At Home Elder Care

Type of visit: Required - 1 Year

On November 19, 2025, Licensing Program Analyst (LPA) Garlli Tat conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA explained the purpose for the visit and was greeted and granted entry by staff on duty. During the visit, staff on duty contacted the facility administrator (AD) Mary Jean Catacutan about the visit. For this visit, there are two staff members on duty, both are background cleared and associated. AD later arrived to assist with the inspection. The PUB475 ‘See Something, Say Something’ poster was observed to be located by the front entrance. LPA observed the Administrator's Certificate for Mary Jean Catacutan, which expires on August 2, 2027. The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, six of which may be non-ambulatory, none of which may be bedridden, and a hospice waiver granted for six. LPA toured the interior and exterior portions of the facility with staff on duty. For this visit, there are a total of five non-ambulatory residents in care, four of which are on hospice, and one is bedridden. The facility does not have a fire clearance for bedridden residents. The facility is a single-story home. There are a total of eight bedrooms, four of which are private resident rooms, one is a shared resident bedroom, and three are staff bedrooms. LPA toured each bedroom with the staff and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and free of any hazards. LPA observed the staff bedrooms to be kept locked and inaccessible to residents in care. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of four bathrooms, two of which are for residents and two are for staff. Continued on LIC 809-C. Bathrooms were observed to be in good repair, toilets and faucets were operational and showers were equipped with grab bars and non-skid floor mats. Water temperature in the bathrooms were measured to be 119.6 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked underneath the kitchen sink and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the kitchen. Fire extinguishers were dated and tagged on October 28, 2024. It has been over a year since the fire extinguisher was purchased. LPA observed the emergency disaster and evacuation plan, which is posted in the dining room. LPA observed the facility conducted their last emergency disaster drill on October 25, 2025. Facility had back-up emergency food and water supplies, located in the garage. LPA observed that the First Aid kit was located in the kitchen cabinet and had all the required components. Medications were also observed to be locked in a cabinet in the kitchen. Chemicals were observed to be locked in the garage, inaccessible to residents in care. LPA observed the attached two car garage is kept locked and inaccessible to residents in care. The garage is used for storage and laundry. For the exterior portion, LPA observed patio furniture under shading, and the grounds were free of any hazards or obstructions. There is one self-latching gate and one gate with a knob that locks in the backyard that can be opened in case of an emergency. No bodies of water were observed. During this visit, six resident files and three staff files were reviewed. All staff are background cleared and associated with the facility. LPA reviewed residents’ medication and medication records and two resident interviews were conducted. Based on today's observations, there are two deficiencies being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with staff Benedicta Lapuz. This report was reviewed with the staff and a copy was provided at the end of the visit. Appeal Rights were reviewed.the state’s words, verbatim · CDSS document, Nov 19, 2025

Type of visit: Prelicensing

Licensing Program Analysts (LPA) Jerome Haley made an announced visit for the purpose of conducting a pre-licensing evaluation. LPA Haley was greeted and granted entry by applicant Mary Jean Catacutan. Initial application: To operate a Residential Care Facility for the Elderly, with a capacity of 6 residents was submitted to the department for licensure. Fire clearance: Orange County Fire Authority granted the Fire Clearance August 7, 2024 Structure: The facility is a single level structure, with an attached garage. There’s a total of 8 bedrooms (5 resident & 3 staff), one living room space, one dining area, and four bathrooms (2 residents & 2 staff). Bedrooms (Residents): All bedrooms have the required furnishings: bed, lamp, chair, and storage space. Bathroom(s): Bathrooms are equipped with a working toilet, wash basin, and shower. Grab bars are tightly secured in resident bathrooms. Hot water temperature measured in the range of 112.6 – 114.8 degrees Fahrenheit. Kitchen: 4 of 4 burners were operational on the gas stove. Sharps and hazardous cleaning chemicals are kept locked under the kitchen sink. Sharps are separated from the chemicals. Applicant was reminded to keep the items apart to prevent cross contamination. Food Service: LPA Haley observed a perishable and non-perishable food supply that meets resident requirements in the kitchen. An addition perishable and non-perishable food supply was observed in the garage. Office Area: N/A There is no designated office area. Laundry: There's a laundry area in the garage equipped with a washer and dryer. Toxins: All toxic chemicals and cleaning solutions are inaccessible to residents and locked under the sink. Additional chemicals are stored in the locked garage. Resident & Staff Files: Resident and staff files will be stored in a locked cabinet in the kitchen near the dining room. Continued on LIC809C Medications/First-Aid Kit: Resident medications are stored in a cabinet in the kitchen. Medications are stored right below the cabinet with staff and resident files. There’s a first aid kit with all the required elements stored in the medication cabinet. Linens & Hygiene Supplies: Adequate supply of linen was stored in cabinets in the hallway. Backyard/Exterior: The back yard is clean and organized. The side exit gate is self-closing and self-latching. A shaded patio area with a table and chairs was observed. All walkways were clear and free of obstruction. Bodies of Water: N/A. No bodies of water was observed. Smoke/Carbon Monoxide Detectors: Smoke and carbon monoxide detectors tested operational. Two plug-in carbon monoxide detectors (one near front door & one in the dining room) tested operational. Fire Extinguisher: One fire extinguisher was observed mounted on the wall in the kitchen near the dining room. Another extinguisher was observed mounted on the wall in the hallway near the resident bedrooms. Emergency Phone Numbers, House Rules, Exit Plan & Menu: Posted & readily available for review on a postings board in between the kitchen and dining room was an emergency disaster plan, a list of emergency phone numbers, and house rules. Component III: Presented to applicant Mary Jean Catacutan. There are no corrections needed. The facility will be recommended for licensure. An exit interview was conducted, and a copy of this report was provided to applicant Mary Jean Catacutan.the state’s words, verbatim · CDSS document, Oct 28, 2024

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 4 COMP II Participants: Name - Mary Jean Catacutan CEO/Administrator Interview Method: Telephone interview On October 1, 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 the 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, Oct 1, 2024