Senior Care Records.

Facility Evaluation Report

Skiomah Road, Apple Valley04/06/2026Licence 361800461

Capacity6
Census4
Date signed04/06/2026 01:46:32 PM
Name of licensing program analystMagda Malcore
Name of licensing program managerKaren Clemons
The inspector’s account

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Reba Jordan and discussed the purpose of the visit. The facility is an Adult Residential facility with a license capacity of (6) and a current census of (4). The facility is a certified Inland Regional Center (IRC) vendor. During today's visit there were no clients present. LPA conducted an overall inspection, which included, but was not limited to, the following:

Operation/Physical Plant: The facility is operating within the license limitations approved by Community Care Licensing Division (CCLD). Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or similar bodies of water. The facility has sufficient indoor and outdoor activity space for clients in care. Backyard activity space is covered and enclosed with a latching gate. LPA observed in the backyard an insect killer chemical left outside unlocked and unattended. Indoor facility temperature is maintained at 72 degrees fahrenheit (F). The facility is equipped with fire/carbon monoxide alarms, fire extinguisher, laundry equipment, emergency food/water and covered fire place. The facility has posted: Disaster plan with emergency telephone numbers, administrator's certification, facility license, client personal rights, and facility sketch. Client bedrooms were equipped with beds, bed linen, dressers, storage space and lighting. Client bathroom water temperature tested at 105 degrees (F). LPA observed the one of bathroom shower with access to visitors, clients, and staff was not maintained clean and not in good repair. The shower head equipment was leaking causing a puddle in shower. LPA also observed the shower door and shower wall had heavy soap residue.

Food Service: The facility’s kitchen and dining areas were maintained clean. The facility maintains a (7) day supply of non-perishable food, (2) day supply of perishable food, and snacks for clients in care. The facility’s refrigerator, freezer, and food pantry provided sufficient space for food storage.

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