Casa Francesca

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Casa Francesca. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the home and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents, of which one may be bedridden. Facility has an approved hospice waiver for 3 residents and the home currently has 5 residents with 2 on hospice care. Administrator Mariza Oliva has a current administrator certificate expiring on 05/24/2026. LPA Lyman along with Caregiver Balana toured the facility at 8:29 AM. LPA toured the physical plant, checked food service, reviewed records and the first aid kit. Facility appears to be clean, safe, and sanitary. The home consists of four resident bedrooms, one resident restroom, common restroom, one staff room, living room, dining room, and kitchen. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. LPA observed one resident with full rails. LPA observed the screen door in Resident 1's (R1) room has a hole in it. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 105.1 and 113.1 degrees F in all facility restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including tweezers, thermometer, and scissors as well as a first aid manual. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked in a kitchen drawer. Smoke detectors and Carbon Monoxide detectors are hardwired and tested operational during today's visit. Fire extinguishers are fully charged. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample shaded seating for residents. Exit gates are unlocked and self latching. LPA observed ample emergency food and water supply. LPA reviewed the emergency disaster plan during the visit. CONT ON LIC809-C DATED 04/21/2026 Plan is thorough and complete. Facility provided documentation of last fire drill conducted on 03/03/2026. Facility provides activities in the form of exercise and games. At 9:00 AM, LPA reviewed five resident files and three staff files. Resident files contained required documents including admission agreements, current physician reports and resident appraisals. Staff files did not contain proof of all required training. Two out of three staff are missing four hours of required annual Dementia training. At 10:00 AM, LPA reviewed medication storage and administration. Medications are stored in a locked closet. LPA observed R5 has a bottle of Mirtazapine 7.5 mg with an altered label to change the order. Based on the observations made during today's visit, the following violations are being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report as well as appeal rights were discussed and provided with facility representative.the state’s words, verbatim · CDSS document, Apr 21, 2026

Type of visit: POC

Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced Plan of Correction (POC) visit to the facility for the purpose of following up on citations issued on LIC form 809D dated 04/08/2025. LPA was greeted and granted entry into the facility and explained the reason for the visit. Licensee Mariza Oliva was present. *Deficiency cited under Title 22 Regulation 87202(a)(2) pertaining to Fire Clearance has been cleared. Licensee obtained documentation indicating R2 is non-ambulatory. Licensee has complied with the terms of the POC. *Deficiency cited under Title 22 Regulation 87465(d)(3) pertaining to Incidental Medical and Dental has been cleared. During today's visit, Licensee provided proof of in-service. Licensee has complied with the terms of the POC. Licensee addressed items noted on advisories given on 04/08/2025. No additional health and safety concerns noted during visit. Licensee has been advised to maintain all items especially those that were previously deficient in the facility in accordance with Title 22 Regulations. Copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Apr 14, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Casa Francesca. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the home and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents, of which one may be bedridden. Facility has an approved hospice waiver for 3 residents and the home currently has 5 residents with 1 on hospice care. Administrator Mariza Oliva has a current administrator certificate expiring on 05/24/2026. LPA Lyman along with Administrator toured the facility at 9:35 AM. LPA toured the physical plant, checked food service, reviewed records and the first aid kit. Facility appears to be clean, safe, and sanitary. The home consists of four resident bedrooms, one resident restroom, common restroom, one staff room, living room, dining room, and kitchen. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 113.1 and 114.2 degrees F in all facility restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked in a kitchen drawer. Smoke detectors and Carbon Monoxide detectors are hardwired and tested operational during today's visit. Fire extinguishers are fully charged. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample shaded seating for residents. Exit gates are unlocked and self latching. LPA observed ample emergency food and water supply. LPA reviewed the emergency disaster plan during the visit. Plan is thorough and complete. Facility provided documentation of last fire drill conducted on 03/15/2025. Facility provides activities in the form of exercise and games. CONT ON LIC809-C DATED 04/08/2025 At 10:00 AM, LPA reviewed five resident files and four staff files. Resident files contained required documents including admission agreements, current physician reports and resident appraisals. Resident 5 does not have a medical assessment or pre-appraisal in the file. Resident 2's physician report states resident is bedridden but is residing in a room not designated by OC Fire as a bedridden room. Staff files did not contain proof of all required training. Staff 3 does not have a file present at the facility. At 10:30 AM, LPA reviewed medication storage and administration. Medications are stored in a locked closet and are audited bi-weekly. LPA observed facility is not documenting PRN usage. Medications are being administered per physician order. Based on the observations made during today's visit, the following violations are being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report as well as appeal rights were discussed and provided with facility representative.the state’s words, verbatim · CDSS document, Apr 8, 2025

Allegation investigated: Staff are smoking marijuana on facility premises while on duty

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the visit, LPA toured the facility and interviewed staff and Administrator. Regarding the allegation that staff are smoking marijuana on facility premises while on duty, the investigation revealed the following: Interview with Staff 1 (S1) confirmed smoking marijuana on the patio at the facility. S1 stated smoking in the evening after residents have gone to bed. S1 is on-call throughout the night to assist residents as needed. Based on interviews conducted, the preponderance of evidence standard has been met, therefore, the allegation is found to be SUBSTANTIATED. Facility is being cited per California Code of Regulations Title 22, Division 6, Chapter 1. An exit interview was conducted and a copy of this report as well as appeal rights were provided at exit. Substantiatedthe state’s words, verbatim · CDSS document, Oct 10, 2024 · control 22-AS-20241004112631

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87411(f) · Plan of correction due date: Oct 11, 2024

All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. This req is not being met as evidenced by: Based on interview conducted, Licensee failed to ensure staff are mentally capable of performing work tasks. S1 is smoking marijuana at the facility. This poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Oct 10, 2024

Plan of correction: Licensee to provide an in-service regarding marijuana smoking at the facility and forward proof to LPA by POC due date.

Type of visit: POC

Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced visit to the facility for the purpose of a Plan of Correction (POC) visit, based upon the deficiencies cited in LIC form 809D on 07/19/2024. LPA was greeted and granted entry into the facility and explained the reason for the visit. *Deficiency cited under Health and Safety Code 1569.618 pertaining to First Aid CPR has been cleared. Licensee provided proof of correction. Licensee has complied with the terms of the POC. Licensee to forward an updated LIC 500 to LPA by close of business October 11, 2024. Exit interview conducted and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Oct 10, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Administrator Mariza Oliva. According to the facility’s license, the facility has a maximum capacity of six residents, of whom all may be non-ambulatory, one of which may be bedridden. LPA toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Bathroom with double vanity had one sick out of order and the working sick faucet was loose and not easy to control. Administrator states plumber is scheduled to fix both issues. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities.Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications labeled and locked as required. No pool or body of water was present. Water temperature was measured at 106 degrees F. Per Mariza, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit was complete. Resident records reviewed contained required documentation. Staff records reviewed did not have current first aid training in three of three records or CPR training for any of staff. Two deficiencies were cited on today's visit for First Aid/CPR training. One technical violation was issued for sinks and faucet. An exit interview was conducted with Administrator, to whom a copy of this report,(LIC9099-x2) and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Jul 19, 2024