Facility Evaluation Report

On May 23, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Required Annual Inspection and met with Ariel Servano, Lead Staff. The facility file review was conducted at the Regional Office and additional records were requested and reviewed on site. This facility is licensed for four (4) Adults and is currently operating at 100% capacity of four (4) Adults (735) facility type.

LPA Mixson toured the facility along with Ariel Servano 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. Currently there are no bodies of water on the premises. This home is a single-story dwelling and is located at 1082 Eden Valley Way, San Jacinto, CA. 92582.

Physical Plant: Facility phone number is (951) 350-0804 and it is operable , as evidence by Lead Staff dialing the number. LPA observed four residents’ bedrooms, and each was equipped with required furniture as per Title 22. LPA Mixson inspected facility bathrooms, and the hot water temperature tested within regulations. Bathrooms are clean, and appliances are operable presently. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. LPA Mixson observed required postings "If you See Something, Say Something,” and the "Personal Rights." Cleaning supplies and sharp items were locked and inaccessible to the residents in care at the time of this visit. There is designated storage space for resident's and staff files. This storage was inaccessible and securely locked at the time of this visit.