed. Bathrooms were found to be in compliance, clean, and operational. The water temperature measured at 107.0, 106.1, 106.3, and105.3 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. There is a small fountain and secured shed in the backyard. LPA observed the outdoor passageway free of obstruction. The exit gates were self-closing and self-latching. LPA observed sufficient seating and shading. Facility maintains two fire extinguishers. Both were mounted, charged, and serviced on May 14, 2025. The auditory devices and smoke/carbon monoxide detectors were tested and operational. LPA observed the emergency disaster supplies including food/water in the garage. Emergency evacuation drills are being conducted quarterly with the last date on July 8, 2025. The first aid kit contains all necessary elements. A working facility telephone number, 949-215-3090, remains available. LPA observed the required 'See Something, Say Something' (PUB475) poster in the correct size posted in the entry way. The Administrator's Certificate for Grace Radford expires on January 28, 2026 and April 21, 2027 for Andy Radford. LPA conducted an audit of four residents' files and three personnel files. No discrepancies were noted. Medications were audited for four residents. No discrepancies noted. Based on the observations made during today's visit, no deficiency is being cited. An exit interview was conducted with Licensee/Administrator Grace Radford, and a copy of this report was provided at the end of the visit.