Small board & care homeLicensed
Lake Forest Country Home III
22741 Costa Bella, Lake Forest, CA 92630
- Licensed for 6 residents
- Hospice waiver
About Lake Forest Country Home III
Lake Forest Country Home III is a small, home-like residential care facility for the elderly in Lake Forest, California, licensed by the California Department of Social Services to care for up to 6 residents. It has held its current license for 25 years. It holds a hospice waiver, so residents can receive hospice care without moving.
Licensing & inspections
Official CDSS report- License status
- Licensed
- Facility number
- 306001261
- Licensed capacity
- 6
- Licensed since
- January 23, 2001
- Last state visit
- January 30, 2026
- Inspection visits
- 4
- Recent routine and required inspections
- Complaint visits
- 0
- Visits to investigate complaints
- Type A citations
- 0
- Immediate risk to health, safety, or rights
- Type B citations
- 0
- Could become a risk if not corrected
- Licensee:
- Rivas, Carmen T.
- Administrator:
- Rivas, Carmen T.
- CDSS office:
- ORANGE & INLAND A/SC
- Serves:
- RCFE / Hospice
State license notes: 6 non-ambulatory; Hospice waiver for 2
Data from CDSS Community Care Licensing, last checked November 3, 2026.
Location
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