Inspection
No deficiencies recorded in this report
AQUA BELLA RESIDENTIAL CARE
14736 WILLOW GROVE PLACE, Moreno Valley CA 92555
6 bedsLatest official report Sep 11, 2025Licensed
Additional info
- Telephone
- (951) 208-1825
- Licensee
- MUSARRAT KHAN
- Administrator
- MUSARRAT KHAN
- Contact
- MUSARRAT KHAN
- License first date
- Oct 6, 2015
- License effective date
- Oct 6, 2015
- District office
- RIVERSIDE ASC · (951) 248-2222
- Regional office
- 18
- Clients served
- 935 - ELDERLY
Summary
The available records show 2 Type B deficiencies for this facility.
- Most recent inspection
- Sep 11, 2025
- Most recent deficiency
- Oct 30, 2024
1 later report, on Sep 11, 2025, recorded no deficiencies, though the records do not say whether they were follow-ups.
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 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 0 Type A and 2 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 2
- Type A deficiencies
- 0
- Type B deficiencies
- 2
- Substantiated complaints
- 0
- Repeated topics
- 0
More than the typical 3
1 in the last 12 months
More than the typical 1
0 in the last 12 months
Most this size also have none
0 in the last 12 months
More than the typical 1
0 in the last 12 months
Most this size also have none
0 in the last 12 months
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
Resident rightsType B
- Official classification
- Type B
- Official code
- 87467(a)(3)
- Regulation authority
- CCR
What the official deficiency says
(a) Prior to, or within two weeks of the resident's admission, the licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, and any other appropriate parties, to prepare a written record of the care the resident will receive in the facility, and the resident's preferences regarding the services provided at the facility. (3) The licensee shall arrange a meeting with the resident and appropriate individuals identified in Section 87467(a)(1) to review and revise the written record as specified, when there is a significant change in the resident's condition, or once every 12 months, whichever occurs first. Significant changes shall include, but not be limited to occurrences specified in Section 87463, Reappraisals. 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 in 1 out of 6 residents who did not have a written record of care. According to Administrator Khan, no updated record of care was completed for the resident. This poses a potential health, safety and personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/13/2024 Plan of Correction Administrator Khan stated she will arrange a meeting with the resident and the resident's representative to create a written record of care and will submit a copy to the Department by the POC due date.
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(5)
- Regulation authority
- CCR
What the official deficiency says
Care of Persons with Dementia: Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. 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 in 1 out of 6 residents who did not have a medical assessment completed within 1 year. According to Administrator Khan, no previous medical assessments were requested for the resident until October 2024. This poses a potential health, safety and personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/30/2024 Plan of Correction Administrator Khan stated a new medical assessment has already been requested. She stated a copy of the medical assessment would be provided to the Department by the POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this 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