Senior Care Records.

Facility Evaluation Report

JNJ Residential Care, Moreno Valley11/20/2023Licence 331880555

Capacity4
Census4
Date signed11/20/2023 09:16:37 AM
The inspector’s account

Licensing Program Analyst (LPA), Jesse Gardner, conducted an unannounced visit to the facility to initiate the investigation into complaint #18-AS-20231117150048 . LPA identified himself and discussed the purpose of the visit with Lead Staff, Rolando Manaloto.

During the visit, LPA became aware of an uncleared staff member, Efren Badana (UA) who explained that they began working at the facility on 10/28/2023, and works weekends (Saturday, and Sunday) providing care for the clients.

During today’s visit, 1 deficiency was cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted and a copy of this report along with a copy of the LIC421BG, and LIC809-D were discussed with and provided to Rolando Manaloto, Lead Staff. At the conclusion of the visit, LPA witnessed Badana leave the facility.

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