Cristina Home Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Administrator (AD) Cristina Coman and the purpose of the inspection was discussed. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a one-story home with three resident bedrooms, two bathrooms, and attached two-car garage. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. The backyard has a shaded sitting area. LPA observed residents resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 109.7 - 112.2 degrees Fahrenheit. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged with a service tag dated January 5, 2026. Appliances, including gas stove and laundry washer and dryer were observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be inaccessible to residents. Medication was observed to be centrally stored in a locked filing cabinet. LPA reviewed three of three resident files and two staff files. Two of three resident medical assessments did not include results of examination for TB; a Deficiency was cited on today’s date. LPA interviewed residents and staff. Based on the observations made during today’s inspection, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Jul 14, 2026

Type of visit: Prelicensing

On May 20, 2025, at 8:00 AM, Licensing Program Analyst (LPA) Edward Kim conducted an announced Pre-Licensing continuation visit. LPA Kim was allowed entry and met with Applicant Cristina Coman. The purpose of today's visit was to follow-up on the issues that were present during the initial Pre-Licensing visit on April 28, 2025. During a tour of the facility, LPA Kim observed that the following items have been corrected: 1) Bedroom #3 has a door. 2) Outdoor gate doors are self-closing and self-latching 3) First Aid Manual is available 4) All bathrooms have shower mats 5) All bedrooms have regular beds and do not have hospital beds as before. 6) Bathroom hot water temperature is measuring between 109.5 degrees Fahrenheit and 110.3 degrees Fahrenheit. Component III Component three Orientation was completed with Applicant Cristina Coman during visit. All items have been corrected. The facility is ready for licensure. The pre-licensing visit and Component III Orientation are now complete. This facility meets the requirements for licensure. LPA Kim will forward this report to the Centralized Applications Bureau for review. The license will be granted upon completion of a final review and approval from the Centralized Applications Bureau. An exit interview was conducted and a copy of this report was provided to applicant Cristina Comanthe state’s words, verbatim · CDSS document, May 20, 2025

Type of visit: Prelicensing

On April 28, 2025, at 8:00 AM, Licensing Program Analyst (LPA) Edward Kim conducted an announced visit to the facility to conduct the pre-licensing inspection. LPA Kim met with Applicant Cristina Coman and toured the facility. An initial application to operate a Residential Care Facility for the Elderly (RCFE) was submitted to CCL on January 2, 2025. The facility is to have a capacity of six (6) residents, six (6) can be nonambulatory and has a hospice waiver for 2 residents. Facility phone number (714-463-4489). LPA Kim observed the following. Structure: The facility is a one-story house with an attached 2 car garage with three (3) resident bedrooms, two (2) bathrooms, dining area, a kitchen, and a living area. There are four (4) exits: one exit door in the dining area, one in the main entrance, one exit in the living area, and one exit in bedroom #3. Air/Heating: Central air/heating system installed with a central panel to control entire house located on the wall in the living area. Temperature was at 74 degrees Fahrenheit Resident Bedrooms: There are three (3) Resident Bedrooms: Bedroom #1, Bedroom #2, and Bedroom #3. The bedrooms are spacious and will easily accommodate the residents' belongings. Bedroom #3 is missing a door upon entering room from the hallway. Bedroom#1 has two hospital beds with full rails. Evaluation Report Continues on LIC 809-C Staff Bedrooms: There are no staff bedrooms. Bathrooms: All bathrooms have a working toilet, wash basin, and shower. All bathrooms are clean. Shower mats were missing in all two bathrooms. Hot water was measured in all bathrooms and measured between 136.5 degrees Fahrenheit to 138.9 degrees Fahrenheit. Linens & Hygiene Supplies: Adequate supply of linen stored in a cabinet in the resident hallway next to bedroom #1 and bedroom #2.. Emergency Phone Numbers, Exit Plan & Menu: Posted & readily available for review an emergency disaster plan with means of exiting and emergency phone numbers listed and are all posted on the wall in the living area. Food Service: There is 7-day non-perishable food supply on hand in the kitchen cabinet next to the refrigerator and in the closet across from bathroom #1 in the hallway. The emergency food is stored in the closet across from bathroom #1 in the hallway. Emergency water and emergency supplies are stored in the garage. Toxins: All cleaning supplies and chemicals are kept in the garage and locked underneath the kitchen sink Smoke Detectors/Carbon Monoxide Detectors: Smoke detectors/carbon monoxide detectors are hardwired and tested operational. There are two fire extinguishers that are fully charged and were bought on December 7, 2024, and are mounted on the wall next to the resident hallway entrance and in bedroom #3. Outdoor/Yard: There are two outdoor shaded areas that covers the tables and chairs in the yard. Evaluation Report Continues on LIC 809-C. Medications, First-Aid Kit & Book: All medications are stored in medical cabinet, which is in the living area. The first aid kit is stored in the closet across bathroom #1. The first aid kit was missing the first aid manual. Resident & Staff Files: The Resident and Staff Records will be kept locked in filing cabinets in the living room. Reading Material, Games, Equipment & Materials: Art supplies and activity supplies are stored in the living room and in the closet across bathroom #1. There is a large screen TV in the living room. The facility has a tablet dedicated for residential use that has internet access capability and has video teleconferencing software. Appliances: There is one five (5) gas burner stove which lights unassisted, oven, microwave oven, a refrigerator in the kitchen, a refrigerator in the garage, dishwasher, washer, and dryer. All appliances are clean and operational. Fire clearance: Fire Clearance approved by Orange County Fire Authority on February 3, 2025. Component III: Component three will be discussed on the next visit. During the pre-licensing inspection, LPA Kim observed the following items that must be corrected: 1) Bedroom #3 is missing a door upon entering bedroom #3, 2) Outdoor gate doors need to be self-closing, 3) First Aid Manual is missing, 4) Bathrooms missing shower mats, 5) Hospital beds with rails need to be replaced in bedroom #1, and 6) Bathroom hot water temperature is measuring between 136.5 degrees Fahrenheit and 138.9 degrees Fahrenheit. The applicant plans on making the necessary corrections and contacting LPA Kim to schedule a follow up pre-licensing inspection. Exit interview was conducted and a copy of this report was left with Applicant Cristina Coman.the state’s words, verbatim · CDSS document, Apr 28, 2025

Type of visit: Office

Facility Type: Residential Care Facility for the Elderly Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: CRISTINA COMAN Interview Method: Telephone interview On April 04, 2025, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Apr 4, 2025