Facility Evaluation Report

On March 21, 2024, Licensing Program Analyst (LPA), Venus Mixson arrived for a scheduled visit for the purpose of conducting a Pre-Licensing visit for an Adult Residential facility (735). LPA Mixson met with the Administrator, Robert Cantoria, introduced herself, and stated the purpose of the visit.

The location: The facility is a two-story home located at 28162 Bethany Circle, Moreno Valley, CA. 92555 and has six bedrooms, three full bathrooms, a living room, dining room, family room, and a kitchen, with a three car garage. A backyard and front yard. The Riverside County Fire Department approved this facility for four (4) Ambulatory, two (2) Non ambulatory, and Zero (0) Bedridden residents on 02/07/2024. The home has a first aid kit and manual, the Administrator has received First Aid and CPR training, and the Administrator’s certificate is current. LPA Mixson observed where medications are to be stored, locked, and inaccessible to the residents. Bedrooms: The residents’ rooms are equipped with the required furnishings per regulations and include nightstand and chair. The home is equipped with lights in the passages and stocked with emergency night lights throughout the home. Smoke and carbon monoxide detectors were observed and are operable. LPA Mixson observed the fire extinguishers, and each was charged and in the green. The cleaning supplies were locked and inaccessible, along with the sharp objects and the Administrator stated there were no firearms on the premises at this time. Kitchen: The knives were locked in a kitchen drawer, plenty of pots, pans, and other kitchen accessories. The facility has the required seven-day supply of non-perishable food items and the two-day supply of perishable food items. LPA Mixson observed hygiene supplies for residents. All doors and passageways are clear of obstruction. There is a gated and locked swimming pool, and the fireplace is covered with a screen. There are enough clean linen and hygiene items currently, and there are appropriate lights in each room. LPA Mixson observed central heating and air conditioning systems, and they are operable. The Administrator dialed the land line phone number (951) 208-2169, and it is operable currently at the time of this visit. Outside/Yards: Had shade and covering for shaded visits, and activities. There were no obstructions observed. The Administrator stated there were no firearms, and/or ammunition on the premises. CAB 8.0 Pre-licensing / COMP III is scheduled 03/28/2024, at the Riverside Regional Office. An exit interview was conducted, a copy of this report was provided to Administrator, Robert Cantoria.