EVERETT FOREST,LLC

11350 POPLAR ST, Loma Linda CA 92354

Facility 366410695 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Nov 13, 2025Licensed

Additional info
Licensee
GALASINAO, ANGELO
Administrator
ANGELO GALASINAO
Contact
ANGELO GALASINAO
License first date
Nov 21, 2005
License effective date
Nov 21, 2005
District office
SAN BERNARDINO ASC · (951) 248-2222
Regional office
56
Clients served
985 - RCFE / HOSPICE

Summary

The available records show 1 Type A and 1 Type B deficiencies for this facility.

Most recent inspection
Nov 13, 2025
Most recent deficiency
Nov 13, 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 229 San Bernardino County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 5 reports for this facility: 4 inspections, 1 complaint investigation, and 0 licensing or administrative records.

Those records contain 1 Type A and 1 Type B deficiencies.

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

Official inspections
4

About the same as most this size

1 in the last 12 months

Recorded deficiencies
2

More than the typical 1

1 in the last 12 months

Type A deficiencies
1

Most this size have none

1 in the last 12 months

Type B deficiencies
1

About the same as most this size

0 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
Fire safety and emergency preparednessType A
Official classification
Type A
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 and record review the licensee did not comply with the section cited above, by not conducting quarterly drill , which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/14/2025 Plan of Correction Licensee stated they will conduct quarterly drill and send proof to LPA by POC due date

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Health conditions and treatmentsType B
Official classification
Type B
Official code
87470(c)
Regulation authority
CCR

What the official deficiency says

(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above by not creating an infection control plan which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/31/2024 Plan of Correction Licensee stated they will create infection control plan and send proof to LPA by POC due date

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

Allegations0 substantiated · 3 unsubstantiated · 0 unfounded

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