Inspection Reports for Forever Love Home Care, Inc.

44920 Lotus Ln, Lancaster, CA 93536, United States, CA, 93536

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Inspection Report Annual Inspection Census: 5 Capacity: 6 Deficiencies: 0 Jul 8, 2025
Visit Reason
Licensing Program Analyst Evelin Rios conducted an unannounced Annual Required visit for this facility to evaluate compliance with licensing requirements.
Findings
The facility was found to be in compliance with all licensing requirements with no deficiencies observed during the visit. The physical plant, resident rooms, common areas, medication storage, and safety equipment were all inspected and found satisfactory.
Report Facts
Fire extinguisher service date: Jul 12, 2024 Hot water temperature: 111 Resident records reviewed: 5 Staff records reviewed: 2
Employees Mentioned
NameTitleContext
Mark BelmonteAdministratorMet with Licensing Program Analyst during the inspection and involved in facility tour and testing of detectors
Evelin RiosLicensing Program AnalystConducted the unannounced annual inspection visit
Eva MillerLicensing Program ManagerNamed as Licensing Program Manager on the report
Inspection Report Annual Inspection Census: 5 Capacity: 6 Deficiencies: 0 Sep 9, 2024
Visit Reason
Licensing Program Analyst Evelin Rios conducted an Annual Required visit for this facility to evaluate compliance with licensing regulations.
Findings
The facility was found to be in compliance with all licensing requirements. No deficiencies were observed during the visit. The physical plant, resident and staff files, medications, and safety equipment were all reviewed and found satisfactory.
Report Facts
Fire extinguisher purchase date: Jul 12, 2024 Hot water temperature: 117 Hot water temperature: 118.5 Resident records reviewed: 5 Staff records reviewed: 3
Employees Mentioned
NameTitleContext
Mark BelmonteAdministratorMet with Licensing Program Analyst during inspection and involved in facility tour
Mylene VeatchAdministrator DesigneeMet with Licensing Program Analyst during inspection
Evelin RiosLicensing Program AnalystConducted the annual required visit and inspection
Eva MillerLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Annual Inspection Census: 5 Capacity: 6 Deficiencies: 0 Nov 7, 2023
Visit Reason
Licensing Program Analyst Evelin Rios conducted an Annual Required visit for this facility to evaluate compliance with licensing regulations.
Findings
The facility was found to be in compliance with all applicable regulations with no deficiencies observed during the visit. The physical plant, safety equipment, resident and staff files, and medication storage were all properly maintained.
Report Facts
Fire clearance capacity: 5 Hot water temperature: 118.5
Employees Mentioned
NameTitleContext
Mark BelmontAdministratorMet with Licensing Program Analyst during the inspection
Mylene VeatchAdministrator DesigneeMet with Licensing Program Analyst during the inspection
Evelin RiosLicensing Program AnalystConducted the annual required visit and inspection
Eva MillerLicensing Program ManagerNamed as Licensing Program Manager on the report
Inspection Report Complaint Investigation Census: 5 Capacity: 6 Deficiencies: 0 Nov 7, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that the facility admitted a resident with an unstageable pressure injury and that a resident was unkempt while in care.
Findings
The investigation found the allegation regarding the unstageable pressure injury to be unfounded based on hospice and medical records showing the injury was pre-existing and part of the care plan. The allegation that a resident was unkempt was deemed unsubstantiated based on observations, resident interviews, and staff statements. No deficiencies were cited.
Complaint Details
The complaint was received on 01/17/2023 and involved two main allegations: admission of a resident with an unstageable pressure injury and a resident being unkempt while in care. The pressure injury allegation was found to be unfounded, and the unkempt resident allegation was unsubstantiated after investigation including interviews and record reviews.
Report Facts
Facility capacity: 6 Resident census: 5 Complaint receipt date: Jan 17, 2023
Employees Mentioned
NameTitleContext
Evelin RiosLicensing Program AnalystConducted the complaint investigation visits and authored the report
Mark BelmonteAdministratorFacility administrator interviewed during the investigation
Lauren GarciaInvestigatorConducted initial complaint investigation and gathered records
Eva MillerLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Inspection Report Original Licensing Capacity: 6 Deficiencies: 0 Jul 1, 2022
Visit Reason
An announced Pre-License visit was conducted to evaluate the facility for operation as a Residential Care Facility for the Elderly following receipt of an application.
Findings
The facility was toured and observed to be clean, in good repair, and appropriately furnished with adequate safety features including fire clearance, smoke and carbon monoxide detectors, and emergency plans. The facility has appropriate bedrooms, bathrooms, common areas, and storage for records and medications.
Report Facts
Capacity: 6 Census: 0 Bedrooms: 5 Bathrooms: 3 Fire extinguisher purchase date: Apr 20, 2022 Fire clearance date: Apr 21, 2022 Temperature: 70
Employees Mentioned
NameTitleContext
Mark BelmonteAdministratorMet with Licensing Program Analyst during the inspection and exit interview
Melissa RuizLicensing Program AnalystConducted the announced Pre-License visit
Nichelle GillyardLicensing Program ManagerNamed in the report as Licensing Program Manager
Inspection Report Original Licensing Capacity: 6 Deficiencies: 0 May 5, 2022
Visit Reason
Initial licensing evaluation of Forever Love Home Care Inc. to assess applicant and administrator understanding of regulatory requirements and facility readiness.
Findings
The applicant/administrator successfully completed the Component II telephone call confirming understanding of facility operation, staff qualifications, program policies, and application requirements. No clients were in care at the time of the evaluation.
Employees Mentioned
NameTitleContext
Mark BelmonteApplicant/AdministratorParticipated in Component II telephone call confirming understanding of licensing requirements.

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