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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331881613
Report Date: 10/16/2024
Date Signed: 10/16/2024 03:21:36 PM

Document Has Been Signed on 10/16/2024 03:21 PM - 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:REGAL CARE HOME AND ASSISTED LIVING OF LA QUINTAFACILITY NUMBER:
331881613
ADMINISTRATOR/
DIRECTOR:		REGALADO, CARINNAFACILITY TYPE:
740
ADDRESS:45155 DESERT AIR STREETTELEPHONE:
(714) 234-5643
CITY:LA QUINTASTATE: CAZIP CODE:
92253
CAPACITY: 6CENSUS: DATE:
10/16/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:36 PM
MET WITH:REGALADO, CARINNATIME VISIT/
INSPECTION COMPLETED:
03:20 PM
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Licensing Program Analyst (LPA),Abdoulaye Zerbo and Armando Perez conducted an announced pre-licensing inspection at the facility and met with Applicant, Carinna Regalado

Application: The inspection is for an initial Residential Care Facility for Elderly (RCFE) application. The Riverside County Fire Department approved a fire clearance for six (6) non-ambulatory clients on 08-09-2024.

Buildings and Grounds: The home is composed of three (3) client bedrooms, one (1) staff bedroom , a living room area with a covered fireplace, three (3) bathrooms, a laundry room, kitchen, a dining area, a garage, and front and back yard with a locked shed. The interior and exterior walkways of the home were observed to be clutter free with no obstructions present. Smoke and Carbon Monoxide detectors are hard wired in working order. There is a gated pool meeting the department requirements. There are no weapons stored in the home. Client bedrooms are fully furnished, and privacy is available. Outdoor areas had sufficient room for activities and leisure. A washing machine and dryer were available and in working order.

Storage and Supplies: Medications will be stored in a locked kitchen cabinet, inaccessible to any unauthorized individuals. Secured locked cabinet in the dinning area are available for facility files, staff files and client files. A complete first aid kit was observed to be available. Cleaning supplies will be stored away in a secured location. Linens, and equipment appeared to be in good repair and sufficient for the approved census. Fire extinguishers were available and fully charged with an expiration date of 12-31-2024.

Food Service: Utensils and dishware are sufficient for the requested capacity. The refrigerator and freezer are in working order. Sharps knives will be stored in a locked area under the kitchen sink., available only to authorized individuals.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Abdoulaye Zerbo
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2024
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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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: REGAL CARE HOME AND ASSISTED LIVING OF LA QUINTA
FACILITY NUMBER: 331881613
VISIT DATE: 10/16/2024
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Forms: The following signs were observed to be posted at the home: Personal Rights, Complaint information, Emergency disaster plan, the facility sketch, ombudsmands poster. LPAs verified the Administrator's Certification, with an expiration date of November 9, 2024 and CPR certification with the expiration date of April 5, 2025

LPAs observed that the physical plant is clean, in good repair, and to be hazard-free during today’s visit. The applicant has completed COMP III orientation on 10-16-2024. LPAs determined the facility meets the operational requirements for licensure. The Pre-licensing inspection is complete and has satisfied all requirements in accordance with Title 22, California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to applicant Carinna Regalado.

SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Abdoulaye Zerbo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2024
LIC809 (FAS) - (06/04)
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