Pre-licensing visit·November 13, 2025

Licensing Program Analysts (LPA) Jerome Haley made an announced visit for the purpose of conducting a pre-licensing evaluation. LPA Haley was greeted and granted entry by Applicant Jasmine Garcia. Initial application: To operate a Residential Care Facility for the Elderly (RCFE), with a capacity of six (3 ambulatory & 3 non-ambulatory) residents, was submitted to the department for licensure. Fire clearance: Orange County Fire Authority granted the fire clearance April 7, 2025. Structure: The facility is a one-level structure, with an attached garage. There’s a total of 6 bedrooms (5 residents’ rooms, and 1 staff room) and 1 ½ bathrooms for the residents in care. There’s a living room space, a dining space, backyard, and attached garage. Bedrooms: all bedrooms have the required furnishings: bed, lamp, chair, and storage space. Bathroom(s): Bathrooms are equipped with a working toilet, wash basin, and shower. Non-skid matts were observed. Hot water was measured in the range or 114.6 – 118.2 degrees F. Kitchen: 3 of 4 burners are operational on the gas stove. The front right burner does not light unassisted and needs to be replaced or repaired. Sharps and cleaning chemicals are kept locked below the kitchen sink. Food Service: A supply of perishable and non-perishable food items was observed in the refrigerator and pantry area. There’s also a laundry area in the kitchen with a washer and dryer. Garage Area: The garage is clean and organized. Walkways are free of obstruction and a supply of emergency water was observed. An additional washer and dryer was observed. Chemicals/Toxins: All cleaning chemicals, soaps, detergents, and cleaning solutions are inaccessible to residents and locked under the sink in the kitchen. Continued on LIC809C Resident & Staff Files : Files will be stored in the locked medication closet near the front door. Medications/First-Aid Kit: Resident medications are stored in the locked closet near the front door. A first aid kit with all the required elements and a first aid manual was observed. Linens & Hygiene Supplies: Hygiene items will be stored in the bathroom in the locked cabinet below the sink. Additional hygiene items will be stored in the garage. An additional supply of linens was observed in the main hallway cabinets. Backyard/Exterior: The backyard is clean and organized. A shaded patio area with a table and chairs was observed. The side exit gate needs to be self-closing and self-latching. There was various materials observed on the outside edges of the backyard that need to be removed. The applicant states the items will be moved in the garage for storage and other items will be taken out. Bodies of Water: None. Smoke/Carbon Monoxide Detectors: Smoke and carbon monoxide detectors tested operational. Fire Extinguisher: Fire extinguishers were observed mounted on the wall in the kitchen and near the sliding door that leads to the backyard. Emergency Phone Numbers, House Rules, Exit Plan & Menu: There’s a postings board with emergency phone numbers, and other postings in living room area. Applicant was advised to place Resident rights and the House Rules on the facility postings board. Additional Comments: Facility contact information was reviewed and updated during the visit. Component III: was not presented at this time as the licensee has a few corrections to make. Corrections: Bed – An additional bed in the shared room needs to be purchased and assembled. Stove – front right burner needs to be replaced Auditory Exit alarms – need to be placed on doors Exit gate – needs to be self-closing Excess materials – need to be removed from the backyard Postings – Personal Rights of Residents & House Rules An exit interview was conducted, and a copy of this report was provided.