Senior Care Records.

Facility Evaluation Report

Golden Bloom Villa, Fallbrook06/29/2026Licence 374604527

Capacity6
Census6
Date signed06/29/2026 04:51:28 PM
Name of licensing program analystKyle Wellington
Name of licensing program managerCarolyn Tuba
The inspector’s account

On 6/29/26, Licensing Program Analyst (LPA) Kyle Wellington arrived unannounced to conduct an annual inspection. LPA was greeted and granted entry by Administrator (Admin), Liza Valencia, who was informed of the purpose of the visit. LPA observed two (2) staff and six (6) residents present at the facility. Census at the facility is six (6) residents. LPA received a staff and resident roster from Admin. LPA toured the facility with Admin. LPA conducted an observation and record review for the inspection.

Facility Overview: The facility is a one story house with six (6) resident bedrooms, two (2) resident bathrooms, kitchen, dining room, living room, laundry room, one (1) caregiver bedroom and one (1) caregiver bathroom. There are no pools, bodies of water or firearms at the facility. The facility has a fire clearance to serve five (5) non-ambulatory residents and one (1) bedridden resident for a total of six (6) residents. The facility has an hospice waiver for six (6).

Infection Control: LPA observed soap dispensers and hand sanitizers throughout the facility. Cleaning equipment and supplies were was kept in the locked laundry room and available for regular facility maintenance. LPA reviewed the facility’s infection control plan which met the department’s requirements.

Physical Plant: LPA observed the inside and outside of the facility to be clean, safe and well kept. The floors, windows and doors were clean and well maintained. The living room and dining room furniture was in good repair. The bedrooms and halls had night lights and the halls were free of obstruction. The residents’ bedrooms were neat, organized and contained the required bedding, lighting and furniture. Bathrooms were clean, tidy and had grab bars, paper towels, soap and non-slip mats in the showers. Extra linen and towels were kept in a cabinet in the hall. Laundry equipment appeared to be in good working condition. Laundry supplies were kept in the locked laundry room.. The seven (7) fire extinguishers were charged. LPA tested

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