Sumner Board and Care

Type of visit: Required - 1 Year

On September 9, 2026, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Administrator/ Licensee Arvin Bumanglang and Linh Nguyen was available to assist with the facility inspection. The facility is licensed for six (6) non-ambulatory residents of which one (1) may be bedridden with approved hospice waiver for six (6) residents. Currently, there are five (5) Hospice residents present during today’s visit. This is a single story home with two attached garages facility. The facility has seven bedrooms (one staff room & six private resident rooms), five bathrooms, kitchen, dining room and common area room used for activities. LPA conducted a tour of the physical plant accompanied by Administrator/Licensee Arvin Bumanglang, and the following was observed: There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bathrooms were operational with water temperature measured between 108.9 to 109.2 degrees F. A comfortable temperature of 73 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained. Facility has A fire extinguisher which was mounted and fully charged. CONTINUED 809C During the visit LPA observed screening protocols for visitors, and supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained with correct components. The last fire drill was conducted on August 3, 2026. The facility has tested and operational smoke and carbon monoxide detectors in bedrooms and common areas. The facility has current liability insurance on file effective 9/1/2026 – 9/1/2027. A review of six residents (R1-R6) service files revealed to be complete. The facility has the current administrator's certification on file for Linh Nguyen # - Expiration 1/08/2027. No deficiencies during this inspection visit. An exit interview was conducted with Administrator Arvin Bumanglag, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Sep 9, 2026

Type of visit: Required - 1 Year

On September 2, 2025, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Administrator (AD) Arvinh Bumanglag arrived shortly after and was present to assist with the facility inspection on today's date. The facility is licensed for six (6) non-ambulatory residents of which one (1) may be bedridden with approved hospice waiver for six (6) residents. Currently, there are six (6) Hospice residents present during today’s visit. This is a single story home with two attached garages facility. The facility has seven bedrooms (one staff room & six private resident rooms), five bathrooms, kitchen, dining room and common area room used for activities. At around 8:30AM, LPA conducted a tour of the physical plant accompanied by staff, and the following was observed: All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage area for the client's personal belongings was observed. Bed linens, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 119.2 degrees F. A comfortable temperature of 73 degrees F. was maintained in the facility. CONTINUED ON 809C LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies and sharps objects were stored and not accessible to residents. The kitchen was inspected, home has operational stove/ oven, fridge and sufficient two day perishables and seven day non-perishable food was maintained adequately. Facility has supply of emergency food and water. Facility has three fire extinguishers which were fully charged. A review of the Medication Records Administration (MAR) was conducted, and LPA observed the records are in compliance. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, and sanitizing stations in common areas and restrooms. LPA observed the facility has a supply of Personal Protective Equipment (PPE). Facility has mandated inspection control posters posted. LPA observed First Aid Kit was maintained. A working landline phone was operational. The last fire drill was conducted on 8/5/2025. The facility had operational smoke and carbon monoxide detectors in bedrooms and common areas. The facility has current liability insurance on file effective 9/1/2025 – 9/1/2026. A review of six residents (R1-R6) service files and two staff (S1-S2) personnel files revealed to be complete. The facility has the current administrator's certification on file for Arvin Bumanglag # 7002119740 - Expiration 12/10/2026. Administrator certification confirmed on CCLD Administration Certification List. No deficiencies during this inspection visit. An exit interview was conducted with Administrator Arvin Bumanglag, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Sep 2, 2025

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 the facility's caregiving staff after introducing himself and stating the reason of the visit. Administrator Arvin Bumanglag was notified via telephone and arrived later to assist with the visit. During the inspection, LPA and staff conducted a tour of the physical plant and observed the following: The facility is a one-story home with six private bedrooms in addition to the facility's common living areas and two attached garages. There is an additional room for use by live-in staff. There are five bathrooms including four en-suite bathrooms. All bathrooms are observed to be equipped with grab bars and slip mats. All resident bedrooms have the required furnishings. LPA observed all beds have linen and blankets. Four beds are observed to be equipped with full rails and another one with half rails for postural support. Physician orders and hospice plan of care and admission reviewed for all residents on hospice. Hospice waiver capacity is six. There are currently five residents admitted to the facility, four of which are receiving hospice care. Bathrooms faucets and toilets are operational. Water temperature was verified to be within acceptable range. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed. Drills are conducted quarterly and documented. The copy of the Emergency and Disaster Plan provided did not include the required temporary shelter locations. A Technical Assistance Advisory Note and consultation was provided during the visit. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable. Smoke and carbon monoxide detectors tested operational. Fire extinguisher present is fully charged and has been replaced in August 2024. There is adequately shaded outside space with outdoor furniture present. There are self-latching gates on both sides of the property. The route of egress is free of obstructions. There are no bodies of water on the premises. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 Medication, cleaning products and sharp items are confirmed to be inaccessible throughout the physical plant. The medication central storage was also observed to be secure and reviewed to be accurate and up to date with the resident's prescription orders. LPA reviewed five resident files and six staff files. Resident records include all necessary components, however physician reports for three residents with dementia diagnoses are outdated and do not reflect the necessary annual reassessment. A type B deficiency is cited on an attached form LIC809-D. All staff members are confirmed to be cleared and associated with this particular licensed location. Training records and CPR training on file and up-to-date. Based on the observations made during today’s inspection, one type B deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. 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, Sep 17, 2024

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.