Pre-licensing visit·November 18, 2025

On November 18, 2025, Licensing Program Analyst (LPA) Garlli Tat conducted an announced pre-licensing visit to the facility and was greeted and granted entry by applicant Judith Torres. LPA observed the Administrator's Certificate expires on July 15, 2026 and is posted at the lobby and office. The Department received an application for a Change of Ownership for the Residential Facility for the Elderly (RCFE) on October 30, 2025. LPA toured the exterior and interior portion of the facility with the applicant. Structure: Facility is a single level structure. On April 10, 2025, The Orange County Fire Authority granted fire clearance for a capacity of 72 residents (68 of which may be non-ambulatory, four may be bedridden, and hospice waiver for 15) on August 28, 2025. There are a total of 36 bedrooms. There is a current census of 46 residents. Bedrooms: All bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept hazard free. Bathrooms: The bathrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature in bathrooms were measured to be at 110 degrees Fahrenheit. Linens and Hygiene Supplies: Adequate supply of linens is stored in the storage room. Posters, Emergency Phone Numbers, Exit Plan: LPA observed the PUB475 "See Something, Say Something" poster posted at the front lobby and dining room. Emergency disaster plan is posted in the lobby. Continued on LIC 809-C. Food Service and Menu: 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. Facility had back-up emergency food and water supply located in the storage room. Smoke and Carbon Monoxide Detectors: Smoke and carbon monoxide alarms have been tested on April 10, 2025. Fire Extinguisher: Fire extinguishers were fully charged, and mounted in the hallways, and tagged for the date of April 10, 2025. Fire sprinklers were also tested on this date. Appliances: The kitchen is fully equipped with a stove, oven, dishwasher, refrigerator and freezer. Washer and dryer are located in the laundry room. Toxins: Toxins are locked and inaccessible to residents in a storage room. Medications, PPE First-Aid Kit and Manual: LPA observed the First Aid kit located in the medication room and had all the required components. Medications were locked in the medication room. Backyard: No bodies of water were observed. The outdoor area is free of hazards and there are seating areas under shade. The exterior doors are secured for resident safety. Resident and Staff Files: Records were kept locked in the Executive Director's office and in the medication room. Recreational Activities: The facility has a schedule of daily activities and a daily menu posted in the dining room. LPA reviewed the Component III presentation with the applicant Judith Torres. The applicant has met all pre-licensing requirements. LPA will submit notification to Centralized Applications Bureau (CAB) for final review prior to license being issued. LPA conducted an exit interview with applicant Judith Torres and a copy of this report was reviewed and provided to the facility