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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 371881466
Report Date: 12/21/2023
Date Signed: 12/21/2023 02:06:41 PM

Document Has Been Signed on 12/21/2023 02:06 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:STEPPING STONE RESOURCESFACILITY NUMBER:
371881466
ADMINISTRATOR:MUNOZ, ELIJAHFACILITY TYPE:
775
ADDRESS:842 SOUTH MAIN AVENUETELEPHONE:
(760) 451-8692
CITY:FALLBROOKSTATE: CAZIP CODE:
92028
CAPACITY: 40CENSUS: 27DATE:
12/21/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:06 PM
MET WITH:Applicants, Elijah Munoz and Analia CorralesTIME COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Janira Arreola conducted an announced visit to the facility in order to conduct the prelicensing inspection. The LPA met with Applicants, Elijah Munoz and Analisa Corrales who was informed of the purpose of the visit. At the time of the visit there were (2) staff and (0) clients present.

The facility is seeking a change in ownership for an adult day program facility serving clients ages 18 to 59 years old. The facility is a one story building with (3) activity rooms, (1) staff office, (1) storage room and (2) restrooms. The facility has (2) outdoor activity spaces for clients to engage in shielded from traffic. LPA conducted a tour of the facility and observed the following:

LPA observed the activity rooms and activities for clients to engage in. LPA observed where the client and staff records will be storage. LPA observed where the cleaning supplies, and dangerous objects are being kept locked and inaccessible to clients. LPA observed the smoke and carbon monoxide detectors in the facility were operational during the visit. LPA observed first aide kit. The facility plans on providing snacks to clients, LPA observed where these items are being stored. The facility plans to provide medication storage or medication administration to clients. LPA observed locked staff cabinet where these items will be kept.

LPA observed a recliner in one of the outdoor areas that was to be disposed of. LPA also observed wall in client relaxation area had dry wall that was cracked from top to bottom of wall. LPA also observed client refrigerator that was to be cleaned after daily use. These corrections will be due to the LPA and were documented on a technical note.

An exit interview was conducted with the applicants Elijah Munoz.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE: DATE: 12/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/21/2023
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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