Senior Care Records.

Facility Evaluation Report

Falcon High, Fairfield05/22/2025Licence 486804056

Capacity4
Census4
Date signed05/22/2025 02:30:49 PM
Name of licensing program analystStar Stevenson
Name of licensing program managerBethany Moellers
The inspector’s account

At approximately 1:00 PM Licensing Program Analyst Star Stevenson arrived unannounced to CONTINUE a required 1 year annual inspection and was greeted by co-administrator Charisma "Charry" Mari and Lilian "Lily" Rodriquez

One (1) of four (4) clients were home and not connected to a day program, while three (3) of 4 were away at day programs.

At approximately 1:20 PM 5(5) of 5 staff files and four (4) of 4 client files were reviewed. All required records and documents were observed to be on file per title 22 regulations.

Medicines were centrally stored and locked.

P&I monies were counted by co-administrator and it was observed that house is managing slightly over their Affidavit Regarding Client/Resident Cash Resources and a technical violation was issued and licensee to submit new higher amount of Affidavit Regarding Client/Resident Cash Resources , as well as, an appropriately higher surety bond amount of cash managed by 06/22/2025

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