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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336425334
Report Date: 03/21/2025
Date Signed: 03/21/2025 12:22:45 PM

Document Has Been Signed on 03/21/2025 12:22 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:COMMUNITY CROSSINGS INC.FACILITY NUMBER:
336425334
ADMINISTRATOR/
DIRECTOR:		ANDRADE, AUDREYFACILITY TYPE:
775
ADDRESS:27363 JEFFERSON AVENUE STE. JTELEPHONE:
(951) 296-2158
CITY:TEMECULASTATE: CAZIP CODE:
92590
CAPACITY: 60CENSUS: 48DATE:
03/21/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Program Director, Terry WoodrowTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On 3/21/2025, Licensing Program Analysts (LPAs) Janette Romero and Debbie Palacios made an unannounced visit to the facility to conduct a required annual inspection. LPAs initially met with Assistant Director (AD), Melissa Duenas who was informed of the purpose of the visit. The facility has a fire clearance for a total capacity of 60 non-ambulatory adults over the age of 18. During the visit, AD Duenas reported there was 48 clients and 16 staff present. LPA was also informed the facility is a licensed vendor of the Inland Regional Center. Program Director (PD), Terry Woodrow arrived during the visit and was also informed of the purpose of the visit.

LPAs toured the facility with AD Duenas and observed the facility is made up of three (3) classrooms designated for arts and crafts, serenity, and computers along with five (5) restrooms, a nurse's office, administrative staff offices, storage closets, and private areas to provide clients' assistance with incontinence needs. LPAs toured the kitchen and observed the kitchen area to be clean. LPAs were informed clients provide their own snacks and lunches to consume during day program hours. Restrooms were clean, had toilet paper, soap, and paper towels readily available. Client medication is secured in a locked cabinet inside the nurse's office. LPAs reviewed random staff and client files. Staff present have a criminal record clearance and are associated with the facility. Client files reviewed had updated Individual Program Plans and signed admission agreements. The facility’s smoke alarm was not tested due to several clients’ hypersensitivity to the alarm sound. As a result, LPA reviewed the facility’s System Record of Inspection and Testing (SRIT) dated 3/17/2025 conducted by SSD Alarm. The SRIT noted the fire alarm system was inspected on 3/17/2025 and found to be functioning properly. LPAs reviewed the facility’s Fire Drill Report noting the facility’s last fire drill was conducted on 3/17/2025. LPA also observed several fire extinguishers charged and mounted throughout the facility that were last serviced on 1/15/2025. During today’s visit, LPAs did not observe any issues or concerns. An exit interview was conducted, and this report was reviewed and provided to PD Woodrow.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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