Alpine B II Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver Yessica Avila after introducing self and stating the reason for the visit. Administrator Heidi Baha arrived on premise to assist with the inspection. Administrator Baha has a valid certificate expiring March 1, 2027. The following was observed during the inspection: The facility is located in a residential neighborhood comprised of four private resident bedrooms, one shared resident bedroom, five half resident bathrooms, one full resident bathroom, and one shared caregiver's bedroom. LPA observed five residents in care, two of which are on hospice. LPA observed two staff on duty. Facility is operating within the conditions and limitations specified on the license. LPA toured the physical plant with Administrator. LPA inspected all bedrooms, common areas including the attached two car garage. The resident bedrooms' were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. Facility appeared clean and sanitary including all bathrooms. However, the following areas were observed to be in disrepair: the locking mechanism for the medication cabinet did not lock properly and the left faucet handle was in disrepair in Bedroom #3. Admin stated that Resident #2 (R2) utilizes the shower room across R2's bedroom. Slip resistant mats were observed to be available in the bathrooms. The hot water temperature in the resident bathrooms were below range, measuring at 96.6, 96.0, 91.5, 82.0, and 81.6 degrees Fahrenheit. Toxins, disinfectants, and sharps were secured, however medications in the grey cabinet were not secured and made accessible. LPA observed one tablet in a pill organizer on top of a wooden cabinet and medications that require refrigeration were made accessible as Admin indicated that Resident #5 (R5) accesses the refrigerator in the evenings. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction, and there are sufficient seating and shading. LPA observed two exit gates that were operable. The first aid kit contains all necessary elements. The two fire extinguishers were mounted, charged, and serviced on January 21, 2026. The auditory devices and smoke/carbon monoxide detectors were tested and operational in all areas. Facility maintains emergency food and water. A working telephone number (949) 454-8349 was tested and remains available. Complaint Poster, 'See Something, Say Something,' (PUB 475) was available and posted in the entry way in the correct size. LPA reviewed five residents and two personnel files. Discrepancies noted for both resident/staff files. Licensee did not maintain a complete record for four residents (R1-R4) and one staff (S1) and one of five residents (R4) and one of two staff (S1) did not receive a Tuberculosis (TB) testing. Present staff are background cleared and associated to the facility. One of two staff (S1) did not meet their initial 40 hour training where 6 of the 20 hour dementia care training is completed before employment. Additionally, both staff are not CPR/First Aid certified. Admin to forward proof of certificate as per Admin training was completed May 29, 2026. The Emergency Disaster Plan (LIC610E) was reviewed. Disaster drills of various scenarios are conducted quarterly with the last date for earthquake drill was conducted March 13, 2026. Medications were audited for two of five residents. Discrepancies noted as the medication list in review of two residents were not up-to-date. Admin will provide an order for R5 for ACJ Joint spray. The following was consulted: to repair the locking mechanism for the medication cabinet immediately, to repair the left faucet handle in the bathroom of Bedroom #3, to ensure medications always remains secured and inaccessible, to ensure hot water measures within a comfortable range of 105 to 120 degrees Fahrenheit, to maintain complete records for residents and staff, to ensure one resident and staff completes their TB testing, to ensure staff meets their required training hours, to ensure at least one staff on duty is CPR/First Aid certified, and to ensure the medication list is current and up-to-date. Based on the observations made during today's visit, deficiencies are being cited, and Advisory Notes are being issued. An exit interview was conducted with Administrator Heidi Baha, and a copy of this report including the appeal rights were provided at exit.the state’s words, verbatim · CDSS document, Jun 1, 2026

The state marks this report as 10 pages; the online copy we transcribed has 7. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jessica Cho arrived unannounced for the purpose of conducting the Required 1-Year annual evaluation using the Care Inspection Tool. LPA was greeted and granted entry by Administrator (Admin) Heidi Baha and explained the reason for the visit. Administrator (Admin) Guibilondo holds a valid certificate expiring on March 1, 2027. The facility is a single story structure and is licensed to provide services for age range 60 and over for six non-ambulatory. A waiver was granted to provide hospice services to three residents at one time. During today's visit, two residents were under hospice care, two caregivers were on duty providing care to five residents who were observed relaxing in the living room and their respective bedrooms. LPA toured the physical plant with Admin. Facility is clean, operational, and in good repair with the exception of one resident bedroom. The hardwood floor and closet door are being repaired due to the water damage. The Department was not notified of the alterations being made prior to the renovations. LPA observed five resident bedrooms and bathrooms. There is one additional staff bedroom shared by two staff. Resident bedrooms had all required furnishings. Bathrooms were in compliance, clean, and operational. The hot water temperature measured at 107.2, 105.8, 105.9, 105.2, and 105.8 degrees Fahrenheit in the resident bathrooms. All common areas were inspected including the attached two car garage. LPA reviewed the Emergency Disaster Plan (LIC610E) and observed sufficient water in the pantry walk in closet. There were no emergency food observed. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food available in the kitchen and garage. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction. The exit gates were in good repair. LPA observed sufficient seating and shading. The fire extinguishers in the kitchen and garage were invalid expiring on July 19, 2023. The auditory devices and smoke/carbon monoxide detectors were tested and operational. Emergency evacuation drills are not conducted quarterly. The facility land line number, (949) 454-8349, was tested and remains available. The Complaint Poster, 'See Something, Say Something,' (PUB 475) was available in an incorrect size and posted on the bulletin board. LPA conducted a review of all residents and two staff files. Discrepancies observed in the resident files as the medical assessments (LIC602s) were not updated annually in three out of five residents. Discrepancies observed in the staff files as the staff did not complete 40 hours of annual training, the health screening was not completed for one staff and Tuberculosis (TB) tests were incomplete in two out of two staff files reviewed. The medications were audited in two out of five residents. No discrepancies noted. No interviews were conducted due to time constraints. The following items were addressed with the Admin: to conduct quarterly emergency drills, to notify the Department prior to any alterations, to ensure 40 hour staff training is completed annually, to ensure fire extinguishers are current, to complete Health Screening (LIC503) for Staff #2 (S2) and TB tests for both staff, and to obtain medical assessments (LIC602s) for three out of five residents. Based on the observations made during today's visit, deficiencies are being cited. See attached LIC809Ds. Civil penalties for repeat violations are being assessed. See LIC421FCs. Advisory Notes (LIC9102s) are being issued. An exit interview was conducted with Administrator Heidi Baha, and a copy of this report including the LIC809C, LIC809Ds, LIC9102s, LIC421FCs, LIC811s, and the appeal rights were provided at the end of the visit.the state’s words, verbatim · CDSS document, May 13, 2025

The state marks this report as 8 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the Required Annual Inspection. LPA was greeted and granted entry by facility caregiving staff after introducing himself. Facility administrator Heidi Baha was notified by telephone and arrived later to assist with the visit.. During the inspection, LPA and facility staff conducted a tour of the physical plant and observed the following: The facility is a one-story home. Facility has one shared room and four private rooms plus one staff room, as well as one shared bathroom and half bathrooms in addition to the common living areas. All resident bedrooms have the required furnishings. LPA observed all beds have linens and blankets. The backyard has a shaded area and the routes of egress are free of clutter and obstructions. There are currently five residents admitted to the facility with two residents receiving hospice care. Residents are observed to be clean and appear well taken care of. Bathrooms faucets and toilets were operational. Water temperature was verified to be above the required temperature. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted, however the current form is not in use. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required. Combined smoke and carbon monoxide detectors tested operational. Fire extinguishers present are observed to be fully charged with up-to-date maintenance. Medication, sharp items and cleaning supplies were confirmed to be inaccessible throughout the physical plant. The medication central storage was also observed to be secure and reviewed for accuracy during the visit. LPA reviewed five resident files and four staff files. Based on the observations made during today’s inspection, one type A deficiency and six type B deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. Two Technical Violation and one Technical Assistance Advisory Note were provided to the licensee based on consultations provided during the visit. An exit interview was conducted, and a copy of this report along with appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Jun 3, 2024

The state marks this report as 9 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.