Aspiria Residences Lake Forest

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Edward Kim made an announced visit to conduct a subsequent prelicensing visit. LPA Kim was greeted and granted entry by Applicant Michelle Labao. LPA Kim explained the reason for the visit upon entry. The first pre-licensing inspection was made on June 10, 2026 and a correction was needed. The applicant requested a capacity of five (5) nonambulatory residents and one (1) bedridden resident. Applicant has requested a hospice waiver for six (6) residents. The facility is a one story house in a residential neighborhood with an attached 2 car garage with six (6) bedrooms, three (3) bathrooms, family room, dining room, a kitchen, and living room During a tour of the facility, LPA Kim observed that the following item has been corrected: 1) Fire Clearance has been changed and inspected by Orange County Fire Authority by Inspector Emilio Fuentes on June 17, 2026. . All items have been corrected. No new deficiencies were observed. 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 Michelle Labao.the state’s words, verbatim · CDSS document, Jun 29, 2026

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Edward Kim conducted an announced visit to the facility to conduct the pre-licensing inspection. LPA Kim met with Applicant Michelle Labao and toured the facility. An initial application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing Division (CCLD) on October 27, 2025. The applicant requested a capacity of 5 ambulatory residents and one (1) non-ambulatory. Applicant has requested a hospice waiver for six (6) residents. Facility phone number (949)446-4668. LPA Kim observed the following. Structure: The facility is a one-story house with an attached 2 car garage with six (6) bedrooms, three (3) bathrooms, family room, dining room, a kitchen, and living room. There are 7 exits, one exit in the front door, the exit in bathroom #1, the exit in bedroom 3, the exit in living room, the exit in resident hallway, the exit in bedroom #6, and the exit in the garage. Air/Heating: Central air/heating system installed with a central panel to control entire house. LPA Kim observed the facility temperature was at 73 degrees Fahrenheit Bedrooms: There are six (6) Resident Bedrooms that are all private resident bedrooms. The bedrooms are spacious and will easily accommodate the residents' belongings. All resident rooms had the required furnishings. Bedroom #3 and Bedroom #6 have exit doors. Evaluation Report Continues on LIC 809-C. Bathrooms: All bathrooms have a working toilet, wash basin, and shower. All bathrooms are clean and operational. Linens & Hygiene Supplies: Adequate supply of linen stored in linen closet in the hallway. Emergency Phone Numbers, Exit Plan & Menu: Posted & readily available for review an emergency disaster plan with means of exiting and emergency phone numbers listed. Sample menu posted and available. Food Service: There are residents living in the facility at this time. There is 2-day perishable food and 7-day non-perishable food supply on hand. Smoke Detectors/Carbon Monoxide Detectors: Smoke detectors/carbon monoxide detectors are hardwired and tested operational. There are three fire extinguishers mounted on the wall in the kitchen, one mounted in the hallway next to the resident room 5, and another mounted in the garage. Kitchen extinguisher was last inspected on February 6, 2026, hallway extinguisher next to resident room 5 was last inspected on October 2, 2025, and the garage extinguisher was last inspected on November 20, 2025. Appliances: There is one 6 gas burner stove, 1 oven, a refrigerator, dishwasher, washer, and dryer. Toxins: All cleaning supplies and chemicals are kept locked in the laundry room. Sharps are locked in the cabinet next to the laundry room. Water Temperature: Hot water was measured in all bathrooms. Hot water measured in private bathroom at 118.4 degrees Fahrenheit, shared bathroom #1 at 119.6 degrees Fahrenheit, and shared bathroom #2 at 119.1 degrees Fahrenheit. Evaluation Report Continues on LIC 809-C Medications, First-Aid Kit & Book: The first aid kit and the first aid manual are stored in the medication cabinet in the kitchen. The first aid kit has all the required elements. Resident & Staff Files: The Resident and Staff Records are stored in a locked cabinet with the sharps next to the laundry room. Reading Material, Games, Equipment & Materials: Arts and craft, laptop, and board games are stored in a kitchen cabinet. Fire clearance: Fire Clearance approved by Orange County Fire Authority inspector Emilio Fuentes on December 4, 2025. Applicant stated that they will change the fire clearance to five non-ambulatory and one bedridden from five ambulatory and one non-ambulatory. Component III: Component three will be discussed on next visit. During the pre-licensing inspection, applicant stated they will change the fire clearance changed from five ambulatory and one non-ambulatory to five non-ambulatory and one bedridden. 1) Applicant will contact Centralized Application Bureau Analyst to make the request to change the fire clearance and provide the analyst all necessary information and documentation. After fire clearance is changed and fire inspection is completed, applicant will contact LPA Edward Kim for a subsequent visit to complete the Pre-Licensing process. Exit interview was conducted and a copy of this report was left with Applicant Michelle Labao.the state’s words, verbatim · CDSS document, Jun 10, 2026

Type of visit: Office

COMP II by CAB successfully completed Facility Type: RCFE Application Type: CHOW Capacity: 6 Census : 4 Method: Telephone call with CAB COMP II Participants: Michelle Labao, Licensee/Administrator; Paul Hughes, Analyst Licensee/Administrator participated in COMP II via telephone call with CAB Analyst. Identification of licensee/administrator was verified by confirming driver’s license number. During COMP II, licensee/administrator confirmed the understanding of Title 22. Component II was successfully completed. Licensee/administrator was advised to email signed LIC 809 to CAB. During COMP II, CAB analyst confirmed licensee's/administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Jun 2, 2026