Bianca's Home Care 2

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ferrer Sabarias conducted an unannounced annual required visit. Upon entry, LPA was greeted by Pedro Dao - House Manager and informed them of the purpose of the visit. At the time of the visit, there were two (2) staff members and three (3) residents present. Facility Overview: The facility is a one story home with five (5) bedrooms and three (3) bathrooms, including an attached garage. There are no pools in the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. According to the Administrator there are no firearms kept in the facility. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 119.1°F. Fire extinguishers are observed to be in good condition, last service date 11/22/2024. Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Continue to LIC809C... Continue from LIC809 Care & Supervision/Administration: Adequate staff were present to supervise resident during the visit. The administrator holds a current administrator’s certificate valid until 7/29/2026. Record Review and Resident/Staff Files: LPA reviewed files for three staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Four resident files were reviewed and contained all required documentation. Health-Related Services/Incidental Medical Services: All resident medications were securely locked. LPA reviewed medications for three residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last fire drill conducted on 12/10/2024 which met department requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed and provided to .Pedro Dao - House Manager.the state’s words, verbatim · CDSS document, Dec 20, 2024

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA), Stephanie Martinez, returned to the home on the above date to continue the annual inspection that was started on 12/29/2023. The visit was unannounced. The LPA met with Administrator, Brevet Dao, shortly after the start of the visit. Food Service: There is a minimum of 2 days of perishable foods and 1 week's supply of non-perishable foods available. All readily perishable food or beverages capable of growth of micro-organisms are being stored in covered containers at appropriate temperatures. The kitchen was observed to be maintained in a clean and organized state. Record Review: Staff have criminal record clearances, all staff were observed to have appropriate fingerprint clearances. LPA did not observe any excluded individuals on the premises at time of visit. Staff responsible for direct care and supervision have current first aid training. Administration: There is a disaster and mass casualty plan in place. The facility has an approved hospice waiver for six (6) residents. All services requiring specialized skill are being performed by personnel qualified as appropriately skilled professionals. Medical Related Services: There are no persons who have a prohibited health condition admitted at the facility. The LPA conducted a medication audit and observed violations; medications were being transferred from their original containers into weekly medication containers. This poses a potential threat to the health and safety of residents in care. A citation will be issued. An exit interview was conducted with Administrator Dao; this report was reviewed and a copy was provided.the state’s words, verbatim · CDSS document, Jan 12, 2024

The state marks this report as 23 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Stephanie Martinez, conducted a required annual inspection at Bianca's Home Care 2. The LPA was allowed entrance into the facility by staff member, Norqueza Pabalan, and later met with Administrator, Brevet Dao. The LPA informed the Administrator of the purpose for the visit. The facility currently has an approved Hospice Waiver for six (6) residents. The inspection included the following: interior/exterior inspection and a review of records. Physical Plant: The facility consists of four (4) resident bedrooms, one staff bedroom, two dinning areas, two living spaces, an open kitchen, a laundry room, two garage spaces, and a covered patio with sufficient seating and space for activities. There are no bodies of water located on the property. According to Administrator Dao, no weapons are stored in the home. The facility is being maintained at a comfortable temperature. All outdoor and indoor passageways are kept free of obstruction and are free of debris and other trash. There are grab bars for each toilet, bathtub and shower used by residents. Resident showers have non-skid mats or strips present. The carbon monoxide and smoke detectors were tested by facility staff and were observed to be in operating condition. The LPA observed multiple chemicals accessible to unauthorized individuals throughout the facility; one large bottle of Fabuloso in a storage box under the backyard patio, all purpose cleaner beside the toilet in bathroom #1, Comet, Lysol, Clorox, Ajax, and other cleaners underneath a sink in the laundry room (NOTE: the laundry room was accessible to unauthorized individuals as the door was propped open throughout the LPA's visit). The LPA observed a broken mirror in bathroom #1. The LPA also observed one torn window screen in the back yard near the exit gate, a bent window screen to the right of the backyard patio, and one damaged baseboard near bedroom four. The facility was operating beyond the conditions on the license. Resident Two (R2), whose Physician's Report for Residential Care Facilities for Elderly designates the individual as bedridden. R2 was not residing in a bedridden approved bedroom. In addition, the LPA observed there to be three total residents, who are designated as bedridden on their Physician's Report, to be in care. Resident three (R3) was also not residing in a bedridden approved bedroom. The facility has an approved fire clearance for only two bedridden residents. Additional violations were observed during the inspection, including, resident records, staff training, and accessibility of medications. Due to insufficient time, a continuation visit will be conducted by the LPA at a later time and violations will cited appropriately. Immediate concerns were addressed with the Administrator during today's inspection. An exit interview was conducted; this report was reviewed with Administrator Dao and a copy was provided along with the LIC 811 and instructions on appeal rights.the state’s words, verbatim · CDSS document, Dec 29, 2023

The state marks this report as 23 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.