Inspection Report Summary
Most inspections found no deficiencies, with the facility generally meeting requirements for safety, staffing, and care. The most recent report from March 24, 2025, cited two deficiencies related to emergency food supply labeling and improper room assignment of non-ambulatory residents, which led to civil penalties but no severe enforcement actions. Earlier annual inspections, including the one on March 5, 2024, were clean, showing improvement after previous concerns. Discussions in April 2024 addressed care and staffing arrangements for a specific resident, with no complaints substantiated. Overall, the facility’s record shows mostly compliance with isolated issues that have been addressed over time.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 2
Mar 24, 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 generally compliant with documentation, staffing, food service, and safety requirements. However, two deficiencies were cited related to emergency food supply differentiation and improper room assignment of non-ambulatory residents, resulting in civil penalties.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Emergency food was not differentiated from the regular food supply, posing a potential health, safety, or personal rights risk to persons in care. | Type B |
| Two non-ambulatory residents were observed not in the designated non-ambulatory room, posing an immediate health, safety, or personal rights risk to persons in care. | Type A |
Report Facts
Civil Penalty Amount: 500
Number of Deficiencies Cited: 2
Fire Extinguisher Last Tested Date: Dec 24, 2024
Last Disaster Drill Date: Jan 5, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Delgado | Licensing Program Analyst | Conducted the inspection and cited deficiencies. |
| Ma. Teresa Perez | Administrator | Facility administrator named in the report. |
Inspection Report
Census: 5
Capacity: 6
Deficiencies: 0
Apr 15, 2024
Visit Reason
The Licensing Program Manager and Analyst met with the Licensee to discuss ongoing concerns with the facility and the care of Resident 1, including placement and staffing arrangements.
Findings
The Licensee reported working with the Assisted Living Waiver Program to find appropriate placement for Resident 1, with 1:1 care staff provided during nighttime hours. The facility maintains one awake night staff at all times, and the Licensee confirmed understanding that Resident 1 cannot be discharged via 51/50 hold.
Report Facts
Capacity: 6
Census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Teresa Perez | Licensee | Met during inspection and discussed facility concerns |
| Tricia Danielson | Licensing Program Manager | Conducted the inspection and met with Licensee |
| Janette Romero | Licensing Program Analyst | Conducted the inspection and met with Licensee |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Mar 5, 2024
Visit Reason
The visit was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations at the facility.
Findings
The facility was found to be in good condition with no deficiencies issued. Safety equipment was operational, food supplies were adequate, medications and cleaning supplies were properly secured, and the physical plant was free of obstructions.
Report Facts
Fire extinguisher service date: Dec 4, 2023
Number of residents present: 6
Number of staff present: 3
Food supply duration: 2
Food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ma Teresa Perez | Licensee | Licensee present during the inspection and participated in the exit interview |
| Janette Romero | Licensing Program Analyst | Conducted the inspection visit |
| Elsie Calapano | Caregiver | Greeted the Licensing Program Analyst and assisted during the tour |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Feb 28, 2023
Visit Reason
The inspection was conducted as a pre-licensing visit to evaluate the facility for initial licensing approval.
Findings
The facility was toured and inspected inside and outside, with observations confirming compliance with safety, emergency preparedness, and environmental standards. The home was approved by the Riverside County Fire Department for 6 residents with appropriate accommodations and safety equipment in place.
Report Facts
Licensed capacity: 6
Census: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Teresa Perez | Administrator | Met with Licensing Program Analyst during pre-licensing inspection |
| Venus Mixson | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Jazmond D Harris | Licensing Program Manager | Named in report header |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Feb 2, 2023
Visit Reason
Initial licensing evaluation of Inland Senior Manor facility to verify applicant/administrator understanding of community care facility licensing laws and readiness for operation.
Findings
Applicant/administrator participated in COMP II interview, verified identification, and demonstrated understanding of licensing laws, facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and pre-licensing readiness.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ma Teresa Perez | Licensee/Administrator | Applicant/administrator participating in COMP II interview and licensing evaluation. |
| Darla Neeley | Licensing Program Manager | Named as Licensing Program Manager on report. |
| Biridiana Cisneros | Licensing Program Analyst | Named as Licensing Program Analyst on report. |
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