Casa Bella

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Type of visit: Required - 1 Year

On October 9, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Administrator (AD) Irvin Mendoza notified via telephone and later arrived to assist with the inspection. LPA observed that Irvin Mendoza has a valid Administrator certificate which expires on February 3, 2027. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents, of which one may be bedridden, and has a hospice waiver for four. The facility is a single story home with six private resident bedrooms, one staff bedroom, four resident bathrooms, a living room, a dining room, a kitchen, one staff office, a laundry room, and an attached two car garage. LPA, accompanied by the AD, conducted a tour of the interior portions of the facility. On today's visit, LPA observed six resident in care and two care giving staff present. LPA observed residents relaxing in their respective bedrooms. LPA observed the See Something, Say Something poster, (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected all six resident bedrooms and observed them to be free of hazards. LPA observed resident bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed additional linens to be stored the laundry room. LPA inspected the four resident bathrooms and observed them to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 115.7 and 117.1 degrees Fahrenheit. LPA observed the staff bedroom to be kept locked and inaccessible to residents in care. LPA observed the kitchen has a two day perishable and a seven day non-perishable food supply on hand. LPA observed kitchen appliances to be clean and operational. CONTINUED ON LIC809-C LPA observed the four burner gas stove lights unassisted. LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. LPA observed chemicals and toxins to be stored in a separate locked kitchen cabinet under the sink. LPA observed the facility has a First Aid Kit mounted in the kitchen and it had all the required components. LPA observed the facility has a three day emergency food and water supply stored in the kitchen pantry. LPA observed fire extinguishers to be mounted on the wall in the kitchen and in the resident hallway. Fire extinguishers were observed to be charged and serviced as of November 18, 2024. LPA tested the wired smoke detectors/carbon monoxide detectors which tested operational. LPA observed the facility conducted their last emergency disaster drill on October 6, 2025. LPA observed the centrally stored medication to be kept in the locked staff office. LPA observed the laundry room to be kept locked and inaccessible to residents in care. LPA observed the door leading to the attached two car garage to be kept locked and inaccessible to residents in care. LPA observed the garage to be used for storage. LPA, accompanied by the AD, conducted a tour of the exterior portion of the facility. The exterior portion was observed to be free of hazards and obstructions. LPA observed a shaded outdoor seating area with furniture for resident use. LPA observed the perimeter gates of the facility to be self latching and can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed all six resident files. LPA observed that the facility did not have a Reappraisal on file for five out of the six residents. LPA reviewed the residents' medication and medication records. LPA reviewed two staff files. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, a deficiency is being cited on the attached LIC809-D. An exit interview was conducted with Administrator Irvin Mendoza. A copy of the report and Appeal Rights were provided.the state’s words, verbatim · CDSS document, Oct 9, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Claudia Gutierrez and Nancy Guillen made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPAs were greeted and granted entry by Caregivers Emmanuel Perez and Yeniva Delgado and the nature of the visit was explained. During the inspection, LPAs and caregivers conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, office, garage and observed the following: This is a one-story home with six resident bedrooms, one staff bedroom, one staff office, five bathrooms, and attached two-car garage. All resident bedrooms had the required furnishings. Fireplace in the living room was observed to be partially screened. The screen does not extend the full length of the fireplace leaving an open gap on one side; a Deficiency was cited on today’s date. LPAs observed all resident beds had linens and blankets. LPAs observed all windows were screened. The backyard has a shaded sitting area. LPAs observed residents watching television and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 107.2- and 116.6-degrees Fahrenheit. LPAs observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Disaster drill log indicated last disaster drill was conducted on June 6, 2023; a Deficiency was cited on today’s date. Fire extinguisher was observed to be fully charged with service tag dated November 17, 2023. An emergency disaster plan was not available for review and staff were unable to provide LPAs with a copy; a Deficiency was cited on today’s date. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. Medications, toxic chemicals, cleaning solutions, and disinfectants were observed to be inaccessible to residents. (Cont. LIC809-C) LPAs reviewed four resident files and two staff files which met all the requirements. LPAs interviewed three residents and two staff. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Oct 25, 2024