Amazing Angels Care Facility

Type of visit: Required - 1 Year

On September 05, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Annual Inspection and met with the Licensee, Aurora Cuasay . The facility file review was conducted at the Regional Office and additional records were requested and reviewed on site. The facility is licensed for six Elderly Adults and is currently operating at 100% capacity of six Elderly Adults (740). LPA Mixson toured the facility along with the Licensee, Aurora Cuasay and made observations pertaining to the annual visit. LPA inspected the facility inside and outside there were no obstructions or debris to the indoor or outdoor passageways currently. Additionally, there were no bodies of water on the premises. The facility is a single-story home located at 26152 Windemere Way Moreno Valley, CA. 92555. Physical Plant: The facility phone number is (951) 363-8350 and it is operable. LPA Mixson observed the six residents’ bedrooms, and each was equipped with required furniture as per Title 22. LPA Mixson inspected the facility bathrooms, and the hot water temperature tested within regulations, and was logged. The bathrooms were clean, and the appliances were operating appropriately on this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. LPA observed required postings such as "If you See Something, Say Something,” the "Personal Rights," and other required signage. The cleaning supplies and sharp items were locked and inaccessible to the residents at this time. There was designated storage space for the residents and staff files, and it was locked and inaccessible to residents in care currently. Medications: Were locked and inaccessible to residents in care, and there was a sufficient supply of medication for each resident. There were no documented errors on the centrally stored medication form, and medications appeared to be stored in their original containers. Facility has a medication court which was clean, locked and organized. Food Service: Non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents at this time. Dishes and utensils were in sufficient supply and stored properly, and sharp items are locked. The overall facility is clean; the furniture is in good condition. The facility cooling system and other appliances were operable at present. Administrator informed LPA there were safety lights for night throughout the facility. Records Reviewed Staff & Resident Files: LPA reviewed staff files and reviewed the facility's staff schedule. The staff files reviewed have criminal clearance, updated training, along with current First Aid certification. Resident files reviewed had required paperwork as per Regulations at the present. LPA reviewed residents' files reviewed for identification and emergency information, admission agreement, medical assessment, and clients weights. The reviewed TB test were current. LPA reviewed residents' needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification Infection Control: LPA Mixson observed the hand washing stations in the facility restrooms. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan and found required infection control measures met the Department requirements. Care & Supervision/Administration: Adequate staff are present for the supervision of resident in care. Floor plans, telephone numbers and personal rights were found posted in the facility. The listed administrator possesses a current administrator’s certificate with an expiration date of 11/03/2025. Disaster preparedness: LPA Mixson reviewed the facility's emergency and disaster plan as well as disaster training binder. LPA observed the last fire drill met the Department standards, and was conducted at the facility. An exit interview was conducted. A copy of this report was given to Licensee, Aurora Sulit Cuasay.the state’s words, verbatim · CDSS document, Sep 5, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA), Stephanie Martinez, conducted an announced pre-licensing inspection at the home. The LPA met with Applicant, Aurora Cuasay. There are currently five residents in care. Application: The application is for a Residential Care Facility for the Elderly, change of ownership. The fire clearance has been granted for six (6) non-ambulatory residents. Buildings and Grounds: The home is composed of four (4) resident bedrooms, two (2) bathrooms, a garage, laundry room, two (2) living room areas, two (2) dinning areas, an open kitchen, and front and back yard areas. The interior and exterior walkways of the home were observed to be clutter free with no obstructions present. Smoke and Carbon Monoxide detectors were tested and operable. There are no pools or other bodies of water located at the home. According to Cuasay, there are no weapons stored in the home. Required furniture was observed to be available in each resident room and sufficient privacy is available. The dining and living room areas are clutter free and furniture is in good condition. The resident bathrooms were observed to have non-slip mats and grab bars available. The hot water was tested and measured at 111.0 degrees Fahrenheit, which is within regulatory requirements. A washing machine and dryer are available and in working order. Outdoor areas had sufficient room for activities. Storage and Supplies: Activities were observed to be available. Medications will be stored inaccessible to any unauthorized individuals. Designated areas are available for facility files, staff files and resident files. The first aid kit was observed to be available and complete. Cleaning supplies will be stored away in a locked area. Linens, and equipment are all in good repair and sufficient for approved census. A Fire extinguisher was available and fully charged. Food Service: Utensils and dishware are sufficient for the requested capacity. The refrigerator and stove are in working order. Sharps will be stored in a locked cabinet, available only to authorized individuals. Forms: The following signs were observed to be posted at the home: Personal Rights, Resident/Family Councils, and Complaint Information. The following was observed to require follow up: The LPA observed the grass in the backyard to be completely dead and not maintained in any manner. LPA observed no shaded area in the backyard; rather, there appeared to be a remaining wood structure where a covered area used to be. The LPA also observed indoor furniture being stored outside on the patio. The furniture was not appropriately stored, as it was partially covered and found to have damage to the upholstery. The LPA observed damage to the wall in bedroom #2; The dry wall had a hole which was about four inches in width. The LPA observed spots of a rust color above the hall bathroom, shower window. The LPA observed missing light bulbs in the master bathroom and cob webs on the light fixture. LPA observed a Lightning McQueen light switch cover in bedroom #4. LPA did not observe the Theft and Loss policy to be posted. According to Applicant Cuasay, no internet accessible device is available for resident use. The LPA will inform the Centralized Applications Bureau (CAB) the home is ready for licensing once proof of corrections are received from the applicant. This report was discussed with Cuasay, and a copy was provided.the state’s words, verbatim · CDSS document, Jul 22, 2024

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 4 COMP II Participants: Aurora Cuasay (Corporate Board Member/Administrator) Interview Method: Telephone interview On May 16, 2024, 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 that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. 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. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, May 16, 2024