Senior Care Records.

Facility Evaluation Report

Nalas Res.fac. Jaclyn's Home, Fallbrook09/23/2025Licence 374603269

Capacity4
Census3
Date signed09/23/2025 01:13:05 PM
Name of licensing program analystJanette Romero
Name of licensing program managerCarolyn Tuba
The inspector’s account

On 09/23/2025, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA was greeted and granted entry by Caregiver, Rosaura Estrada who was informed of the purpose of the visit. Caregiver Estrada stated she contacted Administrator Huber Barquero who was informed of the purpose of LPA's visit and reported being unavailable to meet with LPA at the facility. Garrett Crow arrived to the facility to meet with LPA and identified themselves as the Administrative Assistant (AA). The facility has a fire clearance for two (2) ambulatory clients and two (2) non-ambulatory clients, and serves adults ages 18 through 59. During the visit, there was two (2) staff and three (3) clients present.

LPA toured the facility with Caregiver Estrada, conducted interviews, and reviewed records. During the tour, LPA observed the facility is made up of a one (1) story home with four (4) client bedrooms, (3) bathrooms, a staff room, living room, kitchen, dining room and attached garage. Indoor and outdoor pathways were free of obstructions. Outdoor shaded seating is available for the clients in care. No bodies of water were observed on the premises. LPA toured the kitchen and observed the facility has a two-day supply of perishable foods and seven-day supply of non-perishable foods, which are stored in a safe and healthful manner. Medications are secured in a locked cabinet above the refrigerator. Caregiver, Ruben Dominguez Arce tested one (1) of the smoke alarms/carbon monoxide detectors and LPA heard it to be operational. LPA also observed a charged fire extinguisher in the laundry room with a tag noting it was last serviced on 05/15/2025. Care staff present have a criminal record clearance and are associated with the facility. LPA reviewed the client files which had Departmental required records. LPA also reviewed the Record Of Client's/Resident's Safeguarded Cash Resources (LIC 405) for all three (3) clients while Caregiver Estrada counted their physical monies, and no discrepancies were discovered. LPA reviewed the facility's Fire Evacuation Drill Log, which noted the facility's last fire drill was conducted on 08/15/2025. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was reviewed and provided to AA Crow.

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