Routine inspection·September 5, 2025

Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced required visit to the facility for the purpose of conducting the required annual inspection. LPA Rodriguez explained reason for visit and was greeted and granted entry by staff on duty. During the visit, LPA met with facility administrator (AD) Juan Garcia Trujillo about visit. For this visit, there are 2 staff members on duty, of who are background cleared and associated. The PUB475 "See Something, Say Something" poster was observed to be located in the hallway LPA observed the Administrator's Certificate for Juan Garcia Trujillo which expired on 2/7/2023, however, AD provided proof to LPA of ongoing renewal classes and fees, to which LPA observed were active. LPA toured the interior and exterior portions of the facility with AD Trujillo The facility is a two-level structure and is licensed for 6 non-ambulatory residents, of which 0 may be bedridden and 2 may be on hospice. For this visit, there are a total of 3 residents in care, of which 1 is on hospice. On the first floor, there are a total of 3 resident bedrooms, of which all are shared rooms, and 1 bathroom. LPA toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. On the second floor, there are a total of 2 bedrooms and 1 bathroom, of which is only designated for staff use. LPA observed that there are no residents or resident belongings residing on the second floor. Water temperature in restrooms were measured to be at 110.1 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the kitchen. Fire extinguishers were dated and tagged for the date of February 2025. LPA observed the emergency disaster and evacuation plan, which is posted at the entrance of the facility. Facility had back-up emergency food and water supply, located in the garage. LPA observed that First Aid Kit had all the required components. Medications and toxins were also observed to be locked and inaccessible to residents in care. For the exterior portion, LPA observed patio furniture under shading, and the grounds were free of any hazards. There are two gates in the backyard, which both are self-closing and self-latching. AD Trujillo currently has plans to demolish the pool and to have placement and compaction of backfill material (landscape concrete), to make the ground flat. AD provided LPA the inspection record and the active building city permit from Lake Forest, of which was issued on 9/4/2025. AD Trujillo provided understanding to LPA that the modified floor plans are to be sent to the Department. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. No citations were issued. An exit interview was conducted with AD Trujillo. A copy of this report was provided and explained.