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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 335530040
Report Date: 01/23/2025
Date Signed: 01/23/2025 11:53:17 AM

Document Has Been Signed on 01/23/2025 11:53 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:CASA ALMARFACILITY NUMBER:
335530040
ADMINISTRATOR/
DIRECTOR:		ALCOCER, PETERFACILITY TYPE:
735
ADDRESS:5251 ALMAR STREETTELEPHONE:
(714) 448-0533
CITY:RIVERSIDESTATE: CAZIP CODE:
92505
CAPACITY: 4CENSUS: 3DATE:
01/23/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Facility Administrator-Peter AlcocerTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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On 01/23/2025 at 9:15 AM, Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility to conduct the required comprehensive annual inspection to the facility. LPA Singh knocked on the door, pressed the doorbell. LPA Singh contacted Licensee/Administrator Peter Alcocer and he arrived at the facility during the visit. LPA Singh explained the purpose of today's visit to Licensee/Administrator Peter Alcocer.

The facility has 4 bedrooms, 2 bathrooms, kitchen, dining room, living room, attached garage, and backyard. The facility is vendorized by Inland Regional Center. LPA Singh completed a walk through of the facility, review of records, and medications audit.

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL), LPA Singh observed no clients present during the visit. All the clients were out in the community. There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 71 degrees Fahrenheit.



LPA Singh inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs, and sufficient lighting.

LPA Singh inspected client bathrooms; bathrooms were clean, and appliances were found functional. Water temperatures tested at 114 degrees Fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide detectors, charged fire extinguisher, and first aid kit with first aid book.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2025
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: CASA ALMAR
FACILITY NUMBER: 335530040
VISIT DATE: 01/23/2025
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Posters such as the personal rights, CCL complaint poster, emergency disaster plan were posted in a common area. Sharps and client medications were kept in secure cabinets inaccessible to clients. LPA Singh observed night lights at the hallway leading to clients' shared bathrooms. The facility had emergency kits, emergency food and water. There are no firearms and ammunition in the facility.

Yards/Outside: One shaded patio, two (2) side gate with self-latching handle on the left and right side of the house that leads into the backyard, attached two (2) car garage observed. All outdoor pathways were free of obstructions. Pool was observed in the backyard with fence gate locked, covered, not operational due to earthquake (damaged/cracked).

Food Service: LPA Singh observed two (2) day(s) supply of perishable food and seven (7) day(s) supply of non-perishables food and snacks. Dishes, cups, and utensils were stored properly.


Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week.

Record Review: LPA Singh reviewed client files for admission agreements, medical assessments/physician reports, needs and services plans and functional capabilities. LPA reviewed current/updated Admission Agreement and needs and Services Plan and functional capabilities completed for clients. LPA Singh also reviewed staff and administrator's file for First Aid/CPR certification, criminal record clearance, training, and health screenings.

LPA Singh audited two (2) client’s medications and no issues were observed. LPA audited client's P&I and only one client has P&I at this facility, no issues.

An exit interview was conducted where this report LIC809, LIC809C, were discussed, and copies were provided to Licensee/Administrator Peter Alcocer.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Beena Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025
LIC809 (FAS) - (06/04)
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