Pre-licensing visit·May 13, 2025

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the pre-licensing inspection. LPA met with applicant Mary Dee Motter. An initial application to operate an Residential Care Facility for the Elderly (RCFE) for 6 non-ambulatory residents was submitted to Community Care Licensing (CCL) on September 6, 2024. Structure . The facility is a one story house with 6 bedrooms, 1 staff room, 6 bathrooms, living room, laundry room, kitchen, dining room and an attached 2 car garage. LPA observed games and puzzles stored in cabinets in the activity rooms. LPA observed the fire extinguisher in the laundry room is fully charged. LPA observed the fireplace in the living room has been closed and is no longer operational. LPA observed the See Something, Say Something sign posted next to the front door. Facility phone number is 949-503-1939. Furniture , LPA observed all the resident rooms have the required furnishings. Bathrooms . Facility has 6 bathrooms and all bathrooms are clean and operational. Water Temperature . LPA measured the hot water at 111.9 degrees Fahrenheit. Emergency Phone Numbers & Exit Plan . Posted at the main entry of the facility. Appliances . LPA observed the cook-top stove, oven and refrigerator are all clean and operational. Food Service . LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the ktichen. Toxins and cleaning supplies are kept locked in the garage. Clients & Staff Files are stored in a cabinet in the dining room. Medications are kept locked in a kitchen cabinet. First-Aid Kit & Book are kept in the linen closet. LPA observed the first aid kit has all the required elements. Reading Material, Games, Equipment & Materials . There are board games and reading material in the living room. Fire clearance , the fire clearance was approved by Orange County Fire Authority on October 30, 2024 for 50 ambulatory clients. Backyard . LPA observed no bodies of water. There is a table with an umbrella and chairs for residents to sit outside The exit gate is latched and operational. No obstacles or hazards observed in the backyard. Smoke Detectors /Carbon monoxide detectors tested operational. Component III: Conducted with the applicant. Information provided on how to operate the facility in compliance with Title 22. No deficiencies observed. The facility is ready to be licensed. LPA informed the applicant that final approval for licensure will be approved by CAB in Sacramento. Exit interview was conducted and a copy of this report was provided to the applicant.