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Small home · Licensed for 6 · Riverside
Fern Home II
3877 Megginson Lane, Riverside, CA 92503Licensed since 2017
Overview
No openings reported
- Approved by the state: Wheelchair · Dementia · Hospice · BedriddenState licensing record · October 26, 2026
- Licensed for 6: a small care homeThe state license record
Ask this home
Free for families. A home gets your number only if you say yes.
Care and support
- Wheelchairup to 6 residents
- Dementia
- Hospiceup to 2 residents
- Bedriddenup to 2 residents
Approved by the state · State licensing record · October 26, 2026. An approval may cover specific rooms or residents; it does not establish an opening.
Read the state’s own wording
AGE RANGE 60 AND OVER; 6 NON-AMBULATORY RESIDENTS, 2 OF WHICH MAY BE BEDRIDDEN; APPROVED HOSPICE WAIVER FOR 2.
983 - RCFE / DEMENTIA
CDSS record, verbatim · October 26, 2026
As needs change
Staying through hospice
Hospice waiver on file · covers up to 2 — care may continue at the end of life
State licensing record · October 26, 2026
If memory loss develops
Dementia-care designation on file
State licensing record · October 26, 2026
We’ll ask for you. Not on file for Fern Home II: two-person transfers or a lift, who is awake overnight and help with medicines. When we check availability, we ask about these too.
Check availabilityWhat it costs here
Covelight estimate
$4,550a month to start
Likely $3,700–$5,600
From 10 nearby homes that publish rates · this home’s rate is not on file
Monthly cost breakdownWith a shared room and basic help · room, care and fees$4,550likely a month
Room
Daily care
Sharing the room
Starting monthly rate$4,550likely $3,700–$5,600
Covelight’s estimate starts from the rates 10 small homes within 3 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.
Basic help with daily careUsually includedup to $600
Basic help is usually part of the starting rate. Homes that price care by level start around $600 a month (44 California homes publish a care-level range, seen in September 2026).
One-time move-in fee$2,500one time · likely $0–$4,000
Homes that list a one-time entry or community fee charge a median of $2,500 (133 California listings; middle half $1,000–$4,000). Many homes list none — ask.
- Likely monthly totalLikely $3,700–$5,800
- $4,550
- First monthWith a one-time move-in fee · likely $4,400–$9,000
- $7,050
How people payPrivate pay, Medi-Cal waiver, SSI/SSP, veterans, insurance
- MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.
- Private payMost residents pay from savings, a home sale or family help. Ask for the rate and what it includes in writing.
- Medi-Cal Assisted Living WaiverThis home is not on the DHCS participation list dated October 1, 2026. Ask the program about current options. The waiver pays for care services, not room and board.
- SSI/SSPCalifornia’s 2026 standard is $1,626.07 a month; $1,444.07 of it goes to the home and $182 stays with the resident. Whether this home accepts it is not on file — ask.
- VeteransVA Aid & Attendance can add to a veteran’s or surviving spouse’s pension. Ask whether residents here have used it.
- Long-term care insuranceMost policies pay for licensed care homes. Ask what paperwork the home provides for claims.
Rates at nearby homes10 nearby homes publish starting rates of $3,500 to $6,000
10 homes like this within 3 miles publish starting rates mostly between $3,700–$4,950.
- Gold Living Home CareRiverside · 0.5 mi · Small home$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- The Galleria View Villa IIRiverside · 0.7 mi · Small home$4,200Listed on Seniorly · assisted living private room · seen September 9, 2026
- Joyful Hearts Senior CareRiverside · 1.1 mi · Small home$4,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Park View Assisted LivingRiverside · 1.3 mi · Small home$4,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Emanuel Home CareRiverside · 1.6 mi · Small home$4,800Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Michael Andrew CenterRiverside · 1.6 mi · Small home$4,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- La Sierra Senior HomeRiverside · 2.1 mi · Small home$5,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Autumn HillRiverside · 2.1 mi · Small home$6,000Listed on Seniorly · assisted living private room · seen September 9, 2026
- California Home for the Adult Deaf (Chad)Riverside · 2.5 mi · Small home$4,900Listed on its own website · the monthly rate · seen October 5, 2026
- A Dressage Home CareRiverside · 2.6 mi · Small home$4,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
How this estimate worksWithin 25% for 7 in 10 homes in testing
Covelight’s estimate starts from the rates 10 small homes within 3 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.
- Only prices a home put out itself count: its own website, a listing it supplied, or a price Seniorly says the home confirmed. Prices a listing site shows without saying where they came from are left out.
- Nearby homes are the nearest of the same size that publish a rate, widening from 3 to 40 miles until at least 8 do. The estimate starts from what they charge, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices.
- Room, care-level, second-person and move-in lines come from what California homes publish on listing sites. Memory care uses Covelight’s researched premium over assisted living.
- Totals add each line’s figure and combine the lines’ ranges as separate charges, because a home is rarely at the top, or the bottom, of every line at once.
- We tested this estimate on 1,546 California homes that publish their own starting rate. It was within 10% of the real rate for 3 in 10 homes and within 25% for 7 in 10; the likely range held the real rate for 6 in 10 (September 12, 2026).
- It cannot see this home’s specials, how it assesses care, or which rooms are open.
Avoid surprises on the billWhat changes the price, and what to ask
- The care level
Some homes charge one all-inclusive rate. Others add levels or points as needs grow. Ask how the level is set, who decides, and what the next level costs.
- What is billed separately
Medication management, incontinence supplies, transportation and a second person in the room are often extra. Ask for the list in writing.
- Move-in costs
A one-time move-in fee or deposit is common. Ask what it covers and whether any of it comes back if the stay is short.
- Increases
California requires at least 90 days’ written notice, with reasons, before a rate rises (Health & Safety Code §1569.655). A change in the resident’s care level is the section’s own exception and can be billed sooner.
An estimate for planning, not a quote. A home sets the price after hearing about the care needed.
Daily life
Daily life here is not on file yet. Most small homes haven’t published it, and that says nothing about the home.
The best way to see it is a visit.
Request a tourWhere it is
3877 Megginson Lane, Riverside, CA 92503Address from the public record · October 26, 2026. Confirm the entrance with the home before visiting.
Opening the neighborhood map…
- Kaiser Foundation Hospital RiversideHospital · General acute care, on the state’s list1 mi
Straight-line distances; check the drive or the walk. Hospital: the nearest general acute care hospital on the state’s list (CDPH, September 16, 2026).
Open directionsThe state record
California inspects every licensed home and publishes what it found. A citation does not make a home unsafe, and an empty file does not make a home good.
CDSS public record, read October 26, 2026 · License #331800143 · See the state’s own record
The last 36 months — 12 of 39 documents
20261 state visit · 1 document
Jul 31, 2026Facility evaluation reportRoutine visitReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry by Joi Mae Gubalane. LPA began inspection with introduction, visit purpose and provided the facility caregiver with LPA identification and business card. Resident record review began- Two (2) records were reviewed. LPA reviewed for admission agreement, medical assessment and TB test results, consent forms, identification and emergency information, appraisal needs and service plans, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. This facility is meeting documentation requirements. Employee records review began- Two (2) records were reviewed. LPA reviewed employee record for first aid certification, fingerprint clearance, personnel/job application, health screening and TB test results, criminal record statement, employee rights, training verification, and current administrator certification. CPR and requirements have been met. The facility employs enough staff to meet the needs of the clients in care. Administrator certification expired 07/10/2026 and recertification was submitted and displaying pending on the website. Physical Plant and Safety of Environment/Operational Requirements- LPA toured the facility inside and outside. The home is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured 115.0 degrees F. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals inside the garage. All outdoor and indoor passageways are free of obstruction. A locked area is provided for medications and sharp objects. LPA verified there is a telephone working at this location. (Continued on Page 2) (Continued from LIC809, Page 1) Food Service- Food supply meets the of one week supply of nonperishable and 2-day supply of perishables food on hand. A menu is posted, foods are dated to assure safety. Food prep areas are clean and organized. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. The facility has not exceeded its capacity limitation, and the structure has not been changed according to the approved floor plan. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Fire extinguishers are tested or replaced annually and were last done so on 7/15/2026. The facility is conducting emergency disaster drills. The last disaster drill was conducted on 07/06/2026. Corporation or LLC is suspended-FTB inactive since 6/2/2025. Based on the information received during this visit today, there are one (1) deficiency are being cited and civil penalties issued for $500 per Title 22, Division 6 of The California Code of Regulations. This report, LIC809D, LIC421IM and Appeal Rights was reviewed with Joi Mae at the time of the exit interview and copies were provided.the state’s words, verbatim · CDSS document, Jul 31, 2026
20256 state visits · 6 documents
Dec 11, 2025Facility evaluation reportCase Management - Health ChecksReport on file
Type of visit: Case Management - Health Checks
Licensing Program Analyst (LPA) Yolanda Delgado conducted a case management visit to check on the health, safety, and well-being of the residents in care. LPA met with Malou Ramos, Caregiver, who was informed of the purpose of the visit. LPA contacted Joi Mae Gubalane via telephone. LPA toured the facility and observed all facility utilities to be on and operating without issues. The food supply meets the 7-day non-perishables, and 2-day perishables regulatory requirement. LPA did not observe any health and safety concerns for the residents in care. No deficiencies are being cited and no civil penalties per California Health & Safety Code and Code of Regulations, Title 22, Division 6. An exit interview was conducted with Malou Ramos where a copy of this report was discussed and provided.the state’s words, verbatim · CDSS document, Dec 11, 2025
Nov 3, 2025Facility evaluation reportCase Management - OtherDeficiency page: Type A
Type of visit: Case Management - Other
Licensing Program Analyst (LPA) Yolanda Delgado conducted a Health and Safety check on residents in care, during LPA's visit, there were cleaning supplies observed in a common bathroom unsecured and accessible to residents in care. Administrator immediately removed the cleaning supplies from the area. There were no concerns or issues with clients at the time of the visit. There will be one (1) deficiency cited per Title 22, Division 6, of the California Code of Regulations with Civil Penalties with $500 issued. An exit interview was conducted with Joi Mae Gubalane and a copy of this report, LIC809D and Appeal Rights was provided.the state’s words, verbatim · CDSS document, Nov 3, 2025
From the deficiency page — Deficiency type: Type A · Section cited: HSC 87309(a) · Plan of correction due date: Nov 4, 2025
STORAGE SPACE AND ACCESS: (a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not being met as evidenced by: LPA observed purple liquid substance inside a spray bottle standing on top of the sink, Lysol toiletbowl cleaner, three Clorox disinfectant spray with Bleach, Goof Off heavy duty remover and this poses an immediate, safety and personal rights risks to persons in care.the state’s words, verbatim · CDSS document, Nov 3, 2025
Plan of correction: Licensee removed disinfectants and cleaning solutions from the underneath bathroom sink cabinet and locked up. Licensee will conduct in-service training and submit trainig to LPA by POC due date.
Sep 22, 2025Facility evaluation reportCase Management - Health ChecksReport on file
Type of visit: Case Management - Health Checks
Licensing Program Analysts (LPAs) Seo Jeon conducted a case management visit relative to complaint 18-AS-20220216102150, to check on the health, safety, and well-being of the residents in care. LPA met with Mary Gubalane, Caregiver, who was informed of the purpose of the visit. LPA toured the facility and observed all facility utilities to be on and operating without issues. The food supply meets the 7-day non-perishables, and 2-day perishables regulatory requirement. LPA did not observe any health and safety concerns for the residents in care. No deficiencies are being cited and no civil penalties per California Health & Safety Code and Code of Regulations, Title 22, Division 6. An exit interview was conducted where a copy of this report was discussed with and provided.the state’s words, verbatim · CDSS document, Sep 22, 2025
Jul 28, 2025Facility evaluation reportRoutine visitReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction, visit purpose and provided the facility caregiver with LPA identification and business card. Resident record review began- Five (5) records were reviewed. LPA reviewed for admission agreement, medical assessment and TB test results, consent forms, identification and emergency information, appraisal needs and service plans, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. This facility is not meeting documentation requirements. Employee records review began- Two (2) records were reviewed. LPA reviewed employee record for first aid certification, fingerprint clearance, personnel/job application, health screening and TB test results, criminal record statement, employee rights, training verification, and current administrator certification. CPR and requirements have been met. The facility employs enough staff to meet the needs of the clients in care. Administrator certification is present and current 07/10/2026 Physical Plant and Safety of Environment/Operational Requirements- LPA toured the facility inside and outside. The home is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured 115.0 degrees F. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals inside the garage. All outdoor and indoor passageways are free of obstruction. A locked area is provided for medications and sharp objects. LPA verified there is a telephone working at this location. (Continued on Page 2) (Continued from LIC809, Page 1) Food Service- Food supply meets the of one week supply of nonperishable and 2-day supply of perishables food on hand. A menu is posted, foods are dated to assure safety. Food prep areas are clean and organized. LPA observed three (3) pilot lights for stove are not working. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. The facility has not exceeded its capacity limitation, and the structure has been changed not according to the approved floor plan. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Fire extinguishers are tested or replaced annually and were last done so on 7/07/2025. The facility is conducting emergency disaster drills. The last disaster drill was conducted on 07/01/2025. LPA observed a make shift room inside the garage for family members. The layout for the bedrooms has been changed and does not match the approved floor plan. The facility has a hospice waiver for two (2) and LPA observed hospice records for three (3) residents. Based on the information received during this visit today, there are five (5) deficiencies are being cited per Title 22, Division 6 of The California Code of Regulations. This report, LIC809D, Appeal Rights was reviewed with Joi Mae at the time of the exit interview and a copy will be emailed with confirmation request.the state’s words, verbatim · CDSS document, Jul 28, 2025
Jun 19, 2025Facility evaluation reportCase Management - Health ChecksReport on file
Type of visit: Case Management - Health Checks
Licensing Program Analysts (LPAs) Seo Jeon conducted a case management visit relative to complaint 18-AS-20220216102150, to check on the health, safety, and well-being of the residents in care. LPA met with Administrator, Joi Mae Gubalane, who was informed of the purpose of the visit. LPA toured the facility and observed all facility utilities to be on and operating without issues. The food supply meets the 7-day non-perishables, and 2-day perishables regulatory requirement. LPA did not observe any health and safety concerns for the residents in care. No deficiencies are being cited and no civil penalties per California Health & Safety Code and Code of Regulations, Title 22, Division 6. An exit interview was conducted where a copy of this report was discussed with and provided.the state’s words, verbatim · CDSS document, Jun 19, 2025
Mar 7, 2025Facility evaluation reportCase Management - Health ChecksReport on file
Type of visit: Case Management - Health Checks
Licensing Program Analysts (LPAs) Seo Jeon conducted a case management visit relative to complaint 18-AS-20220216102150, to check on the health, safety, and well-being of the residents in care. LPA met with Administrator, Joi Mae Gubalane, who was informed of the purpose of the visit. LPA toured the facility and observed all facility utilities to be on and operating without issues. The food supply meets the 7-day non-perishables, and 2-day perishables regulatory requirement. There are no immediate concerns for residents in care. No deficiencies are being cited and no civil penalties per California Health & Safety Code and Code of Regulations, Title 22, Division 6. An exit interview was conducted where a copy of this report was discussed with and provided.the state’s words, verbatim · CDSS document, Mar 7, 2025
20244 state visits · 4 documents
Sep 16, 2024Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analyst (LPA) Sara Martinez arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA was granted entry and met with Administrator Joi Mae Gubalane and explained the purpose of today's visit. The facility has four (4) residents in care during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to administrator Joi Mae Gubalane.the state’s words, verbatim · CDSS document, Sep 16, 2024
Jul 2, 2024Facility evaluation reportRoutine visitReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced annual required visit. LPA was granted entry and met with Licensee Joi Mae Gubalane, who was informed of the purpose of the visit. At the time of the visit there was two (2) staff and two (2) residents present. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted interviews. LPA observed the following: Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards. LPA observed outdoor furniture and shaded area for clients. Detergents, cleaning solutions, and sharp and dangerous objects were observed to be locked and inaccessible to residents in care. The smoke detector and carbon monoxide was operational, and the hot water temperature met department requirements. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. Facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. LPA reviewed two (2) staff files and training. All staff have the required personnel records on file and criminal record clearance and updated training along with CPR/First Aid. Two (2) resident files were reviewed and possessed all required paperwork which included Admissions Agreement and Physician's Report. The listed administrator possesses a current administrator's certificate. Resident medication was centrally stored and locked in a cabinet located near the kitchen. LPA reviewed medications prescribed to residents and found all medication with required labeling found to be in place. LPA reviewed the facility's emergency and disaster plan and infection control plan. All facility exits were clear from obstructions. LPA observed emergency supplies and first aid kit with all required items. Fire extinguishers were fully charged and inspected. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted where a copy of this report was provided to Licensee Gubalane.the state’s words, verbatim · CDSS document, Jul 2, 2024
Apr 10, 2024Facility evaluation reportCase Management - Health ChecksReport on file
Type of visit: Case Management - Health Checks
Licensing Program Analyst (LPA) Sara Martinez arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA was granted entry and met with Administrator Joi Mae Gubalane and explained the purpose of today's visit. The facility has four (4) residents in care during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to administrator Joi Mae Gubalane.the state’s words, verbatim · CDSS document, Apr 10, 2024
Jan 18, 2024Facility evaluation reportCase Management - Health ChecksReport on file
Type of visit: Case Management - Health Checks
On 01/18/2024, Licensing Program Analysts (LPAs) Chinwe Nwogene and Crystal Colvin conducted a case management visit relative to complaint 18-AS-20220216102150, to check on the health, safety, and well-being of the residents in care. LPAs met with Licensee, Joi Mae Gubalane who was informed of the purpose of the visit. During today's visit, LPAs conducted a tour of the facility's interior and exterior with Gubalane. LPA observed five (5) residents in care. There were no imminent health or safety concerns observed at the time of visit. LPAs observed the facility had working utilities and was operating as usual. LPAs observed adequate staffing to provide care for the residents. LPAs observed the facility had more than a two (2) day supply of perishable foods and seven (7) day supply of non-perishable food items. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted where a copy of this report was reviewed and provided to Gubalane.the state’s words, verbatim · CDSS document, Jan 18, 2024
20231 state visit · 1 document
Nov 22, 2023Facility evaluation reportCase Management - Health ChecksReport on file
Type of visit: Case Management - Health Checks
On 11/22/2023, Licensing Program Analyst (LPA) Janette Romero conducted a case management visit relative to complaint 18-AS-20220216102150, to check on the health, safety, and well-being of the residents in care. LPA was granted entry by Administrator, Joi Mae Gubalane who was informed of the purpose of the visit. During today's visit, LPA conducted a tour of the facility's interior and exterior with Administrator Gubalane. LPA observed three (3) residents in care. There were no imminent health or safety concerns observed at the time of visit. LPA observed the facility had working utilities and was operating as usual. LPA observed adequate staffing to provide care for the residents. LPA observed the facility had more than a two (2) day supply of perishable foods and seven (7) day supply of non-perishable food items. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. LPA issued a Technical Advisory to remove the trash and piles of wood that are next to the brick wall, which may be a potential/fire hazard. An exit interview was conducted where a copy of this report was reviewed and provided to Administrator Gubalane.the state’s words, verbatim · CDSS document, Nov 22, 2023
Earlier years2021 to 2023 · 27 documents
20234 state visits · 5 documents
Sep 20, 2023Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analyst (LPA) Sara Martinez arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA was granted entry and met with Administrator Joi Mae Gubalane and explained the purpose of today's visit. Three (3) out of four (4) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. LPA observed all facility utilities to be on and operating without issue. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to administrator Joi Mae Gubalane.the state’s words, verbatim · CDSS document, Sep 20, 2023
Jul 10, 2023Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analyst (LPA) Sara Martinez arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA met with Administrator Joi Mae Gubalane and explained the purpose of today's visit. Four(4) of four (4) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. LPA observed all facility utilities to be on and operating without issue. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to administrator Joi Mae Gubalane.the state’s words, verbatim · CDSS document, Jul 10, 2023
Jul 10, 2023Facility evaluation reportRoutine visitReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced annual required visit. LPA was granted entry and met with Administrator, Joi Mae Gubalane, who was informed of the purpose of the visit. At the time of the visit there was (2) staff and(4) residents present. The facility is a one-story home with (5) bedrooms and (3) bathrooms with attached garage. The residents served are elderly adults aged 65 years and older. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted a staff and client interviews. LPA observed the following: Infection Control: The LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. LPA reviewed staff records and found that all staff had infection control training. Physical Plant: LPA observed the resident's bedrooms and staff office. Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards. LPA observed outdoor furniture and shaded area for clients. Laundry equipment was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to residents. The smoke detector and carbon monoxide was operational, and the hot water temperature 117F. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Care & Supervision/Administration: Adequate staff are present for the supervision of clients during the visit. LPA also reviewed the staff scheduled showing adequate staff coverage. Facility sketch, exit routes, personal rights, complaint information and emergency phone numbers were found posted in the facility. The listed administrator, possesses a current administrator's certificate. Record Review and Resident/Staff Files: LPA reviewed (2) staff files and training. All staff have criminal clearance and updated training along with CPR/First Aid Certification. Two (2) resident files were reviewed, and possessed all required paperwork. Health Related Services/ Incidental Medical Services: All resident medication was locked in a cabinet located in the staff room. LPA reviewed medications for (2) residents and found all medication listed on MARS and all required labeling was found to be in place. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. LPA interviewed administrator inquiring last fire/earthquake drill which met the department requirements. LPA will create technical advisory to have facility keep documentation for the fire/earthquake drills. LPA observed all facility exits were clear from obstructions. LPA observed emergency supplies in the garage and first aid kit with all required items. No deficiencies were cited at the time of the visit. An exit interview was conducted where a copy of this report was provided to Administrator, Joi Mae Gubalane.the state’s words, verbatim · CDSS document, Jul 10, 2023
May 9, 2023Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
On 5/9/2023, Licensing Program Analysts (LPAs) Chinwe Nwogene and Sara Martinez arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPAs met with Administrator Joi Mae Gubalane and explained the purpose of today's visit. Five(5) of five (5) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPAs observed no health and/or safety hazards inside the facility. LPAs observed all facility utilities to be on and operating without issue. There was a sufficient number of staff present at the facility to provide care. LPAs assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted, and a copy of this report was reviewed with and provided Joi Mae Gubalane.the state’s words, verbatim · CDSS document, May 9, 2023
Feb 8, 2023Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA met with Administrator Joi Mae Gubalane and explained the purpose of today's visit. Five(5) of five (5) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. LPA observed all facility utilities to be on and operating without issue. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Gubalane.the state’s words, verbatim · CDSS document, Feb 8, 2023
202220 state visits · 20 documents
Dec 9, 2022Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA met with Administrator Joi Mae Gubalane and explained the purpose of the visit. Five (5) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. LPA observed all facility utilities to be on and operating without issue. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Gubalane.the state’s words, verbatim · CDSS document, Dec 9, 2022
Sep 22, 2022Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA met with Administrator Joi Mae Gubalane and explained the purpose of today's visit. Five(5) of five (5) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. LPA observed all facility utilities to be on and operating without issue. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Gubalane.the state’s words, verbatim · CDSS document, Sep 22, 2022
Aug 19, 2022Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA met with Caregiver Joselyn Tolentino and explained the purpose of today's visit. Four (4) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. LPA observed all facility utilities to be on and operating without issue. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Tolentino.the state’s words, verbatim · CDSS document, Aug 19, 2022
Jul 26, 2022Facility evaluation reportRoutine visitReport on file
Type of visit: Required - 1 Year
On 07/26/2022, Licensing Program Analyst (LPA), Venus Mixson arrived at the above facility for an unannounced required annual with emphasis on infection control. LPA Mixson was greeted and granted entry by Administrator, Joi Mae Gubalane. LPA Mixson met with Administrator introduced self and stated the purpose of the visit. Present in the facility were 4 residents and 3 caregivers. There are currently no cases of COVID-19 within the facility. LPA Mixson toured the facility and made observations pertaining to the facility's infection control measures. LPA observed sufficient hand hygiene supplies, sufficient cleaning and disinfecting provisions and the proper use of face coverings. The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring PPE supplies are maintained, and cleaning and disinfection provisions are in adequate quantities. LPA Mixson later discussed infection control practices and procedures with Administrator. An exit interview was conducted, and a copy of this report along with the LIC 811 was provided to Administrator.the state’s words, verbatim · CDSS document, Jul 26, 2022
Jul 19, 2022Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA met with Caregiver Joselyn Tolentino and explained the purpose of today's visit. Four (4) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. LPA observed all facility utilities to be on and operating without issue. LPA inspected the outside perimeter of the facility and observed no health and/or safety hazards. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Tolentino.the state’s words, verbatim · CDSS document, Jul 19, 2022
Jun 22, 2022Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA met with Administrator Joi Mae Gubalane and explained the purpose of today's visit. Four (4) of four (4) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. LPA observed all facility utilities to be on and operating without issue. LPA inspected the outside perimeter of the facility and observed no health and/or safety hazards. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Per Gubalane, there are two (2) residents currently receiving hospice services at this facility. LPA was provided with the agency names. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Gubalane.the state’s words, verbatim · CDSS document, Jun 22, 2022
May 19, 2022Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA met with Administrator Joi Mae Gubalane and explained the purpose of today's visit. Four (4) of four (4) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. LPA observed all facility utilities to be on and operating without issue. LPA inspected the outside perimeter of the facility and observed no health and/or safety hazards. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Gubalane.the state’s words, verbatim · CDSS document, May 19, 2022
May 12, 2022Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA met with Caregiver Jocelyn Tolentino and explained the purpose of today's visit. Four (4) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. LPA observed all facility utilities to be on and operating without issue. LPA inspected the outside perimeter of the facility and observed no health and/or safety hazards. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Tolentino.the state’s words, verbatim · CDSS document, May 12, 2022
May 5, 2022Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA met with Administrator Joi Mae Gubalane and explained the purpose of today's visit. Four (4) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. LPA observed all facility utilities to be on and operating without issue. LPA inspected the outside perimeter of the facility and observed no health and/or safety hazards. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Gubalane.the state’s words, verbatim · CDSS document, May 5, 2022
Apr 29, 2022Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analysts (LPAs) Tricia Danielson and Chinwe Nwogene arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPAs met with Administrator Joi Mae Gubalane and explained the purpose of today's visit. Four (4) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPAs observed no health and/or safety hazards inside the facility. LPAs observed all facility utilities to be on and operating without issue. LPAs inspected the outside perimeter of the facility and observed no health and/or safety hazards. There was a sufficient amount of staff present at the facility to provide care. LPAs assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Gubalanethe state’s words, verbatim · CDSS document, Apr 29, 2022
Apr 21, 2022Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analysts (LPAs) Tricia Danielson and Chinwe Nwogene arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPAs met with Administrator Joi Mae Gubalane and explained the purpose of today's visit. Three (3) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPAs observed no health and/or safety hazards inside the facility. LPAs observed all facility utilities to be on and operating without issue. LPAs inspected the outside perimeter of the facility and observed no health and/or safety hazards. There was a sufficient amount of staff present at the facility to provide care. LPAs assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Gubalanethe state’s words, verbatim · CDSS document, Apr 21, 2022
Apr 15, 2022Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA met with Administrator Joi Mae Gubalane and explained the purpose of the visit. Three (3) of three (3) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. LPA observed all facility utilities to be on and operating without issue. LPA inspected the outside perimeter of the facility and observed no health and/or safety hazards. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply meets the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Administrator Gubalane.the state’s words, verbatim · CDSS document, Apr 15, 2022
Apr 4, 2022Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analysts (LPAs) Tricia Danielson and Chinwe Nwogene arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPAs met with Administrator Joi Mae Gubalane and explained the purpose of today's visit. Three (3) of three (3) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPAs observed no health and/or safety hazards inside the facility. LPAs observed all facility utilities to be on and operating without issue. LPAs inspected the outside perimeter of the facility and observed no health and/or safety hazards. There was a sufficient amount of staff present at the facility to provide care. LPAs assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Gubalane.the state’s words, verbatim · CDSS document, Apr 4, 2022
Mar 29, 2022Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analysts (LPAs) Tricia Danielson arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA met with Administrator Joi Mae Gubalane and explained the purpose of the visit. Three (3) of four (4) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. LPA observed all facility utilities to be on and operating without issue. LPA inspected the outside perimeter of the facility and observed no health and/or safety hazards. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply meets the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Administrator Gubalane.the state’s words, verbatim · CDSS document, Mar 29, 2022
Mar 24, 2022Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analysts (LPAs) Tricia Danielson and Chinwe Nwogene arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA met with Caregivers Alejandra Monce and Joselyn Tolentino and explained the purpose of the visit. Administrator Joi Mae Gubalane was unavailable for today's visit. Four (4) of four (4) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. LPA observed all facility utilities to be on and operating without issue. LPA inspected the outside perimeter of the facility and observed no health and/or safety hazards. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply meets the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Monce and Tolentino.the state’s words, verbatim · CDSS document, Mar 24, 2022
Mar 18, 2022Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA met with Caregivers Alejandra Monce and Joselyn Tolentino and explained the purpose of the visit. Administrator Joi Mae Gubalane was unavailable for today's visit. Four (4) of four (4) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. LPA observed all facility utilities to be on and operating without issue. LPA inspected the outside perimeter of the facility and observed no health and/or safety hazards. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply meets the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Monce and Tolentino.the state’s words, verbatim · CDSS document, Mar 18, 2022
Mar 8, 2022Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA met with Joi Mae Gubalane, Administrator and explained the purpose of the visit. Four (4) of four (4) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. LPA observed all facility utilities to be on and operating without issue. LPA inspected the outside perimeter of the facility and observed no health and/or safety hazards. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply meets the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Gubalane.the state’s words, verbatim · CDSS document, Mar 8, 2022
Mar 1, 2022Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA met with Joi Mae Gubalane, Administrator and explained the purpose of the visit. Three (3) of four (4) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. LPA observed all facility utilities to be on and operating without issue. LPA inspected the outside perimeter of the facility and observed no health and/or safety hazards. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply meets the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Gubalanethe state’s words, verbatim · CDSS document, Mar 1, 2022
Feb 23, 2022Facility evaluation reportCase Management - OtherReport on file
Type of visit: Case Management - Other
Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct a case management visit in conjunction with complaint 18-AS-20220216102150 to check on the health, safety, and welfare of residents in care. LPA met with Joi Mae Gubalane, Administrator and explained the purpose of the visit. Three (3) of four (4) residents in care were present during visit. No imminent health and/or safety concerns were observed at the time of visit. LPA observed no health and/or safety hazards inside the facility. LPA observed all facility utilities to be on and operating without issue. LPA inspected the outside perimeter of the facility and observed no health and/or safety hazards. There was a sufficient amount of staff present at the facility to provide care. LPA assessed the available food supply and observed that the supply meets the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Medications were found to be in sufficient supply as well. Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided to Gubalane.the state’s words, verbatim · CDSS document, Feb 23, 2022
Feb 18, 2022Facility evaluation reportCase Management - OtherDeficiency page: Type A
Type of visit: Case Management - Other
Regional Manager (RM) Reyna Lacey, Licensing Program Manager (LPM) Deborah Mullen, and Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced visit to check for any immediate health and safety needs. Licensing staff met with Administrator Joi Ma Gubalane. Licensing staff toured the facility with Ms. Gubalane. Currently there are 2 caregivers to provide for the needs of the residents in care. Licensing staff reviewed and obtained copies of resident files. Ms. Gubalane will submit a packet to change administrator of record to herself. The packet will be submitted by the close of business on 02/22/2022. Ms. Gubalane will submit an updated Designation of Facility Responsibility (LIC308) by close of business on 02/22/2022. At approximately 08:50am, It was found that the facility did not have a fire clearance for bedridden residents. Licensee did not obtain a fire clearance for Resident Two (R2). Staff interviews revealed R2 needs assistance in turning and repositioning. A Type A citation was issued per Title 22 Division 6 Chapter 8 Article 12 and an Immediate civil penalty was issued in the amount of $500 for the absence of fire clearance for bedridden residents. At approximately 08:50am, a review of R2's file was conducted and revealed written instructions to caregivers that R2 is to be repositioned every 2 hours. Licensing staff observed S1, at approximately 12:55pm, request R2 to reposition on their own, and R2 indicated that they couldn't. An exit interview was conducted with Ms. Gubalane, and copies of this report along with LIC811, LIC809-D, and LIC421IM, and Appeal Rights were provided to Ms. Gubalane.the state’s words, verbatim · CDSS document, Feb 18, 2022
From the deficiency page — Deficiency type: Type A · Section cited: CCR 87606(c) · Plan of correction due date: Feb 22, 2022
CARE OF BEDRIDDEN RESIDENTS. (c) To accept or retain a bedridden person. Licensee did not meet the regulation as evidenced by: Based on LPAs observation, and interview, Licensee did not obtain a bedridden fire clearance to retain R2. R2 is bedridden.This presents an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Feb 18, 2022
Plan of correction: Administrator states she will issue a 30 day eviction notice to R2. During that timeframe Administrator states she will submit a fire clearance request for bedridden. Copy of eviction notice shall be submitted by 2/22/2022. LPA informed Administrator to review CCR 87224 Eviction Procedures.
20212 state visits · 2 documents
Oct 12, 2021Complaint investigation reportUnfounded
Allegation investigated: Personal Rights Facility staff did not keep the facility free of flies Facility is not kept at a comfortable temperature Facility is not kept clean
Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to intiate a complaint investigation into the allegations listed above. LPA was granted to the facility by caregiver Jocelyn Tolentino and announced the purpose of the visit. Tolentino phoned Administrator (AD) Joi Mae Gubalane to notify her of LPA's presence in the facility. AD Gubalane arrived shortly thereafter. LPA discussed the allegations with AD Gubabalne and discovered the above allegations concerned the sister facility Fern Home I and do not pertain to the residents or conditions at Fern Home II. Therefore, the above allegations are unfounded. An exit interview was conducted and a copy of this report was provided. Unfoundedthe state’s words, verbatim · CDSS document, Oct 12, 2021 · control 18-AS-20211008083811
The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.
Jul 29, 2021Facility evaluation reportRoutine visitReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Christine Le conducted an unannounced visit to the facility for an annual inspection. LPA met with administrator Joi Mae Gubalane. LPA toured the facility inside and out. The facility has no bodies of water. The facility has charged fire extinguishers, smoke alarms, and carbon monoxide detectors. Cleaning supplies, medications, and sharps were kept in a safe and locked place. Cleaning supplies were kept under the kitchen sink and garage. Medications were kept in a locked cabinet. Sharps were stored in a secured area. The facility had a complete first aid kit and manual. LPA observed two (2) day supply of perishable food items and seven (7) day supply of nonperishable food items. The facility menu was available for review. The resident bedrooms had the required furniture and sufficient lighting. The facility had a supply of additional linen and hygiene items. LPA toured the resident bathrooms. LPA measured the hot water temperature in the bathrooms. The hot water temperature measured at 114 degrees F. LPA also observed emergency supplies. LPA observed that the facility has a mitigation plan to mitigate the spread of COVID-19 in the facility. One central entry point and sign-in policy has been designated for universal entry screening. Routine symptom screening has been initiated at entry for all staff, residents, and visitors. Facility also documents daily temperature and COVID-19 symptom checks, and any change in condition for staff and residents. LPA observed hand sanitizer throughout the facility and a 30 day supply of PPE. All residents have at least a 30 day supply of medications. LPA observed that all emergency contact information for the residents have been updated. No deficiencies were cited during this visit. An exit interview was conducted where this report was discussed and provided to the administrator.the state’s words, verbatim · CDSS document, Jul 29, 2021
6 of 6 beds were occupied at the October 12, 2021 state visit — a count on that day, not an opening.
License holder
Fern Home II LLC, licensed since 2017.
The state’s totals for this licenseSince 2017, as the state’s facility page counts them
- State visits on file
- 38
- Total complaints
- 1
- Substantiated allegations
- 0
- Type A citations
- 0
- Type B citations
- 0
These are the state’s own totals for this license since 2017, per CDSS records. The state counts them apart from the documents above, and they can differ from what those documents show; the documents say what each visit found. One complaint can contain several allegations.
Compare with homes the same size
| This home | Typical | |
|---|---|---|
| Type A citations | 0 | 0 |
| Type B citations | 0 | 0 |
| Substantiated allegations | 0 | 0 |
| Total complaints | 1 | 0 |
“Typical” is the statewide median for licensed homes this size. It does not adjust for years licensed, and older licenses have had more visits and reports. The median is across the 6,916 licensed small board-and-care homes (6 or fewer beds) in the state record. The figures compared are the state’s totals, not the documents.
What the state’s words mean
Routine visita visit the state records as “Required” — a scheduled visit, not one made in answer to a complaintSubstantiatedthe state found the allegation more likely true than notUnsubstantiatedthere was not enough evidence to prove a violation occurred — not a finding of wrongdoingUnfoundedthe evidence showed the allegation was false, could not have happened, or had no reasonable basisType A citationa violation that poses an immediate risk to health, safety or personal rights if it is not correctedType B citationa violation that could become a risk if not corrected, or one involving records, resources or required services
CDSS citation definitions (PDF) ↗ · CDSS complaint outcomes ↗
An “unsubstantiated” complaint is not a finding of wrongdoing — it means the state investigated and could not confirm the allegation. Outcome words are the state’s own; we never grade, score, or color a record, and we publish no reviews — the state’s dated documents stand in their place.
Frequently asked questions
A citation does not make a home unsafe, and an empty file does not make a home good.
Quick answers about Fern Home II
Is Fern Home II licensed?
The state lists this license as “Licensed,” per CDSS records as of October 26, 2026.
How many residents is Fern Home II licensed for?
6 residents — a small home, per CDSS records as of October 26, 2026.
Has Fern Home II been cited?
0 Type A and 0 Type B citations since 2017, per CDSS records as of October 26, 2026. Those records count 38 state visits over the same years.
Is Fern Home II still open?
This license was on the CDSS roster as of November 11, 2026.
What does Fern Home II cost?
$4,550 a month to start is a Covelight estimate, likely $3,700–$5,600. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”
Covelight’s estimate starts from the rates 10 small homes within 3 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.
Among 32 other homes of a similar licensed size in Riverside that publish a starting rate, the middle half runs $3,950 to $4,850 a month, and the middle figure is $4,000 (n = 32 other homes publishing a starting rate).
Each of those is a home’s own published figure, gathered on its own date between September and October 2026 — not an average of ours, and not a survey. Similar size means small and mid-size homes counted together, and large communities counted on their own, because they are different markets.
A home outside the band is not overcharging or underpricing: a starting rate covers different things in different homes, which is the first thing to ask about.
The price is made in the phone call. Nothing here is a quote, an offer or a discount.
A starting rate is the room and the base care. California homes commonly bill care levels, medication management, supplies, transport and a second person in the room as extras. Many also charge a one-time fee at move-in. Ask for that list in writing before anything is signed.
Only prices a home put out itself count here: its own website, a listing it supplied, or a price a listing site says the home confirmed. Prices a site shows without saying where they came from are left out.
Does Fern Home II take Medi-Cal?
On Medi-Cal’s Assisted Living Waiver: this home is not on the DHCS participation list dated October 1, 2026. Ask the program about current options. The waiver pays for care services, not room and board.
Who holds the license?
The license is held by Fern Home II LLC, per CDSS records as of October 26, 2026.
Is there a hospital nearby?
Kaiser Foundation Hospital Riverside is 1 mile away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.
Can Fern Home II keep a resident on hospice?
Hospice care is approved on this license, covering up to 2 residents, per CDSS records as of October 26, 2026.
Fern Home II license and inspection record
- Name on the license: “FERN HOME II”, per the CDSS roster as of May 25, 2025.
- License #331800143. The state lists this license as “Licensed,” per CDSS records as of October 26, 2026.
- Licensed for 6 residents — a small home, per CDSS records as of October 26, 2026.
- Licensed to Fern Home II LLC, per CDSS records as of October 26, 2026.
- First licensed in 2017, per CDSS records as of October 26, 2026.
- 38 state inspection visits since 2017, per CDSS records as of October 26, 2026.
- 0 Type A and 0 Type B citations on file since 2017, per CDSS records as of October 26, 2026. The same records count 38 state visits in that period.
- 1 complaint and 0 substantiated allegations on file since 2017, per CDSS records as of October 26, 2026. One complaint can carry several allegations.
- The most recent state visit on file is July 31, 2026, per CDSS records as of October 26, 2026.
Type A citationa violation that poses an immediate risk to health, safety or personal rights if it is not correctedType B citationa violation that could become a risk if not corrected, or one involving records, resources or required services
California writes these definitions for every licensed home, not for this one. CDSS citation definitions (PDF) ↗
Nearby
Other homes nearby
Licensed homes near this one in Riverside County, most information on file first. Every listed home appears on the same terms.
- Map
Starting rate
$4,200 a month to start
Listed by the home on Seniorly · September 9, 2026On the state record
- Wheelchair: on the state record
- Map
Starting rate
$3,500 a month to start
Listed by the home on Seniorly · September 9, 2026On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Bedridden: on the state record
- Map
Estimated starting rate
$3,250 a month to start
Covelight estimate · likely $2,500–$4,100On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Bedridden: on the state record
- Map
Estimated starting rate
$4,350 a month to start
Covelight estimate · likely $3,550–$5,400On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Map
Estimated starting rate
$4,650 a month to start
Covelight estimate · likely $3,800–$5,700On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Bedridden: on the state record
- Map
Estimated starting rate
$4,550 a month to start
Covelight estimate · likely $3,700–$5,600On the state record
- Wheelchair: on the state record
- Dementia: on the state record
- Hospice: on the state record
- Bedridden: on the state record
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