Bella Care Home LLC French Villa

Type of visit: Required - 1 Year

On 4/27/26 Licensing Program Analysts (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Staff (S1) John Ocariza, LPA were granted entry. 6 residents were present during inspection. Assistant Administrator (AA) Johanna Lorio arrived shortly after LPA arrival. LPA toured facility with AA. 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. Samples of resident’s medications were checked and observed locked in kitchen cabinet. Clients’ MARS was reviewed. Fire extinguisher reviewed with a service date of: 3/9/26. Fire drill completed on 3/20/26. Clients' bedrooms were toured and reviewed. Cleaning chemicals were observed stored and locked in kitchen cabinet. Resident’s bedrooms 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 range of 116.4 to 117.5 degrees in 3 bathrooms. Outside of facility toured. Outside observed free of debris. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Freezer temperature observed at 0 degrees F and refrigerator temperature maintained at 37 degrees F. Smoke detectors and carbon monoxide were tested and observed to be operational. Client’s and samples of staff files reviewed to have all the required documents. No deficiencies issued during this inspection. Exit Interview conducted. LPA is requesting the following documents be submitted to the Fresno CCL office by 5/11/25: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E), Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A) A copy of this report was provided to Assistant Administrator, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Apr 27, 2026

Type of visit: Required - 1 Year

On 4/23/25 Licensing Program Analysts (LPA’s) J. Leffall and J. Duarte arrived unannounced to conduct an Annual Inspection. LPA introduced selves, stated the purpose of the visit, and was greeted by Staff (S1) John Ocariza, LPA’s were granted entry. 4 residents were present during inspection. Administrator (A1) Phillip Gonzales arrived shortly after LPA’s arrival. LPA’s toured facility with S1. 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. Samples of resident’s medications were checked and observed locked in kitchen cabinet. Clients’ MARS was reviewed. Fire extinguisher reviewed with a service date of: 3/8/25. Fire drill completed on 4/21/25. Clients' bedrooms were toured and reviewed. Cleaning chemicals were observed stored and locked in kitchen cabinet. Resident’s bedrooms 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 range of 106.3 to 107.2 degrees in 2 bathrooms. Outside of facility toured. Outside observed free of debris. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Freezer temperature observed at -1 degrees F and refrigerator temperature maintained at 37 degrees F. Smoke detectors and carbon monoxide were tested and observed to be operational. Client’s and samples of staff files reviewed to have all the required documents. No deficiencies issued during this inspection. Exit Interview conducted. LPA is requesting the following documents be submitted to the Fresno CCL office by 5/7/25: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E), Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A) A copy of this report with 9102 was provided to S1, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Apr 23, 2025

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Prelicensing

On 06/03/24, Licensing Program Analysts (LPA) M. Yang conducted an announced Pre-licensing / Component III Inspection. LPA introduced self, stated the purpose of the visit and was allowed entry into the facility. LPA met with Licensee 1 (L1) Marilen Gonzales and staff Joanna “Ann” Lorio. The facility is a 6 bedroom, and 3 bathroom home and fire clearance were granted for 6 non-Ambulatory for a total capacity of 6. LPA toured the facility with L1. There are no residents present during this inspection. Facility was free from ground obstructions and odor free. Common areas were observed to have adequate seating and lighting available. Medications will be locked and inaccessible to resident in the kitchen cabinet. First aid kit was observed and contained all required items. Kitchen was toured and observed to have dishes, plates, and utensils. Knives will be kept locked in kitchen drawer. Refrigerator temperature maintained at 40 degrees F and freezer maintained at 0 degree F. Adequate non-perishable and perishable food supplies observed. A fire extinguisher was observed and had a service date of 01/29/24. LPA observed an extra supply of bed linens, towels, and personal hygiene products. Bedrooms were observed to have the required furnishing and are ready for occupancy. Mattresses and box springs were in good condition. Hot water temperature ranged between 108.4 and 113.5 degrees F in bathroom, 107.7 degrees F in bathroom 2, and between 119.4 and 118.3 degrees in shared bathroom. Bathroom observed to be operational. Outside of facility toured. LPA observed adequate outdoor seatings available for residents. Smoke detectors and carbon monoxide were observed to be operational during this inspection. LPA observed side gate to be self-latching and free debris. Component III was conducted during today's pre-licensing visit. I have found that the applicant has met all pre-licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued.the state’s words, verbatim · CDSS document, Jun 3, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Interview Method: Telephone interview On 5/21/2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, May 21, 2024