Bel Marin Gardens

Type of visit: Required - 1 Year

01/08/2026, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. There are currently six residents in care. Facility approved/cleared for six non-ambulatory only and hospice waiver for three. There are currently two residents on hospice. LPA was greeted by staff. Licensee/Administrator, Laarni Lockerbie and Administrator assistant, Armela Monte arrived shortly after. LPA and Licensee/Administrator toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. All rooms were furnished per regulation. All rooms were in good repair. Extra hygiene products and linens were available. Water temperature in sinks accessible to residents in care were measured at 115.3, 114.8 and 114.3 which is within the range of 105 to 120 degrees F. Bathrooms had appropriate grab bars, one out of three bathroom trash bins were missing a tight fitting lid. Fire extinguishers were last inspected September 2025. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Toxins, sharps and other items that could pose threat if available to residents were located in the laundry room and in the kitchen and found to be secured. Medications were found to be centrally stored. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record. Facilities last emergency/fire drill was conducted on 11/24/2025. continued on LIC809C LPA conducted a review of three resident records. All records had the required documentation. LPA conducted review of three staff records/training. Upon a review of staff records, LPA found all staff to have required annual and initial training as well as current 1st Aid & CPR certification on file. LPA was provided with LIC9020- Register of Facility Clients/Residents. No deficiencies cited during today's inspection. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 02/08/2026: LIC500- Personnel Report LIC308- Designation of Responsibility Exit interview conducted with Administrator and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jan 8, 2026

Type of visit: Required - 1 Year

02/13/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. Facility has an emergency disaster plan as required. Facility has an infection control plan as required. There are currently six (6) residents in care. Facility approved/cleared for (6) non-ambulatory only. Hospice waiver for three (3). Administrator was unable to attend as they were out of the country during the inspection. Facilities designated staff member, Normita Uy assisted LPA during inspection. At approximately 12:35pm, LPA and Staff Member toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Refrigerated food was found to be stored in a safe manner being labeled. Facility has extra food storage located in the garage along with Personal Protective Equipment. All rooms were equipped with lighting, night stand, and chest of drawers. All rooms were in good repair. Extra hygiene products and linens were available located in the bathrooms storage cabinets. Water temperature in sinks accessible to residents in care were measured at 114.0 and 110.3 which is within the range of 105 to 120 degrees F. Fire extinguishers were last inspected 09/2024. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility conducts quarterly fire and disaster drills with the last one being conducted 11/20/2024. Sharps were located in a kitchen cabinet being locked and secured. Medications were found to be centrally stored. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record. LPA conducted a review of 3 resident records. All records had the required documentation. LPA conducted review of 3 staff records/training. Upon a review of staff records, LPA found all staff to have required annual and initial training as well as current 1st Aid & CPR certification on file. Continued to LIC809-C No deficiencies cited during today's inspection. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 03/13/2025: LIC500- Personnel Report LIC309- Administrative Organization Liability Insurance Infection Control Plan (review, update if any changes) Emergency Disaster Plan (review, update if any changes) Exit interview conducted with Staff Member and a copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 13, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced at approximately 9:00AM to conduct an Annual Required inspection and was greeted by staff. LPA and staff discussed the purpose of the visit, Administrator, Laarni Lockerbie arrived shortly after. LPA initiated a tour of the facility around 9:25AM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in bathrooms used by residents measured at 115 and 116 degrees F which is within the range of 105 to 120 degrees F allowed per regulation. Extra hygiene products and linens were available. Cabinets containing cleaning supplies were locked. Facility has at least two days of perishable and one week of non-perishable foods which were of quality and stored per regulation. Medications were centrally stored and locked. Emergency food and water supplies are stored in the garage along with Personal Protective Equipment. Fire extinguishers were last serviced September 7, 2023. Smoke and carbon monoxide detectors located throughout the facility were tested and operational during inspection. Most recent fire/disaster drill was conducted 02/01/2024. Five staff files and five resident files were reviewed. Staff have required First Aid and CPR certificates. Training records were reviewed. Staff have required training. LPA and Administrator discussed updating residents needs and services plans annually or whenever there is a change in condition. Administrator Certificate for Administrator, Laarni Lockerbie (6025647740) is up to date and expires 04/11/2025. Medications and medication records were reviewed. Continued on LIC809C Continued from LIC809 No deficiencies cited during inspection. Administrator to submit updates of the following documents by 04/06/2024: LIC 500 Personnel Summary Copy of Liability Insurance LIC 9020 Register of Residents Emergency Disaster Plan (If any changes) Infection Control Plan (If any changes) Exit interview conducted. Copy of report discussed and provided to Administrator. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Mar 6, 2024