Illustration — no photo of this home on file yet

Fern Home I

Small home·Licensed for 6·Riverside, California

Licensed since 2017Licence #331800142
(951) 299-7619From the state roster · September 27, 2026Plan a visit
  • Care approvals on fileWheelchair · Dementia · HospiceState licensing record · September 27, 2026
  • Estimated starting rate$4,300 a monthCovelight estimate · likely $3,500–$5,300
  • Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
  • Room at the last state visit4 of 6 beds occupiedMarch 24, 2026 · not a current opening
  • Ways to payAsk the homeMedi-Cal ALW participation not on file
  • Last state visitJuly 31, 2026CDSS inspection record

Fern Home I is a small care home in Riverside — a licensed residential care facility for the elderly (RCFE), the licence category behind “assisted living” and “board and care.” It is licensed for 6 residents since 2017. Bedridden care is not on file.

Built from CDSS public records · September 27, 2026. Every fact below names its source and date.

Quick answers and the state record

A citation does not make a home unsafe, and an empty file does not make a home good.

Quick answers about Fern Home I

Is Fern Home I licensed?

The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.

How many residents is Fern Home I licensed for?

6 residents — a small home, per CDSS records as of September 27, 2026.

Has Fern Home I been cited?

2 Type A and 1 Type B citations since 2017, per CDSS records as of September 27, 2026. Those records count 42 state visits over the same years.

Is Fern Home I still open?

This license was on the CDSS roster as of September 28, 2026.

What does Fern Home I cost?

$4,300 a month to start is a Covelight estimate, likely $3,500–$5,300. 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 9 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 31 other homes of a similar licensed size in Riverside that publish a starting rate, the middle half runs $3,925 to $4,725 a month, and the middle figure is $4,000 (n = 31 other homes publishing a starting rate).

Each of those is a home’s own published figure, gathered on its own date in September 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 I take Medi-Cal?

On Medi-Cal’s Assisted Living Waiver: this home is not on the DHCS participation list dated September 23, 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 I LLC, per CDSS records as of September 27, 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 I keep a resident on hospice?

Hospice care is approved on this license, covering up to 2 residents, per CDSS records as of September 27, 2026.

Fern Home I license and inspection record

  • Name on the license: “FERN HOME I”, per the CDSS roster as of May 25, 2025.
  • License #331800142. The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.
  • Licensed for 6 residents — a small home, per CDSS records as of September 27, 2026.
  • Licensed to Fern Home I LLC, per CDSS records as of September 27, 2026.
  • First licensed in 2017, per CDSS records as of September 27, 2026.
  • 42 state inspection visits since 2017, per CDSS records as of September 27, 2026.
  • 2 Type A and 1 Type B citations on file since 2017, per CDSS records as of September 27, 2026. The same records count 42 state visits in that period.
  • 4 complaints and 4 substantiated allegations on file since 2017, per CDSS records as of September 27, 2026. One complaint can carry several allegations.
  • The most recent state visit on file is July 31, 2026, per CDSS records as of September 27, 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) ↗

See the state’s own record

Can they support the care needed?

California licenses a home for specific kinds of care. The state’s record lists what this home is approved for; the home’s own answers fill in what changes as needs change.

  • Wheelchair / non-ambulatoryApproved · covers up to 5 residents
  • Dementia / memory careApproved by the state
  • Hospice careApproved · covers up to 2 residents
  • BedriddenNot on file · ask the home

State licensing record · September 27, 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 AMBULATORY OF WHCIH 3 MAY BE NON-AMBULATORY. BDRM 1&2 AMBULATORY, BDRM 3,4&5 NON-AMBULATORY. APPROVED HOSPICE WAIVER FOR 2.

983 - RCFE / DEMENTIA

CDSS record, verbatim · September 27, 2026

As needs change

  • Staying through hospice

    Hospice waiver on file · covers up to 2 — care may continue at the end of life

    Ask: “If hospice is needed, can care continue here until the end?”

    State licensing record · September 27, 2026

  • If memory loss develops

    Dementia-care designation on file

    Ask: “Can we read the dementia care disclosure and discuss how daily support works?”

    State licensing record · September 27, 2026

3 more questions to ask the home
  • Two-person transfers or a lift

    Not on file

    Ask: “If two people or a lift are needed to transfer, can the person stay?”

  • Someone awake overnight

    Not on file

    Ask: “Who is awake overnight, and how do residents ask for help?”

  • Medicines

    Not on file

    Ask: “Who manages the medicines, and what happens when a dose is missed?”

What it costs here

Covelight estimate

$4,300a month to start

Likely $3,500–$5,300

From 9 nearby homes that publish rates · this home’s rate is not on file

Likely monthly total

$4,300a month

Likely $3,500–$5,500

With a shared room and basic help.

An estimate for planning, not a quote. The price is made in the phone call.

See the full cost breakdownRoom, care and fees · how people pay · how this estimate works
Room
Daily care
Sharing the room
  • Starting monthly rate$4,300likely $3,500–$5,300

    Covelight’s estimate starts from the rates 9 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 (45 California homes publish a care-level range, seen in September 2026).

  • One-time move-in fee$2,000one time · likely $0–$4,000

    Homes that list a one-time entry or community fee charge a median of $2,000 (134 California listings; middle half $1,000–$4,000). Many homes list none — ask.

Likely monthly totalLikely $3,500–$5,500
$4,300
First monthWith a one-time move-in fee · likely $4,100–$8,650
$6,300
How people payPrivate pay, Medi-Cal waiver, SSI/SSP, veterans, insurance
  • 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 September 23, 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.
  • MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.
If the money runs out, what Medi-Cal covers
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 community 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.

  • What is the full monthly cost for the room and care we need, and what does it include?
  • What would the next care level cost, and who decides when it changes?
  • What is billed separately, and is there a one-time fee or deposit at move-in?
  • Is any private-pay period required before another payment program can begin?
How this estimate worksWithin 25% for 7 in 10 homes in testing

Covelight’s estimate starts from the rates 9 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.

9 homes like this within 3 miles publish starting rates mostly between $3,650–$4,900.

  • 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.
Show the 9 nearby homes behind this estimate

Where it is

  • 3875 Meggingson Lane, Riverside, CA 92503Address from the public record · September 27, 2026. Confirm the entrance with the home before visiting.

Opening the neighborhood map…

The state record

California inspects every licensed home and publishes what it found. Here are the dated documents and the state’s own words, beside what is typical for homes this size.

Since 2021, the state has filed 41 documents for this home, and its records count 42 visits since 2017. The most recent is a facility evaluation report, dated July 31, 2026.

On file since
2021
State visits
42
Most recent visit
July 31, 2026
Occupied · March 24, 2026 visit
4 of 6 bedsa count on that day, not an opening

We hold 5 complaint reports the state published for this home, dated October 12, 2021 to March 24, 2026. 5 of the 5 carry the state's recorded outcome word: “Substantiated” (3), “Unsubstantiated” (2). 5 include the transcribed allegation the state investigated, word for word. Summary composed by computer from the 5 complaint reports below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.

Beside homes the same size

  • Type A citations2typical 0
  • Type B citations1typical 0
  • Substantiated allegations4typical 0
  • Total complaints4typical 0

“Typical” is the statewide median across the 6,808 licensed small board-and-care homes (6 or fewer beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this licence since 2017.

Year by year
YearVisitsDocumentsSubstantiated20263312025660202455020235712022191902021111

The last 36 months — 15 of 41 documents

The full record on the state’s site →
20263 state visits · 3 documents
Jul 31, 2026Facility evaluation reportReport 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 Dolores Brazil. LPA began inspection with introduction, visit purpose and provided the facility caregiver with LPA identification and business card. Resident record review began- Three (3) 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 are outside and a locked cabinet is present for storing laundry soap and other chemicals outside in a cabinet. 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 remains unchanged 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 quarterly and last disaster drill was conducted on 07/07/2026. Corporation or LLC is suspended-FTB inactive since 8/2/2021. Based on the information received during this visit today, there are one (1) deficiency cited with civil penalties of $500 issued per Title 22, Division 6 of The California Code of Regulations. This report, LIC809D, LIC421IM and Appeal Rights was reviewed with Joi Mae Gubalane at the time of the exit interview and copies were provided.the state’s words, verbatim · CDSS document, Jul 31, 2026
Mar 24, 2026Complaint investigation reportSubstantiated

Allegation investigated: Conduct Inimical

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to deliver findings of the above allegation. LPA met with Joi Mae Gubalane, Administrator. The Department investigation involved interviews with staff and review of records. On 02/16/2022, Community Care Licensing (The Department) received a complaint report with the following allegation. The allegation was conduct inimical. Information received indicated that the California Department of Justice conducted an investigation regarding insurance fraud involving one of the facility’s corporate board members (S1). LPA conducted an interview with the Administrator, who stated that the San Bernardino County Superior Court dismissed the case against S1. Continued on LIC9099-C.... Substantiated LPA obtained a court document from the Administrator. The court document indicated that a felony charge was dismissed; however, S1 was convicted of a misdemeanor of PC549 and placed on probation. Therefore, the allegation of conduct inimical is substantiated. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. An exit interview was conducted, and a copy of this report was provided along with LIC9099-D and Appeal Rights.the state’s words, verbatim · CDSS document, Mar 24, 2026 · control 18-AS-20220216102150

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.58(a)(2) · Plan of correction due date: Mar 24, 2026

1569.58 Persons prohibited from being a licensee...or holding certain positions or employment...(a) The department may prohibit any person from being a licensee... (2)Engaged in conduct that is inimical to the health, morals, welfare, or safety of either an individual in or receiving services... Based on records review, Licensee did not ensure that staff were not engaged in conduct that is inimical to heath and safety of residents in care. This posed an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Mar 24, 2026

Plan of correction: Licensee stated that Staff #1 (S1) is no longer engaged in daily operation of the facility.

Feb 5, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Other

Licensing Program Analysts (LPA's) Yolanda Delgado and Imaculada Vasquez is conducting this unannounced case management visit to obtain additional information. LPA learned that five (5) clients currently reside at this facility. Administrator and one (1) staff is currently present. During this visit LPA interviewed two staff and two residents. Based on the information obtained today, LPA's did not observe any immediate threat to the health, safety, and welfare of the clients residing at this facility. There are no deficiencies being issued per Title 22, Division 6 of the California Code of Regulations. LPA requested copies of contractors billing documentation. This report was reviewed with Joi Mae Gubalane and copy provided at the time of exit.the state’s words, verbatim · CDSS document, Feb 5, 2026
20256 state visits · 6 documents
Dec 11, 2025Facility evaluation reportReport 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 Dolores Brazil, 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 with Dolores Brazil where a copy of this report was discussed and provided.the state’s words, verbatim · CDSS document, Dec 11, 2025
Nov 3, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff did not keep facility free of hazards. Staff are not preparing meals for residents in care. Facility is unkempt.

Licensing Program Analyst, (LPA) Yolanda Delgado arrived unannounced to the facility to commence an investigation pertaining to the allegations listed above. LPA met with Delores Brazil and explained the purpose of the visit. On October 25, 2025, Community Care Licensing received a complaint alleging staff did not keep the facility free of hazards, staff are not preparing meals for residents in care and facility is unkempt. LPA conducted an interview with Administrator which revealed that they had been having issues with electricity with certain electrical outlets and has called out three (3) different electricians to address the problem and the issue has been fixed as of 11/3/2025 by the city of Riverside. Administrator stated that due to the power issues in the kitchen, the stove was unable to be used however, refrigerator, microwave and rice cooker were able to be used, and meals were prepared by caregivers at the facility next door and were brought over to the residents. (Continued on Page 2) Unsubstantiated (Continued from Page 1) Administrator stated there has not been any renovations, however, they are doing minor repairs in the facility. LPA interviewed residents and stated they are given meals by the staff daily and their rooms are cleaned daily by staff; residents are unaware of any hazards in their rooms. LPA did not observe any hazards inside the facility. LPA observed working appliances and working utilities. There are no health and safety concerns with residents in care currently. Based on interviews and documentation staff did not keep facility free of hazards, staff are not preparing meals for residents in care and facility is unkempt, the allegations are unsubstantiated. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with Joi Mae Gubalane and a copy of this report was provided. *LPA was away from the facility from 12:20-1:20 pmthe state’s words, verbatim · CDSS document, Nov 3, 2025 · control 18-AS-20251025000619
Sep 22, 2025Facility evaluation reportReport 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 reportReport 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- Three (3) 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-1 missing, 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 are outside and a locked cabinet is present for storing laundry soap and other chemicals outside in a cabinet. 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 two (2) 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 remains unchanged 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 gallon of Clorox accessible to clients in care at 10:21 and Ajax cleaner under the restroom sink accessible to clients in care at 10:23. Based on the information received during this visit today, there are four (4) deficiencies are being cited per Title 22, Division 6 of The California Code of Regulations. This report, LIC809D, Appeal Rights was reviewed with Joie Mae at the time of the exit interview and a copy will be emailed with confirmation request. LPA has requested updates to the following documents to be submitted to the CCL by 08/04/2025: LIC 308, LIC500, Copy of liability insurance.the state’s words, verbatim · CDSS document, Jul 28, 2025
Jun 19, 2025Facility evaluation reportReport 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 reportReport 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
20245 state visits · 5 documents
Sep 16, 2024Facility evaluation reportReport on file

Type of visit: Case Management - Other

Licensing Program Analysts (LPAs) Sara Martinez 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. Facility has three (3) 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. 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, Sep 16, 2024
Aug 30, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Facility staff do not administer medications to residents. Facility staff leave residents unattended while in care.

Licensing Program Analyst (LPA) Javier Prieto and LPA Lavette Farlow arrived to the facility to conclude a complaint investigation regarding the above allegations. LPAs met with administrator Gubalane and explained the elements of the complaint. Allegation #1 - Resident #1 in question, no longer resides at the home, but medical records review for resident #2 (R2), (R3) and (R4) will show that medications are being administered as prescribed. Allegation #2 - Administrator Gubalane provided staff roster to show that the facility is adequately staff to meet the needs of the clients in care. Upon arrival, LPA's observed 2 direct staff present as well as the administrator present. Based on the information obtained there is not enough evidence that facility staff do not administer medications to residents and facility staff leave residents unattended while in care. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto, LPA Farlow and Administrator Gubalane and a copy was left with the facility. Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 30, 2024 · control 18-AS-20201124115756
Jul 2, 2024Facility evaluation reportReport 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 three (3) 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 two (2) 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 reportReport on file

Type of visit: Case Management - Health Checks

Licensing Program Analysts (LPAs) Sara Martinez and Yolanda Delgado 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 four (4) residents in care. LPAs were informed one resident is at the hospital. 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. 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, Apr 10, 2024
Jan 18, 2024Facility evaluation reportReport 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 four (4) residents in care. LPAs were informed one resident is at the hospital. 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 reportReport 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 four (4) 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 a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable food items along with an emergency food supply stored in the medication cabinet. 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
What the state’s words mean
Substantiatedthe 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 and the questions below stand in their place.
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Life here

Rooms, meals, the rhythm of a day, faith and language, pets and house rules — as the home describes them. Tap any detail for its source and date; nothing here is graded.

The home has not described daily life anywhere we have reviewed yet — that is the case for most small homes, and it says nothing about the home. These questions fill in the picture; keep the ones that matter to you.

Before you call

Ask every home the same questions — the state’s record does not answer these. Keep the ones that matter and they travel with your saved homes.

  1. What is included in the monthly rate, and what costs extra?
  2. Who is awake overnight, and how do residents ask for help?
  3. Which rooms does the non-ambulatory approval cover, and what transfer support is provided?
  4. What could change whether someone can stay here?
  5. Can we see a bedroom and share a meal during a visit?
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