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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 361881253
Report Date: 10/23/2023
Date Signed: 10/23/2023 03:16:52 PM

Document Has Been Signed on 10/23/2023 03:16 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
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:ALRU CARE CENTERFACILITY NUMBER:
361881253
ADMINISTRATOR:LAYGO, ARCELIAFACILITY TYPE:
735
ADDRESS:1329 ALRU STREETTELEPHONE:
(909) 275-8805
CITY:BLOOMINGTONSTATE: CAZIP CODE:
92316
CAPACITY: 4CENSUS: 0DATE:
10/23/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Cielita Ravelo, Facility RepresentativeTIME COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced required 1-year visit to the facility. LPA met with Cielita Ravelo, Facility Representative and discussed the purpose of the visit. The facility is an Adult Residential Facility (ARF) with license capacity of (4) and a current census of (0). The facility is in process of being vendorized through Inland Regional Center (IRC). The facility currently has no staff and no clients in care. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following:

LPA observed indoor and outdoor passageways are kept free of obstruction. The fenced backyard has sufficient shaded space for outdoor activities. No bodies of water were observed. The facility has sufficient lighting and is maintained at a comfortable temperature. LPA inspected the kitchen. Hot water temperature tested at 109 degrees F. Facility has sufficient nonperishable and perishable storage area. Freezers and refrigerators are maintained in a safe and healthful manner. Facility has sufficient utensils, cups and plates. Menu sample posted shows a variety of nutritional meals. Sharps, disinfectants, cleaning supplies are kept safe and locked. Facility has a sufficient supply of towels, linen, and personal hygiene products for clients. LPA inspected client bedrooms. Bedrooms are equipped with beds in good repair, bed linens, nightstands, and sufficient lighting. LPA inspected client bathrooms. Bathrooms are operating in a safe and sanitary condition. The hot water temperatures tested between 105 and 108 degrees F. The facility has operating carbon monoxide alarms. LPA observed personal rights, emergency disaster plan and telephone numbers, Community Care Licensing complaint poster, posted in a common area. LPA observed the cabinet where medications will be stored, which is kept safe and locked. No deficiencies were cited during today's visit. An exit interview was conducted where this report was discussed, and a copy of this report was provided to the facility representative at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE: DATE: 10/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/23/2023
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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