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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331880557
Report Date: 03/11/2025
Date Signed: 03/11/2025 11:18:10 AM

Document Has Been Signed on 03/11/2025 11:18 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:RAINBOW VIEW SENIOR CARE LPA,LLCFACILITY NUMBER:
331880557
ADMINISTRATOR/
DIRECTOR:		LORENA ALANDYFACILITY TYPE:
740
ADDRESS:4170 RAINBOW VIEW WAYTELEPHONE:
(949) 290-8661
CITY:HEMETSTATE: CAZIP CODE:
92545
CAPACITY: 6CENSUS: 4DATE:
03/11/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Licensee- Lorena AlandyTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 03/11/25, Licensing Program Analyst (LPA) Debbie Palacios conducted an unannounced one (1) year required visit. LPA was granted entry by caregiver, Raymon Bangalisan, who was informed of the purpose of visit. Licensee Lorena Alandy arrived shortly after to the facility. At the time of the visit there was one (1) caregiver, Licensee and four (4) residents present. All staff present were observed to have obtained proper fingerprint clearance and were associated to the facility. LPA Palacios observed the following during today's visit:

LPA conducted a tour of the facility with Licensee Lorena. The physical plant is a single story structure that contained four (4) resident bedrooms, two (2) bathrooms. The facility has a dinning room, kitchen, living room, a garage, and a gated backyard. Indoor and outdoor passageways were free of obstruction. There were no bodies of water located on the property. The facility has more than a two (2) day supply of perishable food and seven (7) day supply of non-perishable foods. Extra linen were observed in the closet located in the hallway. Dishes and utensils were in sufficient supply and in good repair. Knives and sharp items were observed in a locked cabinet in the kitchen. Resident bedrooms had the required bedding, furniture, and lighting. Bathrooms were clean and sanitary; water temperature was 107 degrees F. The smoke and carbon monoxide detectors were tested and were observed to be operable. Centrally stored medication was observed in a locked cabinet in the kitchen. The outdoor patio was observed to have no obstructions. One (1) fully charged fire extinguisher was observed in the facility last served on 02/24/25. The living room was observed to have board games and other activities. The facility was observed to be in a clean condition; free of dirt, insects, rodents, and pests.

SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Debbie Palacios
LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: RAINBOW VIEW SENIOR CARE LPA,LLC
FACILITY NUMBER: 331880557
VISIT DATE: 03/11/2025
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Staff files reviewed include but not limited to have personnel records, health screenings, criminal record clearance, required training, and valid first aid/CPR certification. Licensee's Certificate was noted to be active until 06/2/26. Resident files included but are not limited to signed admission agreements, pre-placement, personal rights, house rules, Needs and Plan Services, and updated physician reports. Facility sketch, LTCO, CCL complaint poster, license and emergency disaster plan is posted on a wall in the living room and kitchen wall. The facility conducts the Earthquake and fire drills every three (3) months; last earthquake and fire drills were conducted on 01/13/25.

During today's visit, LPA did not observe any immediate violations or concerns. An exit interview was conducted, and a copy of this report was reviewed and provided.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Debbie Palacios
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025
LIC809 (FAS) - (06/04)
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