Senior Care Records.

Facility Evaluation Report

J.d.s. Adult Care Facility, Lancaster09/26/2025Licence 197610608

Capacity6
Census0
Date signed09/26/2025 03:34:24 PM
Name of licensing program analystLorena Casillas
Name of licensing program managerNichelle Gillyard
The inspector’s account

On 09/08/2025 at 2:00 pm Licensing Program Analyst (LPA) Lorena Casillas arrived at the facility to conduct an unannounced one (1) year required annual visit. LPA was greeted and granted access by Administrator Jamesha Smith, LPA informed Administrator of the purpose of the visit and an entrance interview was conducted. Administrator would not be able to stay for long and designated Malaika Smith to sign the report.

A tour of the facility was conducted with designee at 2:15 pm. The facility has five (5) bedrooms and three (3) bathrooms. There is a small room near the entrance that is used as an office area but is not considered a bedroom. The facility is Fire Cleared for six (6) ambulatory clients. No tool kit was used as there were no clients.

Kitchen Area: At 2:25 pm LPA conducted a tour of the kitchen and observed that the kitchen area is equipped with a refrigerator, microwave oven and sink. There was an adequate supply of nonperishable food and dining ware to accommodate a maximum capacity of six (6). Knives are locked in a closet in the hallway. Cleaning supplies and chemicals were observed to be locked in the storage room.

Living and dining: At 2:35 pm LPA observed the living room and dining room areas, which were equipped with living room furniture, a television, tables, and chairs. The dining room table is large enough to accommodate six (6) clients. There is a fireplace with a metal barrier. No fireplace tools or fixtures were present. The smoke alarms are hard-wired and inter-connected. The carbon monoxide detector is functional and installed in the entrance and upstairs. The facility has one fire extinguisher that was purchased on 07/24/25. It is located by the dining room and living room area.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction