Illustration — no photo of this home on file yet

Fern Home II

Small home·Licensed for 6·Riverside, California

Licensed since 2017Licence #331800143
  • Care approvals on fileWheelchair · Dementia · Hospice · BedriddenState licensing record · September 27, 2026
  • Estimated starting rate$4,450 a monthCovelight estimate · likely $3,650–$5,500
  • Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
  • Room at the last state visit6 of 6 beds occupiedOctober 12, 2021 · not a current opening
  • Ways to payAsk the homeMedi-Cal ALW participation not on file
  • Last state visitJuly 31, 2026CDSS inspection record

Fern Home II 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.

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 II

Is Fern Home II licensed?

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

How many residents is Fern Home II licensed for?

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

Has Fern Home II been cited?

0 Type A and 0 Type B citations since 2017, per CDSS records as of September 27, 2026. Those records count 39 state visits over the same years.

Is Fern Home II still open?

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

What does Fern Home II cost?

$4,450 a month to start is a Covelight estimate, likely $3,650–$5,500. 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 II 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 II 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 II 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 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 September 27, 2026.
  • Licensed for 6 residents — a small home, per CDSS records as of September 27, 2026.
  • Licensed to Fern Home II LLC, per CDSS records as of September 27, 2026.
  • First licensed in 2017, per CDSS records as of September 27, 2026.
  • 39 state inspection visits since 2017, per CDSS records as of September 27, 2026.
  • 0 Type A and 0 Type B citations on file since 2017, per CDSS records as of September 27, 2026. The same records count 39 state visits in that period.
  • 2 complaints and 0 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 6 residents
  • Dementia / memory careApproved by the state
  • Hospice careApproved · covers up to 2 residents
  • BedriddenApproved · covers up to 2 residents

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 NON-AMBULATORY RESIDENTS, 2 OF WHICH MAY BE BEDRIDDEN; 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

$4,450a month to start

Likely $3,650–$5,500

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

Likely monthly total

$4,450a month

Likely $3,650–$5,700

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$4,450likely $3,650–$5,500

    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 $3,650–$5,700
$4,450
First monthWith a one-time move-in fee · likely $4,250–$8,800
$6,450
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

  • 3877 Megginson 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 39 documents for this home, and its records count 39 visits since 2017. The most recent is a facility evaluation report, dated July 31, 2026.

On file since
2021
State visits
39
Most recent visit
July 31, 2026
Occupied · October 12, 2021 visit
6 of 6 bedsa count on that day, not an opening

We hold 1 complaint report the state published for this home, dated October 12, 2021. 1 of the 1 carries the state's recorded outcome word: “Unfounded” (1). 1 includes the transcribed allegation the state investigated, word for word. Summary composed by computer from the 1 complaint report 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 citations0typical 0
  • Type B citations0typical 0
  • Substantiated allegations0typical 0
  • Total complaints2typical 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
YearVisitsDocumentsSubstantiated20261102025660202444020235602022202002021220

The last 36 months — 12 of 39 documents

20261 state visit · 1 document
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 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 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 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 reportReport on file

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 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- 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 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
20244 state visits · 4 documents
Sep 16, 2024Facility evaluation reportReport 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 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 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 reportReport 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 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 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 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 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
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 ↗

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