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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374601836
Report Date: 01/06/2023
Date Signed: 01/06/2023 10:59:46 AM


Document Has Been Signed on 01/06/2023 10:59 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:FALLBROOK GARDENS LTDFACILITY NUMBER:
374601836
ADMINISTRATOR:TOM L. TOTANESFACILITY TYPE:
740
ADDRESS:1810 E. ALVARADOTELEPHONE:
(760) 723-0089
CITY:FALLBROOKSTATE: CAZIP CODE:
92028
CAPACITY:9CENSUS: 1DATE:
01/06/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Lawrence Totanes and Weygan Totanes, Facility OperatorsTIME COMPLETED:
11:05 AM
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On January 6, 2023, Licensing Program Analyst (LPA) Chinwe Nwogene arrived unannounced to the facility to conduct a case management visit regarding the death of the Licensee and Administrator. LPA met with the new Facility Operators, Lawrence Totanes and Weygan Totanes who was informed of the purpose of the visit.

During the visit LPA toured the facility with caregiver, Elaine Totanes. LPA observed one #1 resident in care, two #2 caregivers and one #1 house cleaner. LPA observed all facility utilities to be on and operating without issue. LPA observed sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Lawrence informed LPA that all facility expenses are handled by Lawrence Totanes and Weygan Totanes. Lawrence also informed LPA that an application to obtain state License is being filed out and will be sent to the department as soon as possible.



Based on the information obtained during today's visit, no deficiencies were cited. An exit interview was conducted, and a copy of this report was provided to Lawrence Totanes.
SUPERVISOR'S NAME: Deborah MullenTELEPHONE: (951) 248-0313
LICENSING EVALUATOR NAME: Chinwe NwogeneTELEPHONE: (951) 202-2066
LICENSING EVALUATOR SIGNATURE:
DATE: 01/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/06/2023
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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