Pre-licensing visit·November 13, 2025

Licensing Program Analyst (LPA) Joseph Alejandre made an announced visit to conduct the Pre-Licensing inspection. LPA met with applicants Mark Fisk and Erin Fisk. An initial application to operate a Residential Care Facility for the Elderly (RCFE) for 6 non-ambulatory residents of which 4 can be bedridden was submitted to Community Care Licensing (CCL) on July 22, 2025. Facility requested a hospice waiver for 6. Facility phone number 949-998-9191. Structure . The facility is a one story house with 7 bedrooms (bedroom 7 is for staff), 6 bathrooms, living room, kitchen, dining room, laundry room and an attached 2 car garage. Bedrooms 1 and 6 are not approved for bedridden. The garage is kept locked and used for storage. LPA observed the fire extinguisher in the kitchen is fully charged. 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 sofa and love seat. LPA observed extra linens stored in the hall pantry. Bathrooms . Facility has 6 bathrooms and all bathrooms are clean and operational. Water Temperature . LPA measured the hot water at 130.0 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 4 burner stove, microwave oven and refrigerator are all clean and operational. The 4 burner gas stove lights unassisted. The washer and dryer in the laundry room are clean and operational. Extra cleaning supplies are kept locked in a cabinet in the garage. Food Service . LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. The garage is kept locked and used for storage. LPA observed a 3 day emergency supply of food and water in the garage. Toxins and cleaning supplies are kept locked in cabinet in the garage. Resident & Staff Files will be kept secured in a cabinet. Medications are kept locked in the medication cabinet in the hallway. First-Aid Kit & Book are kept locked in the 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 October 28, 2025. Backyard No bodies of water observed. There is a table with an umbrella and chairs for residents to sit outside. The exit gates are operational and self closing. LPA observed broken tiles in the South corner of the backyard are a trip hazard. LPA observed the built in BBQ table has a large hole in it. 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 the double door in the living room have alarms and sound when opened. LPA observed all exit doors in resident rooms to the outside are alarmed and sound when exiting. LPA observed three (3) deficiencies during the visit, all of which must be corrected prior to licensing. The hole in BBQ table must be fixed/repaired, the broken tiles in the South corner of the backyard must be repaired or replaced and the hot water must be adjusted to measure between 105.0 to 120.0 degrees Fahrenheit. The facility is not ready to be licensed. Applicants were informed to contact the LPA to schedule a follow up visit when the deficiencies have been corrected. LPA informed the applicant that final approval for licensure will be approved by CAB (Central Applications Bureau) in Sacramento. Applicants stated they understood. Exit interview was conducted and a copy of this report was provided to the applicant.