An application to operate a Residential Care Facility for the Elderly (RCFE) was received by the Department on March 5, 2025, for a total licensed capacity of six (6) residents, all of whom may be non-ambulatory. Fire clearance was approved by the Orange County Fire Authority on November 6, 2025.

The facility is a single-story home consisting of six (6) resident bedrooms, a staff room, four (4) full bathrooms, one (1) powder room, laundry room, living room, kitchen, dining area, and an attached garage. The home has two exit gates located on each side of the house, both of which are self-latching and secured. A shaded seating area is available in the backyard for resident use. LPA did not observe any safety hazards or obstructions. Recreational materials, including games and puzzles, were observed for resident use.

LPA observed the Administrator Certificate, facility sketch, and Emergency Disaster Plan posted at the front entryway. The “See Something, Say Something” poster (PUB 475), Long-Term Care Ombudsman poster, and Personal Rights were also prominently displayed.

Resident bedrooms were observed to be appropriately furnished. Motion sensor devices were installed in each room to monitor resident movement and assist with fall prevention and overall safety. Bedrooms with direct access to the backyard/outdoors were equipped with functioning door alarms. All beds were observed with adequate linens and blankets, and an ample supply of linens and towels was available. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Hot water temperature in (Pre-Licensing Report continuation on LIC 809-C)

• Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

Bathrooms were clean, operational, and equipped with a working toilet, wash basin, and bathtub/shower. Grab bars and non-skid mats were in place to ensure resident safety. Toxic substances were observed to be secured and locked underneath the kitchen sink, laundry room, and garage.

Medications will be stored in a locked hallway closet near the kitchen. A fully stocked first aid kit was observed mounted near the medication storage area, along with a first aid manual. Resident and facility records will be securely stored in the same locked closet, with the majority maintained electronically. A working telephone was observed in the kitchen. Video surveillance cameras (without audio) are installed in common areas for safety monitoring. The facility also has a laptop available for resident use to maintain communication with family and plans to acquire an iPad for additional resident access.

An adequate supply of non-perishable food was observed. All appliances, including the stove, refrigerator, dishwasher, microwave, washer, and dryer, were operational. Sharp objects are stored in a secured kitchen drawer. Emergency food, water, and additional supplies were observed to be adequately stocked in the garage. A fire extinguisher located near the medication closet was observed to be fully charged.

Based on today’s inspection, the facility appears ready for licensure. LPA conducted Component III Orientation with Administrator Michelle Nesbitt. The Administrator was informed that final application approval will be issued by the Centralized Applications Bureau in Sacramento.

An exit interview was conducted, and a copy of this report was provided to the Administrator.