Orange County Care Home I

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 Fahimeh Rassouli and explained the reason for the visit. The Administrator's certificate expires on November 2, 2027. The facility is licensed for 6 non-ambulatory residents of which 1 may be bedridden and a hospice waiver for 4. The facility is a single story home with a living room, dining room, kitchen, laundry room, 7 bedrooms, 1 is for staff, 2 bathrooms and a 2 car garage. The garage is kept locked and used for storage. LPA and the Administrator toured the facility. LPA observed the See Something, Say Something poster (PUB 475) posted next to the front door of the facility. LPA observed all 6 resident rooms have the required furnishings. The smoke detectors/carbon monoxide detectors tested operational. The Fire extinguisher in the kitchen is fully charged (purchased 12/31/25). LPA observed a 2 day supply of perishable food and a 7 day non-perishable food supply on hand in the kitchen. LPA observed a 3 day emergency food and water supply stored in the kitchen. LPA observed knives are kept locked in a kitchen drawer. LPA observed the medication and cleaning supplies are kept locked in the laundry room. LPA observed both bathrooms are clean and operational. Hot water measured 118.0 degrees Fahrenheit in both bathrooms. LPA and the Administrator toured the backyard and the garage. LPA observed the garage is used to store extra supplies and food and old furniture. The garage is kept locked and cannot be accessed from inside the facility. The backyard has a table with an umbrella and chairs to sit outside. The backyard exit gate is operational. There is a fenced pool at the front of the house. The fence is 5 feet tall. The gate for the pool fence is secured. The pool is inaccessible to residents. LPA reviewed facility files. The last fire drill was conducted on January 10, 2026. LPA observed the first aid kit has all the required elements. LPA reviewed 2 staff files, both staff members have the required training and CPR training. Both staff members are background cleared and associated to the facility. LPA reviewed 6 resident files and medications. Facility has a dedicated internet device for resident use. No deficiencies observed during the visit. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.the state’s words, verbatim · CDSS document, Feb 5, 2026

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 Fahimeh Rassouli and explained the reason for the visit. The Administrator's certificate expires on November 2, 2025. The facility is licensed for 6 non-ambulatory residents of which 1 may be bedridden and a hospice waiver for 4. The facility is a single story home with a living room, dining room, kitchen, laundry room, 7 bedrooms, 1 is for staff, 2 bathrooms and a 2 car garage. The garage is kept locked and used for storage. LPA and the Administrator toured the facility. LPA observed the See Something, Say Something poster (PUB 475) posted next to the front door of the facility. LPA observed all 6 resident rooms have the required furnishings. The smoke detectors/carbon monoxide detectors tested operational. The Fire extinguisher in the kitchen is fully charged. LPA observed a 2 day supply of perishable food and a 7 day non-perishable food supply on hand in the kitchen. LPA observed a 3 day emergency food and water supply stored in the kitchen. LPA observed knives are kept locked in a kitchen drawer. LPA observed the medication and cleaning supplies are kept locked in the laundry room. LPA observed both bathrooms are clean and operational. Hot water measured 120.0 degrees Fahrenheit in both bathrooms. LPA observed the floor tile next to bedroom 3 is cracked. LPA and the Administrator toured the backyard and the garage. LPA observed the garage is used to store extra supplies and food and old furniture. The garage is kept locked and cannot be accessed from inside the facility. The backyard has a table with an umbrella and chairs to sit outside. The backyard exit gate is operational. There is a fenced pool at the front of the house. The fence is 5 feet tall. The gate for the pool fence is locked. The pool is inaccessible to residents. LPA reviewed facility files. The last fire drill was conducted on November 20, 2024. LPA observed the first aid kit has all the required elements. LPA reviewed 2 staff files, both staff members have the required training and CPR training. Both staff members are background cleared and associated to the facility. LPA reviewed 6 resident files and medications. No discrepancies observed. The Administrator verified the facility has WiFi but does not have a dedicated internet device for resident use. No deficiencies observed during the visit. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.the state’s words, verbatim · CDSS document, Feb 6, 2025

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose to conduct the Required 1 Year Annual Inspection. LPA was greeted and granted entry by Caregiver Lino Dulatre and stated the purpose of the visit. LPA observed six residents and two caregivers on duty. Administrator (Admin) Fahimeh Rasouli arrived on premise at 9:58am. The facility is a single story home comprised of the following: six resident bedrooms, two caregiver bedrooms, two resident bathrooms, laundry room, living/dining room, kitchen, backyard patio, front swimming pool area, and an attached two-car garage. LPA toured the outside grounds. There was shading and sufficient seating for the residents. The exit gate was self-closing and self-latching. The swimming pool was gated and secured. LPA observed the resident bedrooms which had all required elements with ample lighting. LPA observed one out of the two resident bathrooms had a strong urine odor which was cleaned during the visit. Showers were sanitary, faucets, toilets, and grab bars were operational. The hot water temperature measured at 119.8 and 111.5 degrees Fahrenheit in the resident bathrooms. There were sufficient, clean supply of linens. LPA observed the two-day supply of perishables and the seven-day supply of non-perishables including the emergency food and water. LPA observed 20 expired canned items/sauces in the pantry that were disposed during the visit. LPA observed oil residue in the pantry shelves which will require a deep cleaning. LPA reviewed the receipts of the weekly treatments serviced by the pest control company to eradicate cockroaches after observing one live and three dead cockroaches while auditing the pantry items. The last three services per receipts were on March 1, 2024, February 21, 2024, and February 16, 2024. A cockroach trap was observed on the floor of the pantry. The carbon monoxide, smoke detectors, and the auditory devices were tested and operational. The first extinguisher located in the kitchen was purchased on February 26, 2024. Medications, sharps, and toxins were locked and inaccessible to the residents. LPA observed the Complaint Poster (PUB 475) in the required size of 20"x 26." LPA reviewed six out of the six resident files/medications and the two staff files during today's visit. Administrator was advised on the following items: to ensure that the bathroom and kitchen pantry are kept clean, sanitary, and odorless at all times, kitchen area to be free of insects, and food served to be of good quality that is not expired. Based on today's observations, no deficiency is being cited as per the Title 22 Division 6 Chapter 8 of the California Code of Regulations. (2) Technical Advisories and (1) Technical Violation will be issued. An exit interview was conducted with Administrator Fahimeh Rasouli, and a copy of this report was provided via email at the end of the visit.the state’s words, verbatim · CDSS document, Mar 11, 2024