Senior Care Records.

Facility Evaluation Report

New Haven, Victorville09/23/2025Licence 365530037

Capacity4
Census4
Date signed09/23/2025 10:47:31 AM
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 Staff, Dinah Pasco and introduced self and stated purpose of the visit. LPA was informed that there are 2 clients in program and 2 at home.

The facility has 5 bedrooms (4 for clients), 3.5 bathrooms (2.5 for clients), kitchen, dining room and dining area, living room, family room, loft, staff room, laundry room, backyard, and attached garage. LPA completed a walk through of 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 75 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 112 degrees fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, charged fire extinguishers and first aid kit. Posters such as; the personal rights, CCL complaint poster, disaster plans and license were posted in a common area. Chemicals, toxins, sharps, medications and other dangerous items were kept in secure cabinets inaccessible to clients. There was a designated storage space for client/staff files and P&I. The facility had emergency kits, emergency food and water. There is no swimming pool, bodies of water, firearms or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care.

Food Service : Non-perishable and perishable food supply is sufficient. Facility has a wide variety of food available. Dishes, cups, and utensils were also stored properly.

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