Facility Evaluation Report

Shadowbrook ST Home LLC, Moreno Valley07/16/2025Licence 331881495

Capacity4
Census4
Date signed07/16/2025 02:48:19 PM
Name of licensing program analystJanira Arreola
Name of licensing program managerAnthony Perez
The inspector’s account

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit. LPA was granted entry and met with Administrator, May Boco Embalsado who was informed of the purpose of the visit. At the time of the visit there was (3) staff and (4) clients present.

The facility is a one story home with (4) bedrooms and (2) bathrooms for clients. No pools or firearms are being kept at the facility. The facility is an adult residential facility approved for a capacity of (4) clients all of whom may be non-ambulatory.

Infection Control: The LPA observed the hand washing stations, hygiene supplies, PPE equipment, and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements.

Physical Plant: Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards. LPA observed outdoor furniture and shaded area for clients. Laundry equipment was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to clients in a closet. The smoke detector and carbon monoxide alarms were operational, and the hot water temperature 110F.

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