Inspection Reports for Aqua Bella Residential Care
14736 Willow Grove Pl, Moreno Valley, CA 92555, USA, CA, 92555
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Sep 11, 2025
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be in compliance with regulations, with no obstructions or debris in passageways, proper safety equipment functioning, adequate food supply, and proper care and supervision. The facility was clean, organized, and maintained at a comfortable temperature. All required postings and safety measures were observed.
Report Facts
Facility capacity: 6
Current census: 6
Fire drill date: Jun 3, 2025
Administrator certificate expiration: Jul 26, 2027
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Musarrat Khan | Administrator/Licensee | Facility Administrator and Licensee present during inspection |
| Venus Mixson | Licensing Program Analyst | Conducted the inspection |
| Jazmond D Harris | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 2
Oct 30, 2024
Visit Reason
A required annual unannounced inspection was conducted to evaluate compliance with licensing regulations and facility conditions.
Findings
The facility was generally well maintained with appropriate physical plant conditions, food service, and medication management. However, deficiencies were cited for failure to update a resident's medical assessment and written record of care, posing potential health and safety risks.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| One of six residents did not have an updated written record of care as required. | Type B |
| One of six residents did not have a medical assessment completed within one year. | Type B |
Report Facts
Residents without updated written record of care: 1
Residents without updated medical assessment within one year: 1
Facility capacity: 6
Facility census: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Musarrat Khan | Administrator/Licensee | Named in relation to deficiencies and facility management |
| Stephanie Martinez | Licensing Program Analyst | Conducted the inspection and authored the report |
| Rikesha Stamps | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Oct 18, 2023
Visit Reason
The visit was an unannounced required annual inspection conducted by the Licensing Program Analyst to evaluate compliance with regulations.
Findings
The facility was found to be in compliance with all applicable regulations, with no Title 22, Division 6 violations observed or cited. The facility was clean, well-maintained, and equipped with required safety devices and postings.
Report Facts
Staff present: 3
Resident files reviewed: 6
Staff files reviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Musarrat Khan | Administrator | Met with Licensing Program Analyst during inspection and named in report |
| Venus Mixson | Licensing Program Analyst | Conducted the inspection visit |
| Jazmond D Harris | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Oct 5, 2022
Visit Reason
An unannounced annual inspection was conducted with an emphasis on infection control to evaluate the facility's compliance with health and safety regulations.
Findings
The inspection found no deficiencies. The facility demonstrated adequate infection control measures, including sufficient hand hygiene supplies, cleaning provisions, and a designated infection control lead. The facility has an approved COVID-19 mitigation plan and protocols for monitoring residents and notifying physicians and emergency agencies as needed.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Musarrat Khan | Administrator | Met with Licensing Program Analyst during the inspection and was informed of the visit purpose. |
| Stephanie Torres | Licensing Program Analyst | Conducted the unannounced annual inspection visit. |
| Deborah Mullen | Licensing Program Manager | Named in the report as Licensing Program Manager. |
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