Senior Care Records.

Facility Evaluation Report

Mira Loma Senior Care Home, Eastvale11/03/2025Licence 335530282

Capacity6
Census5
Date signed11/03/2025 02:45:03 PM
Name of licensing program analystMary Rico
Name of licensing program managerEfren Malagon
The inspector’s account

Licensing Program Analyst (LPA) Mary Rico conducted an announced visit to the facility for the purpose of increasing the capacity. LPA was greeted and granted entrance by Administrator Camille Pinero.

Per the LIC200, Licensee requested for the capacity increase from five (5) non- ambulatory to nine (9) non- ambulatory. The fire clearance request was approved on 10/6/2025 for nine (9)non- ambulatory residents.

The licensee was advised that the noted designated capacity for each room is to remain in compliance.

LPA observed that the residents bedrooms were appropriately furnished and had functional lighting. The physical plant is ready for an increase in capacity. LPA will update the facility's file and issue a new license stating change in capacity.

An exit interview was conducted where this report LIC809 was discussed and provided to the Administrator Camille Pinero.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction