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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 366408345
Report Date: 09/08/2025
Date Signed: 09/08/2025 03:07:09 PM

Document Has Been Signed on 09/08/2025 03:07 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 ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:UNLIMITED QUEST INCFACILITY NUMBER:
366408345
ADMINISTRATOR/
DIRECTOR:		MOLINA, RUTHIEFACILITY TYPE:
775
ADDRESS:250 S DATE STTELEPHONE:
(909) 421-8753
CITY:RIALTOSTATE: CAZIP CODE:
92376
CAPACITY: 60CENSUS: 52DATE:
09/08/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Rolando Barajas, Administrator TIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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Licensing Program Analyst, LaVette Farlow, (LPA) arrived at the Unlimited Quest Inc. Adult Day Program unannounced to conduct an Annual Inspection. LPA was greeted by Day Program Manager, Rolando Barajas. LPA, introduced self and stated the purpose of the visit. LPA was provided with a space to work and given a walk through of the facility.

A tour of the facility was conducted inside and out of physical plant, the following was observed:
Facility: The facility is approved to provide services for 60 non-ambulatory adults. Rolando Barajas reports the current census is 52. LPA observed that the facility is operating in the capacity and conditions approved by Community Care Licensing.
Physical Plant: The temperature throughout facility was comfortable and measured at 71 and 74 degrees F. The facility includes 4 bathrooms, 1 changing room. Each bathroom contained sufficient amounts of paper towels, hand soap, trash bins and operational appliances. The hot water in the facility bathrooms was inspected and maintained within regulation. The water temperature measured at 107.5 and 108.2 degrees F. The facility is equipped with operational smoke alarms, water sprinklers and carbon monoxide detectors. LPA also observed two fully charged fire extinguishers. Each one was last inspected in 2025. Day Program Manager reports, that the facility conducts fire and disaster drills monthly.

LPA inspected the facility's patio. The patio included two gates used for an entering and exiting the patio. LPA observed that the front gate grant access to the front parking lot and the rear gate grant access to the alley.
Please see LIC809-C
NAME OF LICENSING PROGRAM MANAGER: Nedra Brown
NAME OF LICENSING PROGRAM ANALYST: Lavette Farlow
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/08/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: UNLIMITED QUEST INC
FACILITY NUMBER: 366408345
VISIT DATE: 09/08/2025
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Food Service: The facility does not provide meals for consumers, but maintains a kitchen area to prepare snacks and store consumer's food. LPA observed that chemicals and toxins are secure in a cabinet. Sharp objects are secure in staff offices, inaccessible to consumers. The facility maintains adequate emergency supplies of food and water for the clients in case of a disaster or emergency.

Care & Supervision: Facility has sufficient care staff for resident attending the Day Program. Day Program Manager reports that there is one staff member for every 3 consumers. Maintaining a 3:1 ratio. Additional cleaning supplies and toxic items are secure in a facility closet; inaccessible to unauthorized individuals. LPA observed a room in the facility utilizes as a hair/nail salon, a music room, game room, arts and craft room and a gallery room. LPA tested the storage cabinets and confirmed that they were locked and secured.

Record Review and Resident/Staff Files: LPA reviewed three (3) staff files and observed that, each staff records/file were complete and current with training and background/fingerprint clearance; per regulation. LPA reviewed four (4) consumer files and observed that, each consumer file was complete with current Needs and Services Plans, Physician Reports, and Individual Programs Plans completed by the facility and/or Inland Regional Center. LPA reviewed the facility file for Liability insurance, Fire drills, Infection control plan, Emergency/Disaster plan, and Activities planned. LPA observed the Administrator did not have available the Infection control plan for review. A technical violation issued.

Based on observations and record reviews, a technical violation will be issued to address the infection control plan, no deficiencies, were cited, per Title 22, Division 6, of the California Code of Regulations. . An exit interview was conducted where this report was reviewed, discussed and provided to Day Program Manager Rolando Barajas.
NAME OF LICENSING PROGRAM MANAGER: Nedra Brown
NAME OF LICENSING PROGRAM ANALYST: Lavette Farlow
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2025
LIC809 (FAS) - (06/04)
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