Senior Care Records.

Facility Evaluation Report

House of J4, Fallbrook09/18/2023Licence 374604223

Capacity6
Census4
Date signed09/18/2023 12:49:39 PM
The inspector’s account

Licensing Program Analyst (LPA) Jacqueline Shaw Ross made an unannounced visit to the facility for the purpose of an annual inspection. LPA was greeted by Administrator, Josie Dizon and explained the purpose of the visit. A tour of the facility was conducted inside and out. At the time of visit, there were no clients home and one additional staff was available. Administrator informed LPA that all clients were currently in day program.

The facility is a five (5) bedroom three (3) bathroom one story home. Two bedrooms are client shared, two to a room, and two bedrooms are designated for Administrator and live-in staff.

During the tour the following was observed: Clients bedrooms had the required furnishings and were observed to be in good condition. Bathrooms had required signage, hand rails, non-slip mats. Night-lights were observed in the hallways. Fixtures and furniture for an operational facility are present and in good repair. All passageways were free of obstructions, charged fire extinguishers and the fire alarm system was operable, medications are kept centralized and locked, hazardous items are kept inaccessible to clients. Hot water was tested at 108.5 degrees Fahrenheit. Backyard area is free from obstructions.

Kitchen/Food Service: LPA observed the entire kitchen, food is stored properly and dishes are clean and in good condition. There is a sufficient supply of perishable and non-perishable foods. Area was observed to be clean and functional.

Care & Supervision : Facility has sufficient care staff employed.

Administration: Emergency exiting plans, telephone numbers and Ombudsman information and other required signage are posted throughout the facility. Drills are conducted monthly. The last drill was conducted 7/29/2023.

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