Small board & care homeLicensed

Blissful Jackson Facility

4105 Jackson Street, Riverside, CA 92503

  • Licensed for 6 residents
  • Hospice waiver

About Blissful Jackson Facility

Blissful Jackson Facility is a small, home-like residential care facility for the elderly in Riverside, California, licensed by the California Department of Social Services to care for up to 6 residents. It holds a hospice waiver, so residents can receive hospice care without moving.

Licensing & inspections

Official CDSS report
License status
Licensed
Facility number
331881697
Licensed capacity
6
Licensed since
November 20, 2025
Last state visit
September 22, 2025
Inspection visits
0
Recent routine and required inspections
Complaint visits
0
Visits to investigate complaints
Type A citations
0
Immediate risk to health, safety, or rights
Type B citations
0
Could become a risk if not corrected
Licensee:
Blissful Jackson Facility LLC
Administrator:
Clavio, Ken M
CDSS office:
RIVERSIDE ASC
Serves:
Elderly

State license notes: Age range 60 and over. Approved for 6 non-ambulatory of which 1 may be bedridden. Bedridden to reside in bdrm# 2. Waiver/granted for hospice care for (6).

Data from CDSS Community Care Licensing, last checked November 3, 2026.

Location

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