Pre-licensing visit·July 28, 2025

Licensing Program Analyst (LPA) Joseph Alejandre made an announced visit to conduct the Pre-Licensing inspection. LPA met with applicant Herminia Zuehl. An initial application to operate a Residential Care Facility for the Elderly (RCFE) for 6 non-ambulatory residents of which 3 can be bedridden was submitted to Community Care Licensing (CCL) on February 10, 2025. Facility requested a hospice waiver for 6. Facility phone number 949-388-9219. Structure . The facility is a one story house with 6 bedrooms, 3 bathrooms, living room, kitchen, dining room, laundry room and an attached 2 car garage. LPA observed the fire extinguisher in the kitchen is fully charged. LPA observed the fireplace in the living room is screened. The key that operates the fireplace is kept locked. LPA observed the See Something, Say Something sign (PUB 475) posted next to the front door. Resident rooms. LPA observed all the resident rooms have the required furnishings and bed linens. LPA observed there is a TV in the living room with 3 chairs, a sofa and a loveseat. LPA observed extra linens store in the hallway linen closet. Bathrooms . Facility has 3 bathrooms and all bathrooms are clean and operational. Water Temperature . LPA measured the hot water at 114.9 degrees Fahrenheit in all bathrooms Emergency Phone Numbers & Exit Plan . LPA observed Personal Rights of Residents posted along with, the Facility's Theft and Loss Policy, Rights of Resident Councils and the Emergency Disaster plan, which contains emergency phone numbers for first responders. The facility sketch showing all emergency exits and exit routes is posted throughout the facility. Appliances . LPA observed the stove, oven and refrigerator are all clean and operational. The 5 burner gas stove lights unassisted. The washer and dryer in the laundry room and are clean and operational. Extra cleaning supplies are kept locked in cabinets in the laundry room. Food Service . LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed a 3 day emergency supply of food and water stored in the garage. The garage is kept locked and used for storage. Toxins and cleaning supplies are kept locked in the hall closet. Clients & Staff Files are kept locked in a kitchen cabinet. Medications are kept locked in the medication closet in the living room. First-Aid Kit & Book are kept locked in medication closet. LPA observed the first aid kit has all the required elements. Reading Material, Games, Equipment & Materials . Reading materials and games are kept in the living room. Fire clearance , the fire clearance was approved by Orange County Fire Authority on April 8, 2025. Backyard No bodies of water observed. There is a table with an umbrella and chairs for residents to sit outside. The exit gate is operational and self closing. No obstacles or hazards observed in the backyard. Smoke Detectors/Carbon monoxide detectors tested operational. Component III: Waived, applicant is the owner/operator of other licensed facilities. No obstacles or hazards observed inside or outside of the facility. Facility has an internet device (Tablet) dedicated for resident use only. LPA observed the front door and sliding door in the dining room have alarms and sound when opened. No deficiencies observed during the visit. The facility is ready to be licensed. LPA informed the applicant that final approval for licensure will be approved by CAB (Central Applications Bureau) in Sacramento. Applicant stated they understood. Exit interview was conducted and a copy of this report was provided to the applicant.