PROVIDENT RIVERSIDE

Facility type

ICF/DD-N (Nursing)

Licensed beds

6

Licensee

PROVIDENT HEALTH CARE, INC. · For-profit company (state label: Profit Corp)

Administrator

TIU, JAMILLE ANGELA

IDs

CDPH facility ID 630014458 · License #550002525 · Federal ID (CCN) 55G708

First licensed

December 27, 2013

Current license

Jul 10, 2026 to Jun 26, 2027

CDPH district office

Fresno

Status in CDPH's listing

Licensed And Certified

Program

Medi-Cal (state label: T19)

Participating since

March 11, 2014

Last certification inspection

April 10, 2025From CMS's Provider of Services file, which can lag behind the inspections listed below.

CMS certification status

Certified

In compliance (CMS)

Yes

Last certification action

Recertification

Ownership type (CMS)

Private (proprietary)

Certified beds (CMS)

6

Staffing reported to CMS (full-time equivalents)

RN 0.33 · LVN/LPN 1 · direct care 6 · all employees 7.33Staff hours counted as full-time jobs: 1 is one full-time job; 0.25 is about 10 hours a week.

CDPH's citations come in three classes: AA (a substantial factor in a resident's death), A (imminent danger or a substantial probability of death or serious harm) and B (a direct relationship to residents' health, safety or security). Care homes licensed by Social Services use Type A/B instead: a different agency and scale. State citations explained

No state citations or penalties on record for this facility in CDPH's enforcement data (July 1998 to date).

CDPH inspects Medi-Cal certified ICFs for CMS (the federal agency calls these "surveys"). Each finding has a code: W for a care or rights rule, E for emergency preparedness, K for fire safety. A "condition-level" finding is the most serious kind: a whole area of care failed. How to read an ICF inspection

Content note: these federal findings describe residents' care and can include abuse, neglect, injuries and medical details. They're shown as CMS published them; residents are identified only by number (such as "Client 1").

1. Aug 10, 2026 · Routine inspection (recertification)

   4 problems found · Inspection ID 2D0678-L1

   • E39Ep Testing Requirements
   • KS345Fire Alarm System - Testing And Maintenance
   • KS500Building Services - Other
   • KS712Fire Drills

   Official federal report ↗Read findings

2. Aug 4, 2026 · Routine inspection (recertification)

   1 problem found · Inspection ID 2D0678-H1

   • W460Food And Nutrition Services

   Official federal report ↗Read findings

3. Nov 20, 2025 · Complaint inspection

   no problems found · Inspection ID MU8H11

   Official federal report ↗Read inspection note

4. Apr 16, 2025 · Routine inspection (recertification)

   3 problems found · Inspection ID Y9FH21

   • E34Information On Occupancy/Needs
   • KS341Fire Alarm System - Installation
   • KS345Fire Alarm System - Testing And Maintenance

   Official federal report ↗Read findings

5. Apr 10, 2025 · Complaint, Recertification inspection

   8 problems found · Inspection ID Y9FH11

   • W189Staff Training Program
   • W260Program Monitoring & Change
   • W331Nursing Services
   • W371Drug Administration
   • W385Drug Storage And Recordkeeping
   • W433Floors
   • W445Evacuation Drills
   • W466Food And Nutrition Services

   Official federal report ↗Read findings

6. Oct 5, 2024 · Complaint inspection

   no problems found · Inspection ID K4W411

   Official federal report ↗Read inspection note

7. Jun 5, 2024 · Routine inspection (recertification)

   10 problems found · Inspection ID V3PH21

   • E7Ep Program Patient Population
   • E24Policies/Procedures-Volunteers And Staffing
   • E30Names And Contact Information
   • E31Emergency Officials Contact Information
   • E39Ep Testing Requirements
   • KS211Means Of Egress - General
   • KS300Protection - Other
   • KS345Fire Alarm System - Testing And Maintenance
   • KS347Smoke Detection
   • KS712Fire Drills

   Official federal report ↗Read findings

8. May 31, 2024 · Routine inspection (recertification)

   5 problems found · Inspection ID V3PH11

   • W234Individual Program Plan
   • W371Drug Administration
   • W445Evacuation Drills
   • W454Infection Control
   • W460Food And Nutrition Services

   Official federal report ↗Read findings

9. Feb 13, 2024 · Complaint inspection

   no problems found · Inspection ID L68311

   Official federal report ↗Read inspection note

10. Mar 27, 2023 · Routine inspection (recertification)

    9 problems found · Inspection ID 6D7921

    • E18Procedures For Tracking Of Staff And Patients
    • E26Roles Under A Waiver Declared By Secretary
    • KS211Means Of Egress - General
    • KS321Hazardous Areas - Enclosure
    • KS345Fire Alarm System - Testing And Maintenance
    • KS347Smoke Detection
    • KS353Sprinkler System - Maintenance And Testing
    • KS358Sprinkler System - Installation
    • KS712Fire Drills

    Official federal report ↗Read findings

11. Mar 15, 2023 · Routine inspection (recertification)

    4 problems found · Inspection ID 6D7911

    • E15Subsistence Needs For Staff And Patients
    • W388Drug Labeling
    • W454Infection Control
    • W460Food And Nutrition Services

    Official federal report ↗Read findings

12. May 19, 2020 · Focused Infection Control, Other-Fed inspection

    no problems found · Inspection ID GH6Q11

    Official federal report ↗Read inspection note

From CMS's inspection data, saved Oct 26, 2026; data after March 19, 2026 may be incomplete while CMS's systems migrate. Plans of correction and State-only (licensing) findings aren't in CMS's file; the official federal reports (form CMS-2567) on CalHealthFind have them.