Radiance Senior Carehome

Type of visit: Required - 1 Year

On 09/15/26, Licensing Program Analysts (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA introduced self, stated the purpose of the visit and requested to meet with Administrator. LPA met with staff Ferdinand “Jay” Maglalang. Administrator/ Licensee (L1) Arlene Bautista and Assistant Administrator (S1) Elisa “Lisa” Pua was called arrived shortly during inspection. LPA toured facility with L1. Four residents were present during inspection. Two residents observed sitting at the dining table and two residents observed in the bedroom during inspection. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. All residents and all staff files were reviewed. LPA observed 2 day supplies of perishable and 7 day supplies of non-perishable food. Refrigerator observed maintained at 37 degree F and freezer maintained at 0 degree F. Expired perishable food observed in the refrigerator. Knives were observed stored under the kitchen counter unlocked. Cleaning supplies observed stored and under the kitchen sink unlock. Medications observed kept locked in kitchen shelves and in lockbox in the refrigerator. Medications were checked, MARS, and centrally stored medication list were reviewed. Fire extinguishers were observed one by the front door with a purchase date of 04/3/26. Last fire drill was completed on 07/25/26. All bedrooms were observed to have required furnishings and with adequate lighting. All bathrooms were toured. LPA observed with securely fastened grab bars and non-skid mats. R1 was observed laying down in bed with full bed rails. Bathrooms observed functioning and operating during inspection. Hot water temperature was tested observed maintained at 113 degrees F in hall bathroom and at 113.3 and 113.1 degree F in the master bathroom. Extra linens and towels were observed in the hall closet. (Continued to Lic 809C) (Continued from Lic 809) Outside of facility toured and observed to be free of debris with adequate outdoor seating available for residents. Side gates were observed self-closing and self-latching. Carbon monoxide and smoke detectors were tested and observed to be operational. A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6 see attached 809D. Exit Interview conducted. LPA received updated copies of: Lic 308, Lic 500, Lic 610E, current liability insurance, and current Administrator certificate. A copy of this report and appeal rights were provided to the Licensee, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Sep 15, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87555(b)(8) · Plan of correction due date: Sep 16, 2026

87555(b)(8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state, and local authorities... This requirement is not met as evidenced by: Based on observation, expired perishable food was observed in the refrigerator, poses/posed an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 15, 2026

Plan of correction: Administrator disregarded expired food. POC cleared during visit.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87309(a) · Plan of correction due date: Sep 16, 2026

87309(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Based on observation and interview conducted, the licensee did not comply with the section cited above when LPA and L1 observed knives unlock under the kitchen cabinet, chemicals unlock under the kitchen sink and a plier unlock in the dining cabinet accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 15, 2026

Plan of correction: Licensee immediately locked chemicals, knives, and tool. POC cleared during visit.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87463(a) · Plan of correction due date: Sep 25, 2026

87463 (a)...Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first..., referred to as the reappraisal. This requirement is not met as evidenced by: Based on records reviewed, five out of six residents’ appraisals and needs and services plan were observed last updated longer than one year, poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 15, 2026

Plan of correction: Licensee shall ensure that all residents have the required records on file. R1, R3, R4, R5 and R6’s Lic 603A and Lic 625 will be completed and submitted the Fresno CCL office by POC due date 09/25/26.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87623(b)(2)(B) · Plan of correction due date: Sep 30, 2026

87623 (b)(2)(B) There shall be written documentation by an appropriately skilled professional outlining the instruction of the procedures delegated and the names of the facility staff who have been instructed. This requirement is not met as evidenced by: Based on interview conducted, observation, and records reviewed, R1 has a restricted health conditions use of catheter by home health with no restricted health condition care plan on file or in placed, poses/posed a potential health and safety and personal rights risk to the resident in care.the state’s words, verbatim · CDSS document, Sep 15, 2026

Plan of correction: Licensee will submit a Restricted Health Condition Care Plan for R1 to Fresno CCL by POC due date 09/30/26

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87633(b) · Plan of correction due date: Sep 18, 2026

87633(b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident… This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above when LPA and L1 reviewed R2 and R3’s file, whose currently receiving hospice care with no current hospice care plan on file, which poses a potential health or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 15, 2026

Plan of correction: Licensee obtained R2 and R3’s current hospice care plan during visit from hospice agency. POC cleared during visit.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87608(a)(5)(B) · Plan of correction due date: Sep 30, 2026

87608(a)(5)(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Based on observation and records reviewed, R1 whose not receiving hospice care was observed lying bed using a hospital bed with full rail, which poses/posed a potential health and safety and personal rights risk to the resident in care.the state’s words, verbatim · CDSS document, Sep 15, 2026

Plan of correction: Licensee stated R1’s full rails will be removed by POC due date 09/30/26.

Type of visit: Required - 1 Year

An Annual visit was conducted on the date above by Licensing Program Analyst (LPA). LPA met with Assistant Administrator (AA) Elisa "Lisa" Pua. LPA spoke with Arlene Bautista by telephone. No bodies of water on the premises. Facility has a wood burning fireplace with a gas starter. Key to gas starter secured. Front of fireplace has secure glass enclosure. Physical plant reviewed. Living & dining rooms sufficiently furnished with adequate lighting. Kitchen appeared clean & organized. Sufficient dining wear & utensils. Refrigerator & freezer appeared to be clean & sufficiently stocked. 7 day nonperishable & 2 day perishable food on the premises. Resident rooms sufficiently furnished with adequate lighting. Bathrooms fixtures operational. Grab bars in all toilet & tub/shower areas. Hallways clean & clear of any obstructions. Laundry room has combination door lock. Garage access is through laundry room. Garage contains miscellaneous items, organized with not tripping hazards. Garage has upright freezer containing additional perishable food. Appeared to be clean at sufficient temperature. Backyard has covered patio with additional seat & tables. Facility front & back yards appear to be sufficiently maintained & tidy. Facility & Resident records reviewed including Centrally Stored Medication & Destruction Record (CSMDR) & Medication Administration Record (MARs). Medication stored in locked area & organized. Resident records appeared to be complete. Exit interview conducted with L/A & AA. Copy of report provided.the state’s words, verbatim · CDSS document, Dec 8, 2025

Allegation investigated: Staff did not meet a resident's hygiene needs while in care Staff did not ensure a resident was properly dressed

On 4/3/25 at 2:45 pm Licensing Program Analyst (LPA) J. Leffall conducted a subsequent complaint visit to deliver findings on above allegations. LPA met with Administrator A1 Elisa Pua and stated purpose of visit. The Department reviewed records and conducted interviews with, R1 and facility A1. Based on the records review and interviews that were conducted with staff, residents and Administrator, all staff ensured R1 was properly dressed, groomed and has proper hygeine. Based on observation of R1, R1 was properly dressed, groomed, has proper hygeine, appeared happy and is happy living in the facility. The Resident's and Administrator that were interviewed did not confirm that residents were not treated with dignity and respect. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued. Exit interview conducted. A copy of this report was distributed to Administrator which confirms signature of report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 3, 2025 · control 24-AS-20250310142731

Type of visit: Required - 1 Year

On 10/28/24 at 11:30am Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection LPA was greeted by Staff Renaldo Yabut (S1). LPA introduced self, stated the purpose of the visit and Administrator (A1) Elisa Pua was present during inspection. LPA was granted entry. 5 residents were present during inspection. LPA toured facility with A1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at -10 degrees F and refrigerator temperature was maintained at 44 degrees F. Fire extinguisher was observed with a purchase date of: 5/16/24. Fire drill last completed on 10/13/24. Washer and dryer observed operational during visit. Carbon monoxide and smoke detectors were tested and observed to be operational. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature was tested at a temperature of 112.6 degrees in bathroom 1 and 110 degrees F. in bathroom 2. Non-skid mat and grab bars observed in bathrooms. Outside of facility toured. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for residents. A sample of medications were checked and observed kept locked in the hall closet. Residents’ MARS was reviewed. Based on record review LPA observed 1 out of 1 residents medication count was under the required amount. First aide kit observed with all of the required items. All residents and samples of staff files reviewed to have all the required documents. Deficiencies are being cited on the attached 809D in accordance with California Code of Regulations, Title 22,Division 6. Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 11/12/24: Lic 308, Lic 500, Lic 610E, Current Liability Insurance and current Administrator’s certificate. A copy of this report and appeal rights were provided to Administrator, whose signature on this form confirms receipt of these reports.the state’s words, verbatim · CDSS document, Oct 28, 2024