Senior Care Records.

Facility Evaluation Report

Specialized Residential Lupine, Apple Valley08/11/2025Licence 366425780

Capacity4
Census4
Date signed08/11/2025 12:35:19 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 was granted entry and met with Lawanna Jones and discussed the purpose of the visit. The facility is an Adult Residential facility with a license capacity of (4) and a current census (4). LPA conducted an overall inspection, which included, but was not limited to, the following:

Operation/Physical Plant: 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. Outdoor activity space is shaded and enclosed with a gate. The facility is maintained at a comfortable temperature of 74 degrees F. The facility is equipped with operating carbon monoxide alarms, fully charged fire extinguishers, laundry equipment, emergency hallway lighting and telephone service. Client bedrooms were equipped with beds, nightstands, chairs, and storage space. Client bathroom equipment was operating in safe conditions. The hot water in client bathrooms tested at 105.6 degrees F. Disinfectants and cleaning supplies were stored in a locked cabinet away from food areas. The facility has posted, facility license, client personal rights, emergency telephone numbers, activities, and menu. The facility has 24 hour/7 days a week care staff. The facility has an emergency & disaster plan for review.

Food Service: The facility’s dining and kitchen areas were maintained clean. The facility has sufficient non-perishable and perishable food and snacks for number of clients in care.

Health Related Services: The facility maintains records of client medications and medications are centrally stored in a locked cabinet. First aid kits with manual were also maintained at the facility.

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