Tessa's Place 5

Type of visit: Required - 1 Year

On August 25, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Administrator (AD) Mark Ryan Cruz was notified via telephone and later arrived to assist with the inspection. LPA observed that Mark Ryan Cruz has a valid Administrator certificate which expires on December 2, 2026. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six residents, of which two can be ambulatory, three can be non-ambulatory, and one can be bedridden. The facility also has an approved hospice waiver for four residents. The facility is a two story home. The first floor consist of three shared resident bedrooms, two shared resident bathrooms, a living room, a dining room, a kitchen, and an attached two car garage. The second story is for staff use only and consist of three staff bedrooms and one staff bathroom. LPA, accompanied the AD, conducted a tour of the interior portions of the facility. On today's visit, there were three resident and two care giving staff present. LPA observed the See Something, Say Something poster, (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected all three resident bedrooms and observed them to be free of hazards. LPA observed resident bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed additional linens to be stored in cabinets located in the resident hallways. LPA inspected the two shared resident bathrooms and observed them to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured 109.2 and 109.5 degrees Fahrenheit. LPA observed the three staff bedrooms to be kept locked and inaccessible to residents in care. CONTINUED ON LIC809-C LPA observed the facility has a two day perishable and a seven day non-perishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. LPA observed chemicals and toxins to be stored in a locked kitchen cabinet under the sink. LPA observed a fire extinguisher to be mounted on the wall near the kitchen and it was observed to be charged and serviced on March 9, 2026. LPA observed the centrally stored medication to be kept in a locked cabinet located also near the kitchen. LPA observed the facility has a first aid kit stored in the kitchen and it had all the required components. LPA observed the facility has a three day emergency food supply stored inside a cabinet in the dining room. LPA tested the wired smoke detectors/carbon monoxide detectors which tested operational. LPA observed the facility conducted their most recent emergency disaster drill on July 21, 2026. LPA observed the door leading to the attached two car garage to be kept locked and inaccessible to residents in care. LPA observed the garage to be used for storage and laundry. LPA observed additional chemicals and toxins to be stored in the garage. LPA also observed the facility has a three day emergency water supply stored in the garage. LPA, accompanied by the AD, conducted a tour of the exterior portions of the facility. LPA observed the exterior to be free of any obstruction or hazards. LPA observed a shaded outdoor seating area with furniture for resident use. LPA observed the perimeter gate of the facility can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed all four resident files. All the required documentation were present and current in the resident file reviewed. LPA reviewed the residents' medication and medication records. LPA reviewed three staff files. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, no deficiencies are being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with Administrator Mark Ryan Cruz and a copy of the report was provided at time of visit.the state’s words, verbatim · CDSS document, Aug 25, 2026

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Michael Tea made an announced visit to the facility for the purpose of conducting a pre-licensing inspection. LPA Tea met with designated Licensee (LE) Eleanor Avendano and Administrator (AD) Therese Najaroen. An application to operate a Residential Care Facility for the Elderly (RCFE) was received by our agency on December 17, 2024, for a total capacity of two ambulatory residents, three non-ambulatory residents and one bedridden. The fire clearance was approved by a fire inspector from the Orange County Fire Authority on March 5, 2025. The facility is a two-story home with three resident bedrooms, two bathrooms, a living room with an extended family area, a kitchen, a dining area, and an attached two car garage. The second floor is only for staff only. There is one exit gate on the left side of the house that is self-latching and unlocked. There is a shaded seating area for clients in the backyard and LPA did not observe any obstacles or hazards. There are activities such as games, puzzles and coloring activities for residents to play and participate in. LPA also observed exercise equipment, karaoke machine and ball toss activity for residents. LPA observed Administrator certificate, Facility sketch and Emergency Disaster Plan in the facility mounted on the wall in the front entry way. The See Something, Say Something poster (PUB 475), Long Term Care Ombudsman poster, and Personal Rights were posted up on the walls of the front entry way. Resident bedrooms had the required furnishings. Bedrooms with sliding doors had working door alarms. LPA observed all beds had linens and blankets. Smoke detectors and carbon monoxide detectors tested operational. Hot water temperatures in the bathrooms measured around 108.1 F to 109.4 Fahrenheit (Pre-licensing Report continuation on LIC809-C) degrees. Bathrooms were observed to be operational and have a working toilet, wash basin, and bathtub/shower, as well as grab bars and non-skid surface. Toxins were secured and locked underneath the sink and in a storage closet in the garage. Medications will be stored in a locked cabinet by the kitchen area. The first aid kit with all the required elements and first aid guidebook was observed in the medication cabinet as well. Records will also be stored alongside medication in the locked cabinet. A phone is in the kitchen and living room for residents to use. A supply of perishable and non-perishable food was observed. Gas stove burners, dishwasher, refrigerator, microwave, washer, and dryer are operational. Emergency food and water and additional supplies were observed to be well stocked in the dining area and garage. There is a laptop in the kitchen for the residents to use as well as an iPad. The fire extinguishers throughout the house are fully charged. The facility is ready to be licensed. LPA conducted the Component Three Orientation with Licensee Eleanor Avendano and Administrator Therese Najaroen. Facility was notified that the final application approval will be issued by the Centralized Applications Bureau in Sacramento. An exit interview was conducted, and a copy of this report was provided to the Licensee and Administrator.the state’s words, verbatim · CDSS document, Aug 5, 2025

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): N/A COMP II Participants: Administrator Therese Najaroen and Licensee Eleonor Avendano Interview Method: Telephone interview On 7/15/2025, 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, Jul 15, 2025