B and B Senior Villa II

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an unannounced annual inspection. LPA was greeted by caregiver Aileen Sagco who allowed LPA to enter. There was (2) additional staff on duty. They were informed the reason of the visit. Administrator Gladelyn Baingan arrived shortly after. Today's current census was (5). Facility license/sketch, rights of resident council, grievance/complaint procedures, emergency disaster plan, resident bill of rights, and personal right was visibly posted. A physical plant tour of the facility inside and outside was conducted with caregiver. The following common areas: living, dining, kitchen, resident bedrooms, and bathrooms were inspected. Kitchen: LPA observed a Licensing requirement of (7) day nonperishable, and (2) perishable, with refrigerator stocked with food. Food was labeled and properly stored in a healthy manner. Appliances were functional, clean, and in good repair. Chemicals, medication, household supplies, and knives, were secured and locked. There is an extra refrigerator with food in the garage. Living/dining: All indoor passageways were free from obstruction; inside temperature was comfortable, with adequate lighting, and all areas were clean and appropriately furnished for resident’s comfort. Bedrooms: The facility has (5) private bedrooms for residents. All bedrooms were properly furnished and supplied with appropriate bedding and linens. Rooms observed to have bedspreads, sheets, pillowcase, mattress pad, and blankets, and were in good repair. There are sufficient linens and towels observed. Bathrooms: There are (2); all were clean, with soap and towels, grab bars, and non-skid mats. Hot water measured at 106.4 degrees Fahrenheit. Surrounding Grounds: There were no visible hazards, and passageways were free from obstruction. There is a swimming pool was secured. Outside furniture located in the back of the facility for resident's use. Smoke alarms and carbon monoxide detectors were tested and operating properly. Gates were unlocked and easily accessible. Fire extinguisher fully charged. First aid kit furnished fully equipped. Record and Medication review: A complete record review of staff and residents was conducted during the visit. Training was current and update. Exit interview and copy of report provided.the state’s words, verbatim · CDSS document, Feb 24, 2026

Allegation investigated: Staff caused injury to a resident in care

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an initial complaint visit to investigate the allegation noted above. LPA met with the Administrator and staff and informed them of the purpose of the visit. The following information was determined during the investigation: Concerns were expressed, staff caused injury to a resident. Prior to the visit, LPA interviewed witnesses involved with the complaint to gather information regarding the allegation. During the visit on today’s date, from 9:15 a.m. to 1:30 p.m., LPA conducted a physical plant inspection and interviewed two (2) staff members, including the Administrator, and four (4) of the five (5) residents. Based on staff and resident interviews, it was revealed that Resident #1 (R1) became agitated with staff #1 (S1) during a diaper change. S1 stated that R1 attempted to strike S1, and through an incidental contact and defensive reflex, S1’s ring scratched R1. Interviews determined this was an isolated incident. LPA found no evidence of malicious intent to injure R1. Although it was alleged that S1 struck R1, there were no witnesses, Unsubstantiated and insufficient evidence exists to corroborate that the scratch was intentionally caused. Based on interviews and observations, the allegation is determined to be Unsubstantiated at this time. Exit interview conducted, and copy of report provided to Administrator. At the conclusion of the visit, the Administrator discarded all the expired items, therefore, the plan of correction was cleared during the visit. Citation issued, appeal rights provided, exit interview conducted and copy of report provided to Administrator with plan of correction letter.the state’s words, verbatim · CDSS document, Dec 4, 2025 · control 31-AS-20251202152439

From the deficiency page — Deficiency type: Type B · Section cited: CCR 80076(a)(1) · Plan of correction due date: Dec 4, 2025

Food Services: (a) In facilities providing meals to clients, the following shall apply: (1)All food shall be safe and of the quality and in the quantity necessary to meet the need of the clients...All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement was not met, evidenced by, based on observations, LPA observed expired cans and non-perishable items stored in the facility kitchen cabinet and freezer. This poses a potential heath and safety risk to residents in care.the state’s words, verbatim · CDSS document, Dec 4, 2025

Plan of correction: POC cleared during visit. All expired items were discarded during the visit.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an unannounced annual inspection. LPA was greeted by caregiver Rosmelita San Nicholas who allowed LPA to enter. There was (1) additional staff on duty. They were informed the reason of the visit. Administrator Gladelyn Baingan arrived shortly after. Today's current census was (5). Facility license/sketch, rights of resident council, grievance/complaint procedures, emergency disaster plan, resident bill of rights, and personal right was visibly posted. A physical plant tour of the facility inside and outside was conducted with Administrator. The following common areas: living, dining, kitchen, resident bedrooms, and bathrooms were inspected to ensure the facility was in compliance with Title 22 Regulations: Kitchen: LPA observed a Licensing requirement of (7) day nonperishable, and (2) perishable, with refrigerator stocked with food. Food was labeled and properly stored in a healthy manner. Appliances were functional, clean, and in good repair. Chemicals, medication, household supplies, and knives, were secured and locked. There is an extra refrigerator with food in the garage. Living/dining: All indoor passageways were free from obstruction; inside temperature was comfortable, with adequate lighting, and all areas were clean and appropriately furnished for resident’s comfort. Bedrooms: The facility has (5) private bedrooms for residents. All bedrooms were properly furnished and supplied with appropriate bedding and linens. Rooms observed to have bedspreads, sheets, pillowcase, mattress pad, and blankets, and were in good repair. There are sufficient linens and towels observed. Bathrooms: There are (2); all were clean, with soap and towels, grab bars, and non-skid mats. Hot water measured at 109.4 degrees Fahrenheit. Surrounding Grounds: There were no visible hazards, and passageways were free from obstruction. There is a swimming pool which was locked and secured. There is outside furniture located in the back of the facility for resident's use. Smoke alarms and carbon monoxide detectors were tested and operating properly. Gates were unlocked and easily accessible. Fire extinguisher fully charged. First aid kit furnished fully equipped. Record and Medication review: A complete record review of staff and residents was conducted during the visit. Training was current and update. Exit interview and copy of report provided.the state’s words, verbatim · CDSS document, Feb 25, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an unannounced annual inspection. LPA was greeted by caregiver Roma Ladiza, who allowed LPA to enter. There was (1) additional staff on duty, and residents were resting in there rooms. Today's current census was (3); one resident is currently in the hospital. Facility license/sketch, rights of resident council, grievance/complaint procedures, emergency disaster plan, resident bill of rights, and personal right was visibly posted. A physical plant tour of the facility inside and outside was conducted with staff. The following common areas: living, dining, kitchen, resident bedrooms, and bathrooms were inspected to ensure the facility was in compliance with Title 22 Regulations: Kitchen: LPA observed a Licensing requirement of (7) day nonperishable, and (2) perishable, with refrigerator stocked with food. Food was labeled and properly stored in a healthy manner. Appliances were functional, clean, and in good repair. Chemicals, medication, household supplies, and knives, were secured and locked in the garage. Living/dining: All indoor passageways were free from obstruction; inside temperature was comfortable, with adequate lighting, and all areas were clean and appropriately furnished for resident’s comfort. Bedrooms: The facility has (4) bedrooms, with (1) for staff. All bedrooms were properly furnished and supplied with appropriate bedding and linens. Rooms observed to have bedspreads, sheets, pillowcase, mattress pad, and blankets, and were in good repair. There are sufficient linens and towels observed. Bathrooms: There are (2); all were clean, with soap and towels, grab bars, and non-skid mats. Hot water measured at 110.5. degrees Fahrenheit. Surrounding Grounds: There were no visible hazards, and passageways were free from obstruction. There is a swimming pool which was locked and secured. There is outside furniture located in the back of the facility for resident's use. Smoke alarms and carbon monoxide detectors were tested and operating properly. Gates were unlocked and easily accessible. Fire extinguisher fully charged. First aid kit furnished fully equipped. Record review: A complete record review of staff and residents were conducted; no errors observed. All Licensing documents observed in files. Training was current and update. Medication review: No errors observed; facility in compliance. Exit interview and copy of report provided.the state’s words, verbatim · CDSS document, Feb 15, 2024