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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 335530122
Report Date: 03/21/2025
Date Signed: 03/21/2025 10:20:58 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 03/21/2025 10:20 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
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:TRUECARE SENIOR HOMEFACILITY NUMBER:
335530122
ADMINISTRATOR/
DIRECTOR:		KAUR, PARMINDERFACILITY TYPE:
740
ADDRESS:13761 RIVER DOWNS STTELEPHONE:
(714) 388-8831
CITY:EASTVALESTATE: CAZIP CODE:
92880
CAPACITY: 6CENSUS: 0DATE:
03/21/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Caregiver Aman Preet Singh TIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Raquel Hernandez arrived to the facility to conduct an annual required visit. LPA met with Caregiver Aman Singh. LPA learned that the facility has not retained any clients at this time. Administrator Parminder Kaur is in the process of retaining clients.

The facility is an Residential Care Facility for The Elderly. Licensed capacity is (6) current census (0). LPA was accompanied by Caregiver Aman Singh to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected water temperature to test at 106 degrees Fahrenheit. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated office for future client/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for future clients in care.

Food Service: Facility has a variety of food available for future residents. Dishes, cups, and utensils were also stored properly.

Record Review: LPA observed a designated place for all future residents and staff files as well as for resident medications.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2025
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
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: TRUECARE SENIOR HOME
FACILITY NUMBER: 335530122
VISIT DATE: 03/21/2025
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Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Caregiver Arman Preet Singh.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025
LIC809 (FAS) - (06/04)
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