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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331881575
Report Date: 10/28/2024
Date Signed: 10/28/2024 10:22:07 AM

Document Has Been Signed on 10/28/2024 10:22 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:ANGEL'S LOVING TOUCH - STOYVIEW LLCFACILITY NUMBER:
331881575
ADMINISTRATOR/
DIRECTOR:		CERDA YAZMINFACILITY TYPE:
740
ADDRESS:37189 STOYVIEW CIRCLETELEPHONE:
(951) 580-5900
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY: 6CENSUS: 5DATE:
10/28/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:58 AM
MET WITH:Yazmin Cerda, Administrator TIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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On 10/28/24 at 8:58am Licensing Program Analyst (LPA) Javina George made an announced visit to the facility to conduct a prelicensing inspection. LPA met with Applicant Yazmin Cerda whom accompanied LPA throughout today's inspection. The applicant has applied for a Change of Ownership (CHOW), Residential Care for the Elderly (RCFE), aged 60 and above. The facility has an approved hospice waiver for (4) of which (3) are currently receiving services. On 05/08/24 The Riverside County Fire Department approved the facility for (6) non ambulatory residents of which (1) bedridden resident, residing in bedroom #4 only.

The facility is a two story structure with the upstairs being for staff only. There is an office/loft area, bathroom, bedroom and an additional sleeping/resting area for staff to utilize.

Downstairs: consists of a garage, backyard with a covered patio, and plenty of space to walk and participate in outdoor activities, kitchen, laundry room, (4) bedrooms and (2.5) bathrooms. The facility was observed to have the required postings, and operable smoke and carbon monoxide detectors, and (2) fully charged fire extinguishers. The facility was observed to have a sufficient food supply of 2 day of perishable and a 7 day supply of nonperishable food items.
The facility is equipped with non skid mats, grab bars and shower chairs. The resident bedrooms were observed to have adequate lighting, clean linen, chest of drawers, and chairs. The hot water temperature was checked and measured at 108.8-117.6 degrees Fahrenheit which is within regulatory limits. The medications are being stored inside a locked closet inside the hallway inside a medication cart, as well as the staff and resident files. There are no pools or bodies of water or known guns or ammunition on the premises. The applicant successfully completed COMP III orientation on 10/16/24, and facility was observed to possess valid liability insurance.
The facility was evaluated in accordance with the California Code of Regulations (CCR), Title 22 Chapter 6, Division 8. Based on the observations and evaluation of the facility this date, the facility’s ready for licensure. An exit interview was conducted and a copy of this report was provided to Yazmin Cerda, Applicant.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE: DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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