Routine inspection·October 31, 2025

On October 31, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Annual Inspection and met with the Licensee, Emely Rodriguez. The facility file review was conducted at the Regional Office and additional records were requested and reviewed on site. The facility is licensed for 24 Elderly Adults, and is currently operating at a capacity of 18 Elderly Adults (740). LPA Mixson toured the facility and made observations pertaining to the annual visit. 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. The facility is a single-story cottage facility, located at 14345 Nason Street Moreno Valley, CA. 92555. Physical Plant: The facility phone number is (951) 601-9190 and it is operable. LPA Mixson observed the residents’ living units, and each was furnished with required fixtures as per Title 22. LPA Mixson inspected the facility bathrooms, and the hot water temperature tested within regulations. Facility Manager informed LPA the hot water is tested and logged, along with the monthly disaster drills. 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 fire extinguishers. LPA Mixson observed required postings such as "If you See Something, Say Something,” the "Personal Rights," and the LTCO poster. The cleaning supplies and sharp items were locked and inaccessible to the residents in care presently. There were designated storage spaces for the residents’ and staff’s files, and it was locked and inaccessible to residents in care at present. Medications : The medications were locked and inaccessible to residents in care, and there was a sufficient supply of medication for each resident. There were no documented errors observed on the centrally stored medication form, and medications were stored in their original containers during this visit. The facility has two caregivers present and a housekeeping staff arrived shortly after the LPA. Food Service& furniture: The non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents at this time. Dishes and utensils were in sufficient supply and stored properly, and sharp items are locked. The overall facility is clean; the furniture is in good condition and arranged in a manner which provides space for residents to move safely. The facility cooling system and other appliances were operable at present. Licensee informed LPA there were safety lights for night throughout the facility. Care, Supervisio n & A dministration: There were adequate staff present for the supervision of resident in care at the time of this annual visit. Floor plans, telephone numbers and personal rights were found posted in the facility. The listed Administrator, Emely Rodriguez, possesses a current administrator’s certificate with an expiration date of 06/13/2026. Records Reviewed & Resident/Staff Files: The LPA reviewed staff files and reviewed the facility's staff schedule. The staff files reviewed have criminal clearance, updated training, along with current First Aid certification. Resident files reviewed possessed the required paperwork as per Regulations at the present. Disaster preparedness: LPA Mixson reviewed the facility's emergency & disaster plan as well as the training binder. LPA observed the last fire drill met the Department standards and was logged, as required per Regulations. 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. LPA reviewed the facility's infection control plan and found required infection control measures met the Department requirements. An exit interview was conducted, and a copy of this report was reviewed and given to Vicktoria Garcia, Facility Manager.