371881466-1-2-2025-18-AS-VMIN-DCJQDR-20250102110510

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 371881466
Report Date: 01/02/2025
Date Signed: 01/02/2025 11:05:15 AM

Document Has Been Signed on 01/02/2025 11:05 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
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME:	STEPPING STONE RESOURCES		FACILITY NUMBER:	371881466
ADMINISTRATOR/ DIRECTOR:	MUNOZ, ELIJAH		FACILITY TYPE:	775
ADDRESS:	842 SOUTH MAIN AVENUE		TELEPHONE:	(760) 451-8692
CITY:	FALLBROOK	STATE: CA	ZIP CODE:	92028
CAPACITY: 40		CENSUS: 27	DATE:	01/02/2025
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:11 AM
MET WITH:	ADMINISTRATOR, ELIJAH MUNOZ		TIME VISIT/ INSPECTION COMPLETED:	11:12 AM

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On January 02, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Required Annual Inspection and met with the Administrator, Elijah Munoz. The facility is licensed for an Adult Day Program, serving clients ages 18 to 59 years old.

LPA Mixson toured the facility along with the Administrator and made observations pertaining to the annual visit. The facility is a single story building with five activity rooms, a staff office, and two storage rooms. Additionally, the facility has two restrooms, two outdoor activity spaces, and additional activity space inside used for serving meals.

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.

Physical Plant: The facility phone number is (760) 451-8692 and it is operable. LPA Mixson observed the activity rooms, and each was equipped with required furniture as per Title 22. LPA Mixson inspected facility bathrooms, and the hot water temperature tested within regulations. 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 two fire extinguishers. LPA Mixson observed required postings such as "If you See Something, Say Something,” and the "Personal Rights." The cleaning supplies and sharp items were kept locked and inaccessible to the Clients at the day program. There was a designated storage space for the clients and staff files, and it was locked and inaccessible at the time of this visit.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE:	DATE: 01/02/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2025

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: STEPPING STONE RESOURCES	FACILITY NUMBER: 371881466
	VISIT DATE: 01/02/2025

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Medications: Were locked and inaccessible to clients at the day program, and there was a sufficient supply of medication. The overall facility is clean, the furniture is in good condition. The facility cooling system and other appliances were operable currently at the time of this visit.

Food Service: Day program does not provided a lunch, but does provide a snack for all clients during their stay.

Care & Supervision/Administration: Adequate staff are present for the supervision of clients while at the day program. Floor plans, telephone numbers and personal rights were found posted in the facility.

Records Reviewed and Resident/Staff Files: LPA reviewed staff files and reviewed the facility's staff schedule. The staff files reviewed contained criminal clearance and updated training along with First Aid Certification. Clients files were reviewed and possessed all required paperwork including current TB test.

Disaster preparedness: LPA Mixson reviewed the facility's emergency and disaster plan as well as disaster training binder. LPA observed the last fire drill met the department standards, and was conducted in December 2024.

Infection Control: LPA Mixson observed the hand washing stations in the facility restrooms. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility, and it was locked in a storage closet. LPA reviewed the facility's infection control plan and found all required infection control measures present.

An exit interview was conducted where a copy of this report was discussed and given to Administrator, Elijah Munoz.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE:	DATE: 01/02/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2025

LIC809 (FAS) - (06/04)

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