CLARISSA'S HOME CARE

2667 CHERRYBARK LANE, Corona CA 92881

Facility 336408225 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Sep 3, 2025Licensed

Additional info
Licensee
CASIMIRO JOSE. JR. & CLARISSA JOSE
Administrator
CASIMIRO JOSE, JR.
Contact
CASIMIRO JOSE, JR.
License first date
Sep 10, 2004
License effective date
Sep 10, 2004
District office
SAN BERNARDINO ASC · (951) 248-2222
Regional office
56
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 7 Type A and 5 Type B deficiencies for this facility.

Most recent inspection
Sep 3, 2025
Most recent deficiency
Sep 3, 2025

No later report is available, so the records do not show what happened afterward.

What Type A and Type B mean
Type A
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
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 486 Riverside County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 3 reports for this facility: 3 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 7 Type A and 5 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
3

About the same as most this size

1 in the last 12 months

Recorded deficiencies
12

Well above the typical 1

5 in the last 12 months

Type A deficiencies
7

Most this size have none

3 in the last 12 months

Type B deficiencies
5

More than the typical 1

2 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
0

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Medication handling and storageType A
Official classification
Type A
Official code
87465(c)(1)
Regulation authority
CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (1) There is written direction from a physician, on a prescription blank, specifying the name of the resident, the name of the medication, all of the information specified in Section 87465(e), instructions regarding a time or circumstance (if any) when it should be discontinued, and an indication of when the physician should be contacted for a medication reevaluation. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above by having overflow of discontinued medication without physican directions which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/04/2025 Plan of Correction Licensee stated they will request for an updated medication list, along with a written dicontinued form by resident's physican. A copy will be provided to LPA Rico.

Plan of correction recorded
Correction not verified in available records
View official report
Records and plan of operationType B
Official classification
Type B
Official code
87208(a)
Regulation authority
CCR

What the official deficiency says

(a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. The plan and related materials shall contain the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited aboved by not having a copy of their Plan of Operation in file which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/22/2025 Plan of Correction Licensee stated they will send a copy of Plan of Operation and will send proof a copy has been kept inside their facility's file.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87311
Regulation authority
CCR

What the official deficiency says

All facilities shall have telephone service on the premises. Facilities with a capacity of sixteen (16) or more persons shall be listed in the telephone directory under the name of the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by not having facillity phone working which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/22/2025 Plan of Correction Licensee stated they will contact their phone server to replace facility's phone line.

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType A
Official classification
Type A
Official code
87465(h)(5)
Regulation authority
CCR

What the official deficiency says

Incidental Medical and Dental Care Services (h) The following requirements shall apply to medications which are centrally stored :(5) Each resident's medication shall be stored in it's originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on medication review, the licensee did not comply with the section cited above by not having meidcation stored in it's original container which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/04/2025 Plan of Correction Licensee stated they will remove the clear container and send proof to LPA Rico.

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType A
Official classification
Type A
Official code
87465(c)(3)
Regulation authority
CCR

What the official deficiency says

Incidental Medical and Dental Care Services A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken and the resident's response. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by having R1 and R2 PRN medication not documented with date, dosage taken and resident's response which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/04/2025 Plan of Correction Licensee stated they create a MAR for resident's PRN medication.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Medical and dental careType A
Official classification
Type A
Official code
87465(a)(4)
Regulation authority
CCR

What the official deficiency says

(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited by not ensuring that one (1) medication of Resident #1 (R1) and three (3) medications of Resident #2 (R2) were given per their physician's order which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/27/2024 Plan of Correction Licensee stated to train all staff on CCR 87465(a)(4) and submit proof to LPA Mann at Plan of Correction (POC) due date and Licensee stated that they will utilize Medication Administration Record (MAR) for all their residents.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType A
Official classification
Type A
Official code
87458(a)
Regulation authority
CCR

What the official deficiency says

(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above by not ensuring that Resident #2 (R2) has Medical Assessment/Physician Report prior to accepting R2 at the facility on 8/24/24 which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/27/2024 Plan of Correction Licensee stated to submit a medical appointment for R2 to complete the required Medical Assessment/Physician Report to LPA Mann by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87457(c)
Regulation authority
CCR

What the official deficiency says

(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above by not completing the required Preplacement Appraisal for Resident #1 (R1) and Resident #3 (R3) which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/07/2024 Plan of Correction Licensee stated to submit Signed Statement of Understanding on CCR 87457(c) to LPA Mann on Plan of Correction (POC) due date.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(c)
Regulation authority
HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above by not conducting the required Emergency Disaster Drill at least quarterly which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/07/2024 Plan of Correction Licensee stated to submit proof of completed Emergency Disaster Drill to LPA Mann on POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Health conditions and treatmentsType B
Official classification
Type B
Official code
87608(a)(5)(A)
Regulation authority
CCR

What the official deficiency says

(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above by allowing Resident #1 (R1) to have half bedrail and no written order from R1 physician indicating the need for half bedrail for mobility which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/07/2024 Plan of Correction Licensee removed R1 half bed rail during the visit. Plan of Correction (POC) cleared.

Plan of correction recorded
Correction not verified in available records
View official report
Hazardous items and storageType A
Official classification
Type A
Official code
87309(a)(1)
Regulation authority
CCR

What the official deficiency says

87309 Storage Space (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above by not ensuring that the multiple cans of paints, chemicals and nails were locked and not accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/27/2024 Plan of Correction Licensee immediately locked the observed cans of paints, chemicals and nails during the visit. Licensee stated to train all staff on CCR 87309(a)(1) and submit staff training log to LPA Mann on Plan of Correction (POC) due date.

Plan of correction recorded
Correction not verified in available records
View official report
Dementia careType A
Official classification
Type A
Official code
87705(c)(4)(A)
Regulation authority
CCR

What the official deficiency says

87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs... (A) In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal... This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above by not having a staff scheduled to work the night shift as required for facility with Dementia residence which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/27/2024 Plan of Correction Licensee stated to schedule a staff to work the night shift as required for facility with Dementia residence and submit an updated personnel report (LIC 500) to LPA Mann on POC due date.

Plan of correction recorded
Correction not verified in available records
View official report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology