Caring Sisters Home and Garden @ Lake Forest

Type of visit: Required - 1 Year

On July 6, 2026, at 1:45 PM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim met with Administrator (ADMIN) Esther Rey and explained the purpose of the visit The facility is licensed to have a capacity of six (6) nonambulatory residents, of which one may be bedridden, and a hospice waiver for two (2) residents. LPA Kim observed the following. The facility is a two-story house with an attached 2-car garage with five (5) resident bedrooms, three (3) staff bedrooms, three bathrooms, dining room, two kitchens, a living room, and outdoor shaded patio. LPA Kim toured inside and outside of the physical plant with ADMIN Rey. There are no obstructions or bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. All bedrooms were inspected: Resident room 1, Resident Room 2, Resident Room 3, Resident Room 4, and Resident Room 5. Bathrooms were found to be within Title 22 regulations and were clean and operational.. The water temperature measured between 109.0 degrees F and 117.1 degrees F. A comfortable temperature of 74 degrees F was maintained in the facility. LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents Evaluation Report Continues on LIC 809-C During the visit, LPA Kim observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency food, emergency water and emergency supplies are stored in the garage. All mandated inspection control posters were posted. The facility has smoke detectors and carbon monoxide detectors that were operable. The Certificate of Liability Insurance is effective from September 16, 2025 to September 16, 2026. LPA observed the facility could not provide Fire/Safety Drills log to be audited during the visit. One (1) fire extinguisher is in the facility that is mounted in the kitchen A working telephone Facility phone number (949-613-1114) and tablet device dedicated to the residents both remain available. First Aid Kit contained all the necessary elements. LPA Kim conducted an audit of three (3) residents (R1-R3) files, and four (4) staff (S1-S4) personnel files, and medication and medication administration records that were all in order and complete. LPA conducted interviews with one staff and two residents. Based on today’s visit, a deficiency was cited as per the Title 22 Division 6 Chapter 8 of California Code of Regulations (CCR). LPA observed the facility could not provide Fire/Safety Drills log to be audited during the visit. An exit interview was conducted, and a copy of this report and appeal rights were provided to Administrator Esther Rey.the state’s words, verbatim · CDSS document, Jul 6, 2026

Type of visit: Required - 1 Year

On this day Licensing Program Analyst (LPA) William Vanegas conducted an unannounced visit for the purposes of completing an annual inspection. Upon arrival LPA Vanegas was greeted and granted entry to the facility by Administrator (AD) Esther Rey. LPA Vanegas explained the purposes of the visit and began to set up equipment. LPA Vanegas began a tour of the facility and observed the following. This is a two storied home with eight bedrooms, five of which are for resident use, and three bedrooms that are for live in staff on the second floor. LPA Vanegas observed the kitchen area to be clean and free of any mildew or debris. LPA Vanegas observed there to be an electric stove, dish washer, microwave, refrigerator, washer, and dryer. All appeared in good repair, and tested operational. LPA Vanegas observed a 2 day supply of perishable food, and a seven day supply of non-perishable food as well as a sufficient ammount of emergency water. LPA Vanegas observed resident restrooms to be in clean and sanitary repair, LPA Vanegas observed restrooms to have operational water faucets, and toilets in good repair. Resident restrooms had all required furnishings such as a shower chair, grab bars, and slip resistant floor matts. Bathroom water tested between 114.3 and 114.5 degrees. LPA Vanegas observed all resident rooms to have required furnishings such as a bed, clean linens in good repair; meaning no strains or tears, chest drawers, a reading lamp, and enough storage space to store personal belongings. CONTINUED ON LIC809C LPA Vanegas reviewed three resident files and one staff file. All files (resident and staff) had all required documents and staff annual training was complete. LPA Vanegas observed all smoke and carbon monoxide detectors to be in good repair, and tested operational. LPA Vanegas observed all fire extinguishers to be fully charged. LPA Vanegas observed an evacuation chair in the stairwell as well. LPA Vanegas observed the outside of the facility to have a large backyard, large enough to participate in outdoor activities upon resident request. LPA Vanegas observed there to be an outdoor shaded sitting area, and no obstructions along the emergency exit route. Side doors are self latching and unlocked. LPA Vanegas observed first aid kit to have all required items such as adhesive tape, scissors, tweezers, bandages, a thermometer, and a first aid manual. LPA Vanegas observed all hazards, toxins, and sharps to be locked away and inaccessible to residents in care. However LPA Vanegas observed centrally stored medications to not be locked. LPA Vanegas reviewed medications with AD Esther Rey, per LPA Vanegas review of medications all medications are being administered per physicians orders. Based on today's observations a deficiency will be issued per tittle 22 chapter 8 division 6 of the California Code of Regulations. An exit interview was conducted with AD Esther Rey, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Jul 15, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Administrator Esther Rey and explained the reason for the visit. LPA and the Administrator toured the facility. LPA observed and measured the See Something, Say Something poster (PUB 475) and it measured 14 1/2 by 22 inches. LPA observed the living room fireplace is screened. The living room has couches and chairs for residents or visitors to sit. There is a large screen TV mounted above the fireplace. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. The fire extinguisher in the kitchen is fully charged. LPA observed medications are kept locked in a cart in the kitchen. LPA observed knives are kept locked in a kitchen cabinet. LPA and the Administrator toured the facility. LPA observed all resident bedrooms had the required furnishings and bed linens. Smoke detectors/Carbon monoxide detectors tested operational. The facility has two stories. The second floor is for staff only and no residents live on the second floor. LPA did not observe an evacuation chair. The garage is used for storage and kept locked. Hot water measured 113.0 degrees Fahrenheit to 116.9 degrees Fahrenheit in the 2 bathrooms downstairs. During the visit the facility had multiple AC units running to keep the facility temperature at 79.0 degrees Fahrenheit. LPA and the Administrator toured the backyard. LPA observed a tortoise, a dog, 6 birds in 3 cages and 2 chickens in a chicken coupe in the backyard. LPA observed old bed rails, bikes, ladders and plants on each side of the house leading to the exit gates. The items obstructed the path to both exit gates. Both exit gates are operational. No bodies of water observed in the backyard. There is a table with an umbrella and chairs for residents to sit outside. LPA observed a shed in the backyard. The shed is kept locked and used for storage. There is a covered patio in the backyard which has exercise equipment. LPA reviewed 5 resident files and 5 resident medications. LPA observed Resident 1 (R1) only had 2 out 5 of their prescribed medications on hand in the facility that were listed on their medication administration record (MAR) for July 2024. LPA reviewed 4 staff files, no discrepancies observed. LPA inspected the first aid kit, the first aid kit has all the required elements. Deficiencies are being cited per title 22 Division 6 of the California Code of Regulations on the attached LIC 809D. An exit interview was conducted with the Administrator and a copy of the report provided along with appeal rights.the state’s words, verbatim · CDSS document, Jul 10, 2024

The state marks this report as 6 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.