Senior Care Records.

Facility Evaluation Report

Safe Haven Home I, Adelanto08/08/2025Licence 361800127

Capacity4
Census2
Date signed08/08/2025 04:27:18 PM
Name of licensing program analystMichelle Echeverria
Name of licensing program managerNedra Brown
The inspector’s account

Licensing Program Analyst (LPA) Michelle Echeverria arrived unannounced to conduct the required annual visit to the facility. LPA met with DSP, Aaliyah Cage and introduced self and stated purpose of the visit. LPA was informed that all clients in care are home.

The facility has 4 client bedrooms, 3 bathrooms, 1 bedroom converted into office, living room, kitchen, dining area, laundry room, attached garage, and backyard. The facility is vendorized by Inland Regional Center. LPA completed a walk through of the facility, review of records, medication and P&I audit.

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 73 degrees fahrenheit. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected client bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 117 degrees fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms and charged fire extinguisher. Posters such as; the personal rights, CCL complaint poster and disaster plans were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept in secure cabinets inaccessible to clients. There was a designated storage space for client/staff files. Medications and first aid kit were observed inaccessible to clients. The facility had emergency kits for the clients in care. There are no firearms or ammunition in the facility. LPA observed that the main entrance to the facility requires a special code to be entered from the inside in order to enter or exit the facility. Deficiency issued.

Food Service : Non-perishable and perishable food supply is sufficient for number of clients in care. Dishes, cups, and utensils were also stored properly.

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