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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 366411220
Report Date: 02/27/2023
Date Signed: 02/27/2023 10:58:04 AM


Document Has Been Signed on 02/27/2023 10:58 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:TUPARAN RESIDENTIAL CARE FACILITY, INC.FACILITY NUMBER:
366411220
ADMINISTRATOR:TUPARAN, LORETAFACILITY TYPE:
740
ADDRESS:855 FRONTIER AVETELEPHONE:
(909) 798-3439
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY:6CENSUS: 0DATE:
02/27/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Loreta Tuparan, LicenseeTIME COMPLETED:
11:10 AM
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Licensing Program Analyst (LPA) Javier Prieto conducted an announced visit to the facility for an annual inspection. LPA met with administrator Loreta Tuparan.

LPA was informed by the administrator that there are no residents in care. LPA toured the facility inside and out. The facility has no bodies of water or firearms. The facility has charged fire extinguishers, operating smoke alarms, and carbon monoxide detectors. Outdoor and indoor passageways were kept free of obstruction. The outside of the facility had a shaded area with seating. Cleaning supplies and sharps were kept locked and inaccessible. LPA toured the kitchen. LPA toured the resident bedrooms. The resident bedrooms had the required furniture and functional lighting. LPA toured the bathrooms. The bathrooms were operating in safe and sanitary conditions. LPA observed grab bars and nonskid mats in the shower areas. LPA measured the hot water temperature in the resident bathrooms. The hot water temperature was within the range of 105-120 degree F. The facility had a supply of additional linen and extra hygiene items for the residents.

No deficiencies were cited during this visit. The licensee was advised to notify the Department once a new resident is admitted. An exit interview was conducted where this report was discussed and provided to the administrator.
SUPERVISOR'S NAME: Karen ClemonsTELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Javier PrietoTELEPHONE: 951-217-3135
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2023
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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