Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
ALTA LOMA BOARD AND CARE
6368 MOONSTONE AVE, Rancho Cucamonga CA 91701
6 bedsLatest official report Apr 1, 2026Licensed
Additional info
- Telephone
- (909) 941-8459
- Licensee
- ALTA LOMA BOARD AND CARE INC
- Administrator
- G CAYANAN/F CAYANAN
- Contact
- G CAYANAN/F CAYANAN
- License first date
- Mar 9, 2006
- License effective date
- Mar 9, 2006
- 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 2 Type B deficiencies for this facility.
- Most recent inspection
- Apr 1, 2026
- Most recent deficiency
- Apr 1, 2026
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 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 7 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
- 9
- Type A deficiencies
- 7
- Type B deficiencies
- 2
- Substantiated complaints
- 0
- Repeated topics
- 2
About the same as most this size
1 in the last 12 months
Well above the typical 1
3 in the last 12 months
Most this size have none
2 in the last 12 months
More than the typical 1
1 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.
Medication handling and storage
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.605
- Regulation authority
- HSC
What the official deficiency says
On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. 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 maintaining an active insurance policy which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/08/2026 Plan of Correction Licensing agrees to review the regulation cited, complete a statement of understanding and provide proof of Liability Insurance by POC due date to LPA.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(c)(3)
- 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: (3) 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 observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 residents in care by not ensuring medication that was discontinued was removed and destroyed and not continuously stored with dispensed medication. Medication that has been dispensed missing initials. Medications not accurately logged on the medication MARs sheet. This was PRN and daily prescribed medications. A Deficiency cited.[count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/22/2026 Plan of Correction Licensee agrees to review the regulation cited, conducted a training on medication error and procedures, complete a monthly centrally stored medication log, and review all residents file and update residents records by POC due date and submit to LPA.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(h)
- Regulation authority
- CCR
What the official deficiency says
(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, and record review, the licensee did not comply with the section cited above in 1 out of 2 resident in care. LPA observed that R1 last documented Physician Report was 4/6/2024 which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/01/2026 Plan of Correction Licensee agrees to review the regulation, complete a statement of understanding, and provide a current Physician Report to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Not classified in the sourceType A
- Official classification
- Type A
- Official code
- 1569.311
- Regulation authority
- HSC
What the official deficiency says
Every residential care facility for the elderly shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. 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 maintaining a sufficiant number of carbon monixide detectors in the facility, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/10/2025 Plan of Correction The Licensee agrees to purchase or change any batteries for the carbon monoxide detectors in the facility by POC date. LIcensee agrees to provide a statement acknowledging the regulation by POC.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87307(d)(6)
- Regulation authority
- CCR
What the official deficiency says
(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, and interview, the licensee did not comply with the section cited above by ensuring the passageway in 2 out of 2 area are clear and free of obstruction for residents in care, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/10/2025 Plan of Correction Licensee immediately removed the chairs, and walker inside the facility and on the patio. Licensee agrees to cut the branches to ensure a clear walk way by POC.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. 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 in 1 out of 5 residents in care by not securing medication or destroying expired medication. The medication was removed from the kitchen cabinet during the inspection tour, which was not locked and secured, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/14/2025 Plan of Correction Licensee agrees to audit and ensuring that all medications for resident are secured and to maintain and disgard any expired medication for current resident, and discharged residents. Licensee agrees to send a statement acknowledging understanding and review of the regulation for herself and all staff.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 1569.695(a)
- 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: 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 in 5 out of 5 residents in care by not ensuring the facility maintained an emergency bag for each resident in care in case of evacuation, to include emergency face sheet with contact information of responsible parties, medication, clothing etc, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/21/2025 Plan of Correction LIcensee agrees to complete an emergency bag for each resident in care in case of evacuation with the required items stated by CCLD regulation by POC date.
Plan of correction recorded
Correction not verified in available records
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 ensuring the facility conducted quarterly fire drill and maintained the fire extinguisher, charging the extinguisher, or ensuring the fire department check the status of the extingusiher, or purchased new fire extinguisher, or maintained a log as proof of the drill as stated by regulation, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/07/2025 Plan of Correction Licensee agrees to maintain a log for the fire drill and carbon monixide testing. Licensee agrees to purchase a new fire extinguisher or contact the fire department to certified the operations of the fire extingusiher. Licensee will conduct a training for the staff and provide a log for the next three months showing the drill have been completed. Providing proof of testing for the next three month starting March 10, 2025 and ending on June 7, 2025, and than proceeding to a quarterly schedule.
Plan of correction recorded
Correction not verified in available records
Inspection
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87456(a)(3)
- Regulation authority
- CCR
What the official deficiency says
(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (3) Obtain and evaluate a recent medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on review of records and staff interview the licensee did not comply with the section cited above by not ensuring all residents in care maintained an updated Physician's Report (LIC602) which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/13/2024 Plan of Correction Administrator/Licensee agrees to assist the resident/resident families in making and keeping an appointment with their Primary Care Physician to obtain an updated Physician's Report (LIC602). Administrator also agrees to submit verification to the Community Care Licensing Office within 30 business days.
Plan of correction recorded
Correction not verified in available records
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