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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374601836
Report Date: 03/21/2023
Date Signed: 03/21/2023 02:26:37 PM

Document Has Been Signed on 03/21/2023 02:26 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
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: 0DATE:
03/21/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Lawrence Totanes and Weygan Totanes, Facility OperatorsTIME COMPLETED:
02:35 PM
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On March 21, 2023, Licensing Program Analyst (LPA) Chinwe Nwogene conducted an unannounced visit for the purpose of closing the facility. LPA met with Facility Operators, Lawrence Totanes and Weygan Totanes.

Lawrence Totanes spoke to LPA previously on 3/2/2023 about closing the facility because operators are no longer interested in running the facility. Lawrence Totanes is initiating this closure. The effective date of closure is 3/21/2023.

During today's visit, LPA toured the facility, and observed no staff, no residents in care, and no resident's belongings. Lawrence stated that the facility had one #1 resident, but resident passed away on 1/22/2023 and the resident death report was provided to the department on 3/2/2023.

Lawrence submitted the License to LPA at the time of the closure. LPA explained to Lawrence that the license is no longer valid and therefore no required care and supervision should be provided in the home unless the state approves licensure in the future.

An exit interview was conducted where this report was discussed with and provided to Lawrence Totanes.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Chinwe Nwogene
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2023
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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