Rae's Cottage at Brea

Type of visit: Required - 1 Year

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Administrator (AD) Lisa Roche and discussed the purpose of the inspection. LPA reviewed Infection Control requirements. At about 9:45AM, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: Structure: facility is a 6-bedroom, 2-bathroom, one-story house with an attached garage that is used for storage. There is a back yard with a patio cover for the residents. LPA observed 2 staff and 5 residents present at the facility in addition to AD. Resident Bedrooms: the 4 resident bedrooms are spacious and will easily accommodate the residents’ furnishings. Furniture for each resident bedroom inspected. Staff Bedrooms: LPA inspected the 2 staff bedrooms. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 112 and 113 degrees F in the 2 bathrooms. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the kitchen and garage. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees have been paid. At about 7:45AM, LPA reviewed 5 resident files and 4 staff files, interviewed 2 residents and 2 staff, and inspected medications for 5 residents. Facility does not handle resident money. During the inspection, LPA and AD observed the following: based on documents, S4 has a TB test result but no completed health screening; and based on documents, R5's current physician's report completed within the last year has a blank ambulatory status while previous physician's reports indicate non-ambulatory. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Aug 26, 2026

The state marks this report as 7 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1 at 1pm. During today’s visit, LPA met with Lisa Roche, Licensee (LE). The facility is a six bedroom, single story home with an approved fire clearance of six ambulatory residents of which six may be non-ambulatory and an approved hospice waiver for six. The facility currently has a census of five residents in care. Two of the six rooms are occupied by staff members who reside in the facility. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in two of two resident bathrooms, and testing auditory devices on all exits. The hot water temperature measured between 108.6 and 110.3 degrees Fahrenheit and all smoke and carbon monoxide detectors were operational. The fire extinguisher is charged and was serviced on June 20, 2025. The facility’s last fire drill was conducted on August 2, 2025. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. Sharps and hazardous chemicals are secured. Kitchen appliances were in working order. The refrigerator had a variety of fruits and vegetables and the freezer was full since it was grocery day. There is an additional freezer in the garage; along with emergency supplies of water and food. The washer and dryer were also in the garage and operational. LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. There are several First Aid Kits on the premises with the required elements. (Continued on LIC 809-C) (Continued from LIC 809) LPA toured the exterior of the facility and observed shaded seating areas, a garden area and exit doors are self-latching. There are no hazards or obstructions in exterior pathways and there is ample space for outdoor activities. LPA reviewed three of three staff training and fingerprint records and conducted a complete review of resident records. Residents had updated Medical Assessments and bed rail orders were on file. LPA interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on July 15, 2026. LPA confirmed the facility contact information is correct, that the preferred language is English and license fees are current with Lisa Roche. Based on the observations made during today’s visit, the facility appears to be in compliance with Title 22 Division 6 of the California Code of Regulations, no deficiencies cited on this date. An exit interview was conducted with Lisa Roche, Administrator and Licensee and a copy of the report and files reviewed (LIC 858 & LIC 859) were given at the time of the visit.the state’s words, verbatim · CDSS document, Aug 5, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1 (S1) at 10:00am. During today’s visit, LPA spoke with Lisa Roche, Administrator (AD) via telephone. The facility is a single story building with an approved fire clearance of six ambulatory residents of which six may be non-ambulatory and an approved hospice waiver for six. The facility currently has a census of six residents in care. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperatures in two of two resident bathrooms, and testing auditory devices on all exits. The hot water temperature measured between 107.2 and 119.2 degrees Fahrenheit and all smoke detectors were operational. The fire extinguisher is charged and was serviced on May 7, 2024. The facility’s last fire drill was conducted on August 2, 2023. Residents were observed watching a movie during facility tour with Staff #2 (S2). All sharps, medications and detergents were secured. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPA observed medication storage and reviewed the centrally stored medications. The first aid kit is complete with additional manuals. Per review medications are being given as prescribed. LPA reviewed three of three staff training and fingerprint records and conducted a complete review of resident records. LPA interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. Staff training was reviewed and two staff members will continue to take educational courses. (See LIC 809-C) (Continuation from LIC 809) LPA confirmed that administrator has an administrator certificate which expired on July 15, 2024 but is currently on the pending renewal list. Technical Violations will be given for the following: Resident #2 (R2) does not have bed rail orders on file. Hospice agency has been contacted by staff and R2 recently transitioned to hospice services. Medical assessments for Residents #3, #4 and #6 need to be updated due to diagnosis. And an emergency disaster drill must be conducted quarterly. LPA spoke with AD Roche via phone regarding the above. Based on the observations made during today’s visit, the facility appears to be in compliance with Title 22 Division 6 of the California Code of Regulations, no deficiencies cited on this date. An exit interview was conducted with S1 and S2, and verbally shared with AD Roche, and a copy of the report, LIC 9102-TV and files reviewed (LIC 858 & LIC 859) were given at the time of the visit.the state’s words, verbatim · CDSS document, Aug 21, 2024