Facility Evaluation Report

On December 19, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Required Annual Inspection and met with the House Manager, Jorgena Lavarez. The facility file review was conducted at the Regional Office and additional records were requested and reviewed on site. The facility is licensed for five Adults and is currently operating at a capacity of four adults. For a facility type (735).

LPA Mixson toured the facility along with the House Manager, Jorgena Lavarez and made observations pertaining to the annual visit. LPA inspected the facility inside and outside there were no obstructions or debris to the indoor or outdoor passageways at the time of this visit. Additionally, there were no bodies of water on the premises. The facility is comprised of a two story home located at 3049 Woolyleaf CT Perris CA 92571; no residents rooms are upstairs.

Physical Plant: The facility phone number is (951) 349-0321 and it is operable. LPA Mixson observed the four resident’s bedrooms, and each was furnished with required fixtures as per Title 22. LPA Mixson inspected the facility bathrooms, and the hot water temperature tested within regulations, and logged. The bathrooms were clean, and appliances were operating appropriately at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. LPA Mixson observed required postings such as "If you See Something, Say Something,” the "Personal Rights," and the LTCO poster. The cleaning supplies and sharp items were locked and inaccessible to the residents in care presently. There were designated storage spaces for the residents’ and staff’s files, and this file cabinet was locked and inaccessible to residents in care at the time of this annual visit.