Senior Care Records.

Facility Evaluation Report

Jubilee Home, Victorville05/12/2025Licence 365530104

Capacity3
Census2
Date signed05/12/2025 10:33:05 AM
Name of licensing program analystEldin Serrano
Name of licensing program managerKaren Clemons
The inspector’s account

On 5/12/2025 at 09:05 AM, Licensing Program Analysts (LPAs) Eldin Serrano and Sarina Ramirez conducted an unannounced visit to the facility to conduct the required comprehensive annual inspection to the facility. LPA was greeted by House Manager (HM) Jonetta Williams and gained access to the home LPAs explained the purpose of the visit.

The facility has three (3) bedrooms, two (2) bathrooms, kitchen, dining room, living room, attached garage, and backyard. The facility is vendorized by Inland Regional Center (IRC). The facility is licensed for 3 of which can be one (1) ambulatory and two (2) Non-ambulaotry. LPAs completed a walkthrough of the facility, review of records, and medications audit.

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD), LPAs observed one (1) client during the visit. There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 72 degrees Fahrenheit. LPAs inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, chairs, and sufficient lighting. LPAs inspected client bathrooms; bathrooms were clean, and appliances were found functional. Water temperatures tested at 105 degrees Fahrenheit. The facility is equipped with operational smoke detectors and carbon monoxide detectors, charged fire extinguishers, and first aid kit with first aid book.

Posters such as the personal rights, CCLD complaint poster, and emergency disaster plan were posted in a common area. Client medications were kept in secure cabinets inaccessible to clients.The facility had emergency kits, emergency food and water. There are no firearms and ammunition in the facility.

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