306006957-4-29-2026-22-AS-WVAS-DTLQR9-20260429122333

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 306006957
Report Date: 04/29/2026
Date Signed: 04/29/2026 12:23:42 PM

Document Has Been Signed on 04/29/2026 12:23 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME:	VIRTUD CARE I		FACILITY NUMBER:	306006957
ADMINISTRATOR/ DIRECTOR:	SANCHEZ, GEISEL		FACILITY TYPE:	740
ADDRESS:	1748 N OXFORD STREET		TELEPHONE:	(714) 944-2871
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92806
CAPACITY: 6		CENSUS: 0	DATE:	04/29/2026
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Geisel Sanchez (Administrator)		TIME VISIT/ INSPECTION COMPLETED:	12:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On today's date Licensing Program Analyst (LPA) William Vanegas conducted an announced visit for the purposes of completing a pre licensing inspection. LPA was greeted and granted entry to the facility by Administrator (AD). LPA began a tour of the facility accompanied by AD and observed the following. The AD has a valid Administrator certificate valid from February 13, 2026 through February 12, 2028. An initial application to operate a Residential Care Facility for the Elderly (RCFE) for a capacity of six (6) non-ambulatory residents was received by community care licensing (CCL) on April 6, 2026. This is a change of location with no residents in care. The department received an approved fire clearance from the Anaheim fire department inspected by Brian Ribbs on April 27, 2026. The facility is a single storied home with four bedrooms which will all be utilized by resident in care, two bathrooms one of which will be used for residents in care and one shared bathroom for visitors and staff. The facility has a detached two car garage as well. LPA observed the facility to have all required postings found posted in the main entrance of the facility; these postings include the PUB475 sign, residents rights, resident rights to a resident council, visiting policy, theft and loss policy, and the ombudsman poster. LPA observed the facility to have a sufficient amount of fire extinguishers, smoke detectors, and carbon monoxide detectors. LPA observed all to be in good repair and tested operational. LPA observed first aid kit to have all required items such as bandages, scissors, tweezers, adhesive tape, a thermometer, and a first aid manual. CONTINUED ON LIC 809-C

NAME OF LICENSING PROGRAM MANAGER: Kevin Saborit-Guasch
NAME OF LICENSING PROGRAM ANALYST: William Vanegas
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/29/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

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.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: VIRTUD CARE I	FACILITY NUMBER: 306006957
	VISIT DATE: 04/29/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

LPA inspected all resident rooms and all rooms were observed to be free of any hazards, debris, and obstructions. LPA observed resident rooms to have all required furnishings such as a bed, a chest of drawers, clean linens in good repair; meaning no strains or tears, a reading lamp, and enough storage space to store personal belongings. LPA observed kitchen area to have a refrigerator, a gas stove, and a microwave, all appliances appeared to be in good repair and tested operational. Facility is equipped with a washer and dryer that appeared to be in good repair and tested operational. All toxins were observed to be locked away and inaccessible to residents in care. Sharps were observed to be locked away and inaccessible to residents in care.

LPA observed all bathrooms to be clean and free of any mildew and debris. LPA observed all water faucets and toilets to be operational. Bathrooms were observed to have all required furnishings including grab bars, slip resistant floor matts, and a shower chair. Hot water temperature tested between 101.2 and 107.3 degrees Fahrenheit. LPA toured the exterior of the facility and observe for there to be an outdoor shaded sitting area in the front yard and in the backyard. LPA observed the outdoor areas of the facility to be clean and free of any hazards, debris, and obstructions along the exit routes of the facility. Side doors were observe to be self latching and unlocked. Additionally LPA observed for the facility to have a two day supply of perishable food and seven day supply of non perishable food along with a sufficient amount of emergency water on hand.

LPA conducted component III with AD, and advised that the facility is ready to be licensed and that LPA will report findings to the centralized application bureau (CAB). LPA advised that CAB will be in contact with them in regard to finalizing their license. An exit interview was conducted and a copy of this report was provided to the facility.

NAME OF LICENSING PROGRAM MANAGER: Kevin Saborit-Guasch
NAME OF LICENSING PROGRAM ANALYST: William Vanegas
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/29/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026

LIC809 (FAS) - (06/04)

Page: 3 of 3