361800184-1-31-2025-56-AS-PGUO-DDFPSY-20250131103508

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 361800184
Report Date: 01/31/2025
Date Signed: 01/31/2025 10:35:14 AM

Document Has Been Signed on 01/31/2025 10:35 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, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME:	ABUNDANT LIFE SENIOR HOME CARE		FACILITY NUMBER:	361800184
ADMINISTRATOR/ DIRECTOR:	RONDONUWU, RULLY		FACILITY TYPE:	740
ADDRESS:	2206 N LAUREL WAY		TELEPHONE:	(562) 818-4455
CITY:	UPLAND	STATE: CA	ZIP CODE:	91784
CAPACITY: 6	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	01/31/2025
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Alvin San Diego- Administrator		TIME VISIT/ INSPECTION COMPLETED:	11:00 AM

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Licensing Program Analyst (LPA) Paola Guerrero made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Facility Administrator Alvin San Diego. The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (6) current census (0). LPA was accompanied by Facility Administrator Alvin, to conduct an inspection of the outside exterior of the home, which included, but was not limited to, the following:

Physical Plant: During visit, LPA observed fire damage (window boarded),on the room that is located on the south-side exterior of the home. LPA observed that fire damage from the room continued to the roof top perimeter,(no other fire damage was observed besides south-side area),this was due to an electrical fire that took place on 6/1/2023. Redlands Fire Department tagged the facility as uninhabitable on 6/1/2023. During the inspection (1/31/2025), LPA observed that the facility is still uninhabitable and vacant. Because the home was red tagged LPA was only able to conduct an inspection of the exterior of the facility. Facility Administrator informed LPA that on 1/30/2025, Adjusters and general contractors visit the facility to conduct a re-assessment of the home to re-evaluate the cost of damages on the home.

Care & Supervision: Facility Administrator Alvin San Diego informed LPA that all residents still remain relocated. Alvin was advised by LPA to updated Regional Office with any updates regarding the home. LPA will continue to follow-up with Alvin for any updates pertaining to the home.

An exit interview was conducted, and this report (LIC809) was discussed and provided to Facility Administrator Alvin San Diego.

Efren Malagon	TELEPHONE: (951) 202-6356
Paola Guerrero	TELEPHONE: (951) 473-7024
	DATE: 01/31/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025

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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