Senior Care Records.

Facility Evaluation Report

Blossom Home Care, Moreno Valley02/12/2025Licence 331881672

Capacity6
Census0
Date signed02/12/2025 03:36:37 PM
The inspector’s account

On February 12, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived for a scheduled visit for the purpose of conducting a Pre-Licensing visit. LPA Mixson met with the Administrator, Gianna M Ibach, introduced herself, and stated the purpose of the visit.

Physical Plant: The location is a single-story home located at 28492 Pear Blossom Lane Moreno Valley, CA. 92555. and has four bedrooms, two full bathrooms, a living room, dining room, and a kitchen, with a two-car garage. A backyard and front yard. The Moreno Valley Fire Department approved this facility for five non-Ambulatory, zero-Ambulatory, and one bedridden residents, on January 07, 2025. The home has a first aid kit and manual, the Administrator has received First Aid and CPR training, and the Administrator’s certificate is current. (87303).

Medications : LPA Mixson observed where medications are to be stored, locked, and inaccessible to the residents. The home is equipped with lights in the passages and stocked with emergency night lights throughout the home. The smoke and carbon monoxide detectors were observed and are operable. LPA Mixson observed the fire extinguisher, it was charged and in the green, and obtained on 11/01/2024. The cleaning supplies were locked and inaccessible, along with the sharp objects and the Administrator informed the LPA there are no firearms on the premises. (87465).

Bedrooms: The bedrooms were large enough to allow for easy passage between the beds, and other required items of furniture were present currently at the time of this inspection. Chair, nightstand, and sufficient lighting for future residents. (87307).

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