B-N Residential Care Home

Type of visit: POC

On 12/4/2025 at 3:15PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a POC (proof of correction) inspection. LPA met with Administrator, Alejandria Bautista informed her the reason for the visit. The following deficiency was cleared by visit: - 87458(c)(1)(A); LPA observed R6 had TB test results on file during inspection. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report and POC letter provided.the state’s words, verbatim · CDSS document, Dec 4, 2025

Type of visit: Required - 1 Year

On 11/5/2025 at 1:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Irene Agamao and explained the purpose of the visit. Administrator, Alejandria Bautista arrived 10 minutes later. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 8/19/2025. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 108.7 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat/material in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned. First Aid kit is complete. Last fire drill was conducted on 9/18/2025. LPA reviewed 6 residents and 3 staff files starting at 1:50PM. All staff are fingerprint cleared and associated to the facility. LPA reviewed a sample of resident's medications during inspection. At 2:30PM, LPA observed R6 does not have TB test results on file. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights was provided.the state’s words, verbatim · CDSS document, Nov 5, 2025

The state marks this report as 7 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Staff restrained resident in care resulting in bruising to the resident Staff did not seek medical attention for resident in care Staff did not meet resident's hygiene care needs

On 8/15/2025 at 8:45 am, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to investigate the above allegations. LPA met with Alejandria Bautista, Assistant Administrator (AMD Assistance), and informed the reason for the visit. Alejandria has to leave and gave permission for Jovita Rivera, care staff to sign the report. During the course of the investigation, LPA interviewed the resident (R) R1, 5 residents, LPA interview 4 staff members, interviewed administrator assistance, and interviewed R1's, W1, and W2. LPA reviewed residents' (R1s) records including but not limited to physician report, care notes, after visit summary and hospice notes. Report contined on LIC 9009c... Unsubstantiated Allegation: Staff restrained resident in care resulting in bruising to the resident Based on observation, interviews, and record reviewed, staff did not inappropriately restrain any resident while in care. W1 stated R1 came to the facility with a skin condition, due to taking a lot of medication that cause R1 skin to have discoloration. W2 stated R1 condition is not being restrained R1 condition is due to aging, and the medication that R1 takes. Allegation: Staff did not seek medical attention for resident in care Based on observation, interviews, and record reviewed, staff did seek medical attention for resident in care. W2 stated “when a person is on hospice, hospice they are responsible for any medical needs”. W2 stated the facility is good with updating the condition of R1 to W2. R1 is under hospice care, and they have a 24hr doctor that available to them. Allegation: Staff did not meet resident's hygiene care needs Based on observation and interviews staff did meet resident’s hygiene care needs. W1 stated the staff takes really good care of R1 hygiene. W2 stated “the staff met R1 hygiene needs and continence care. I don’t have any concerned with R1 hygiene. I am at the facility checking on R1 twice a week and I don’t have any concerned”. Based on all information obtained, the allegations were closed as unsubstantiated. A finding that a complaint is unsubstantiated means that although the allegations may have happened or are valid, there's not a preponderance of evidence to prove that the alleged violation occurred. No deficiency cited. Exit interview conducted and copy of this report provided.the state’s words, verbatim · CDSS document, Aug 15, 2025 · control 15-AS-20250805115657

Type of visit: Required - 1 Year

On 11/22/24 around 8:45am. Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct an annual required inspection and met with Alejandria Bautista and explain the purpose of the visit. LPA inspected the facility inside and out including but not limited to resident rooms, bathrooms, common areas and backyard. Facility has an approved fire clearance for 6 non ambulatory residents. Hot water measured at 108 Fahrenheit in the kitchen faucet. There was sufficient supply of perishable and non-perishable foods. Hygiene products were observed available. Sheets, towels, linen and warm blankets were available. First aid kit was complete. Fire extinguisher appeared full and was last serviced on 8/14/24. Fire Drill last conducted on 9/10/24. Liability Insurance 6/29/24 to 6/29/25. Emergency Disaster plan last posted on 2/11/24. Medications were observed locked in a cabinet in the hallway. Chemicals were locked in the garage. Bathrooms have grab bars and non-skid mats. Exit doors all have working auditory signals. Passageways and hallways were free of obstruction. First aid kit was complete. At 9:45am, LPA reviewed 3 staff files and 6 resident files. Staff are fingerprint cleared and have current first aid and CPR training. Administrator certificate is current. At 10:45am, LPA reviewed medication and log. No deficiencies noted for today's visit. Exit interview is conducted, and a copy of this report is provided.the state’s words, verbatim · CDSS document, Nov 22, 2024