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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005557
Report Date: 03/12/2025
Date Signed: 03/12/2025 11:31:57 AM

Document Has Been Signed on 03/12/2025 11:31 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:BRIDGES CARE HOMESFACILITY NUMBER:
306005557
ADMINISTRATOR/
DIRECTOR:
JABONERO, JANICEFACILITY TYPE:
735
ADDRESS:441 N COLFAX STTELEPHONE:
(714) 975-3025
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY: 4CENSUS: 3DATE:
03/12/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:05 AM
MET WITH:Jeremias JaboneroTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) William Vanegas made an unannounced inspection for the purposes of conducting and annual inspection. Upon arrival LPA Vanegas was greeted and granted entry to the facility, and explained the purpose of the inspection. LPA Vanegas set up equipment and began a tour of the facility, and observed the following.

This is a one storied home with four bedrooms one of which is a staff room, and three of which are client rooms. There are two bathrooms, one of which is a shared client bathroom, and one of which is a staff and visitor bathroom, there is an attached two car garage, and a large backyard. LPA Vanegas observed kitchen area to be clean and free of debris, LPA Vanegas observed a microwave, gas stove, refrigerator, dish washer, washer, and dryer all in good repair and in working condition. LPA Vanegas observed a two day supply of non-perishable food and a seven day supply of perishable food sufficient enough for staff on duty and clients in care.

LPA Vanegas observed client rooms to be clean and free of any debris, insects, or rodents. LPA Vanegas observed all client rooms to contain all required furnishings such as a chair, a lamp, enough closet space for personal belongings, a bed, and clean linens in good repair meaning no strains or tears. LPA Vanegas observed all fire extinguishers to be fully charged and up to date. LPA Vanegas observed all smoke and carbon monoxide detectors to be in good repair and in working condition.

LPA Vanegas observed resident bathrooms to be clean and free of any mildew. LPA Vanegas observed water faucets and toilets to be in working condition and in good repair. LPA Vanegas observed showers to have all required furnishing such as grab bars, and slip resistant floor matts. Bathroom water tested between 116.9 and 119.8 Degrees.

CONTINUED ON LIC809C
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: William Vanegas
LICENSING EVALUATOR SIGNATURE: DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: BRIDGES CARE HOMES
FACILITY NUMBER: 306005557
VISIT DATE: 03/12/2025
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LPA Vanegas toured outside of the facility and observed the following. The back yard is clean and sanitary, free of any debris along the emergency exit's, side doors are self latching and unlocked. There is an outdoor shaded sitting area, and the back yard is big enough to participate in outdoor activities upon client request.

LPA Vanegas reviewed P&I with Administrator (AD) Jeremias Jabonero. All balances were counted and are properly being monitored all balances were accounted for. LPA Vanegas observed all toxins, medications, and sharps to be locked away, and inaccessible to clients in care. LPA Vanegas observed first aid kit to have all required items in it including adhesive tape, scissors, tweezers, a thermometer, bandages, and first aid manual.

LPA Vanegas reviewed medications with AD and observed medications to be documented correctly, and given timely. Per LPA Vanegas review, medications are being given to clients in care per physicians orders.
LPA Vanegas reviewed three staff files, and three resident files. All files (staff and resident) contained all required documentation and all staff training was up to date and documented correctly.

Based on observations made during today's inspection no deficiencies will be sited per title 22 chapter 8 division 6 of the California Code or Regulations. An exit interview was conducted with AD Jeremias Jabonero and a copy of this report was left at the facility.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: William Vanegas
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025
LIC809 (FAS) - (06/04)
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