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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 366402735
Report Date: 01/09/2025
Date Signed: 01/09/2025 11:48:33 AM

Document Has Been Signed on 01/09/2025 11:48 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
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME:RAMADA RANCHFACILITY NUMBER:
366402735
ADMINISTRATOR/
DIRECTOR:		EMERSON, DIANE L.FACILITY TYPE:
740
ADDRESS:35859 RAMADA LANETELEPHONE:
(909) 797-7822
CITY:YUCAIPASTATE: CAZIP CODE:
92399
CAPACITY: 6CENSUS: 1DATE:
01/09/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:Diane Emerson- Licensee TIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analysts (LPA) Bernadette Allen made an unannounced visit to the facility to conduct an annual inspection. At the time of the visit there was one (1) staff members and one (1) resident. LPA met with Diane Emerson- Licensee who was informed of the purpose of the visit.

Upon entering the facility Diane informed LPA there was no power. Diana stated she received notification by e-mail which was observed at the time of inspection which stated services would be intermittently interrupted because of weather conditions. Diana also stated all responsible parties for Resident 1 (R1) have been informed of the outages in the community and the emergency disaster plan will be implemented if required.

LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: The Indoor and outdoor passageways were kept free of obstruction. The facility has sufficient furniture and is maintained at a comfortable temperature.

There was enough nonperishable and perishable food for the number of resident in care. The facility has a variety of food available for resident. The facility food is stored in a safe manner. Sharps are stored and locked cabinet in the laundry room inaccessible to resident in care.

The resident bedroom is equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting.

All bathrooms had non-slip mats and were operating in a safe and in good sanitary condition. The hot water temperature measured between 105-120-degrees F. LPA also observed the facility is equipped with operating carbon monoxide/smoke detectors and fully charged fire extinguishers.

Posters such as personal rights and the disaster plan were posted in a common area.

LPA did observe cleaning supplies, toxins items are kept in a locked cabinet in laundry room inaccessible to resident in care. The resident file was reviewed, all files had the required documents at the time of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2025
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
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: RAMADA RANCH
FACILITY NUMBER: 366402735
VISIT DATE: 01/09/2025
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LPA reviewed one (1) client files for admission agreements, updated physician reports, and needs and services plans.

LPA also reviewed two (2) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. There are currently three (3) staff members working at the facility.

An exit interview was conducted, and this report was discussed and provided to Diane Emerson- Licensee at the conclusion of the visit with appeal rights.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025
LIC809 (FAS) - (06/04)
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