Inspection
No deficiencies recorded in this report
RANCHO BELAGO RESIDENTIAL CARE
13816 NATHAN PLACE, Moreno Valley CA 92555
6 bedsLatest official report Sep 3, 2025Licensed
Additional info
- Telephone
- (951) 242-8875
- Licensee
- ANSARI, SHAISTA
- Administrator
- KHAN, MUSARRAT
- Contact
- KHAN, MUSARRAT
- License first date
- Sep 7, 2017
- License effective date
- Sep 7, 2017
- District office
- RIVERSIDE ASC · (951) 248-2222
- Regional office
- 18
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 1 Type A and 3 Type B deficiencies for this facility.
- Most recent inspection
- Sep 3, 2025
- Most recent deficiency
- Sep 9, 2024
1 later report, on Sep 3, 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 1 Type A and 3 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 4
- Type A deficiencies
- 1
- Type B deficiencies
- 3
- 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 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
Hazardous items and storageType B
- Official classification
- Type B
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(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. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's Delgado and Palacios's observation and interview, the licensee did not comply with the section cited above in staff's personal medications were stored in a cabinet in the hallway accessible to clients which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/13/2024 Plan of Correction Licensee will ensure staff relocate their medications and store in their own personal belongings inaccessible to clients and conduct in-service training and email sheet to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(a)(2)
- Regulation authority
- HSC
What the official deficiency says
(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: (2) Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following any emergency or disaster, including, but not limited to, a short-term or long-term power failure. If the facility plans to shelter in place and one or more utilities, including water, sewer, gas, or electricity, is not available, the facility shall have a plan and supplies available to provide alternative resources during an outage. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA'S Delgado and Palacios's observation and interview, the licensee did not comply with the section cited above in insufficient emergency food for clients and staff which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/13/2024 Plan of Correction Licensee will obtain sufficient emergency food and email LPA Delgado a picture by POC due date.
Plan of correction recorded
Correction not verified in available records
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 LPA's Delgado's observation, interview and record review, the licensee did not comply with the section cited above in quarterly drills are being done twice a year and not quarterly which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/13/2024 Plan of Correction Licensee will ensure emergency diaster drills are being done quarterly and will email LPA a schedule of upcoming drills for 2024 by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(1)
- Regulation authority
- CCR
What the official deficiency says
Additional Personal Rights of Residents in Privately Operated Facilities: (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(1)To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above with 1 resident, which poses an immediate personal rights risk to persons in care. LPA Colvin observed a video camera (baby monitor) in resident's (R1) bedroom, with a monitor screen in the kitchen which staff were using to see the resident.
Official plan of correction
POC Due Date: 09/29/2022 Plan of Correction Licensee agrees to either remove the baby monitor/video camera from the resident's room or request an exception for the resident. Licensee to provide LPA Colvin with self-certification of removal or Exception Request by Plan of Correction date of 9/29/22.
Plan of correction recorded
Correction not verified in available records
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