Senior Care Records.

Facility Evaluation Report

Anderson Adult Home I, Moreno Valley04/18/2025Licence 331881508

Capacity6
Census2
Date signed04/18/2025 03:20:04 PM
Name of licensing program analystDebbie Palacios
Name of licensing program managerTricia Danielson
The inspector’s account

On 04/18/2025, Licensing Program Analyst (LPA) Debbie Palacios made an unannounced visit to the facility to conduct a required annual inspection. LPA was greeted and granted entry by Licensee, Allison Gore who was informed of the purpose of the visit. The facility has a fire clearance for six (6) ambulatory clients.

LPA toured the facility with Licensee and reviewed records. During the tour, LPA observed the facility is made up of a one (1) story home with four (4) client bedrooms, a living room, dining room, kitchen, office room and attached garage. All resident's bedrooms had required furniture and lighting. LPA toured the facility's exterior and observed outdoor pathways were free of obstructions. LPA observed a hallway cabinet filled with clean towels, blankets, and linen, available for the clients. LPA toured the kitchen and observed the facility has a 2-day supply of perishable foods and more than a 7-day supply of non-perishable foods, which are stored in a safe and healthful manner. LPA toured the garage and observed an additional refrigerator and a freezer with perishable foods. LPA also noted the facility secures additional cleaning solutions, laundry detergent, and disinfectants in the locked garage. Licensee tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed four (4) charged fire extinguishers mounted throughout the facility, last serviced on 06/30/24 . Medications are secured in a locked cabinet stored in the office room. Exit signs, emergency contact information, resident's personal rights, and complaint information are visibly posted near the entrance.

During today's visit, LPA did not issue any citations. An exit interview was conducted and a copy of this report was reviewed and provided to Licensee.

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