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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374601947
Report Date: 03/21/2025
Date Signed: 03/21/2025 01:19:28 PM

Document Has Been Signed on 03/21/2025 01:19 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:NALAS ADULT RESIDENTIAL FACILITIES-CARLTONFACILITY NUMBER:
374601947
ADMINISTRATOR/
DIRECTOR:		LANGWORTHY, VERONICAFACILITY TYPE:
735
ADDRESS:2822 CARLTON WAYTELEPHONE:
(760) 451-9879
CITY:FALLBROOKSTATE: CAZIP CODE:
92028
CAPACITY: 4CENSUS: 4DATE:
03/21/2025
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:26 AM
MET WITH:Peyton Crow, Executive Director, Marchelino Roos, Interim Administrator and Leticia CrowTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On 3/21/2025, Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to the facility to conduct a case management visit to collaborate with the placement agency to oversee the removal of clients in care. LPA was greeted and granted entry by Caregiver, Jesus Salvador. Jesus was informed of the purpose of the visit by LPA Yolanda Delgado and Program Manager Zetzin Marquis.

During the visit, Interim Administrator Marchelino Roos arrived to the facility to meet with LPA, IRC and was also informed of the purpose of the visit. Executive Director Peyton Crow and Leticia Crow arrived at the end of the visit.

During today's visit, LPA toured the facility’s interior and exterior with Caregiver, Jesus "Jesse" Salvador and currently there are three (3) clients present and one (1) at Program. IRC removed four (4) clients from the facility. IRC provided documentation. LPA reviewed files, photos of documents and relocation information obtained.

There were no deficiencies and no civil penalties that were cited per Title 22, Division 6, of the California Code of Regulations.


An exit interview was conducted with Peyton Crow, Leticia Crow and Marchelino Roos. A copy of this report was reviewed and a copy provided to the representatives.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Yolanda Delgado
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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