Facility Evaluation Report

On August 20, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Required Annual Inspection and met with the Administrator, Evelyn D. Jackson. The facility file review was conducted at the Regional Office and additional records were requested and reviewed on site. The facility is licensed for six Adults and is currently operating at a capacity of six Adults (735). Operating at 100% capacity.

LPA Mixson toured the facility along with the Administrator, Evelyn Jackson and made observations pertaining to the annual visit. LPA inspected the facility inside and outside there were no obstructions or debris to the indoor or outdoor passageways at the time of this visit. Additionally, there were no bodies of water on the premises. The facility is a single-story home located at 1229 Rancho Pacifica Place Vista CA. 92084.

Physical Plant: The facility phone number is (760) 758-9614 and it is operable. LPA Mixson observed the four residents’ bedrooms, and each was equipped with required furniture as per Title 22. LPA Mixson inspected the three facility bathrooms, and the hot water temperature tested within regulations, and was logged. The bathrooms were clean, and appliances were operating appropriately currently at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. The two fire extinguishers were serviced on 08/11/2025.

LPA Mixson observed required postings such as "If you See Something, Say Something,” the "Personal Rights," and the currently administrators certificate. The cleaning supplies and sharp items were locked and inaccessible to the residents in care currently. There was designated storage space for the residents and staff files, and it was locked and inaccessible to residents in care.