Bella Hills Care Home

Type of visit: Required - 1 Year

On April 23, 2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced at this facility to conduct the annual inspection visit. LPA Initially met with staff on duty, Richard Baltazar (S1) and stated the purpose of the visit. The administrator, Lit Tien (AD) was notified and unable to be present today. Facility supervisor, Jose Ernesto Pasion (S2), arrived shortly after and assisted with the inspection. Overview: Facility is a one-story building located in a residential neighborhood. Facility is licensed to serve up to 4 elderly residents, 2 of which may be non-ambulatory. Facility does manage residents’ cash resources. Facility does not have clearance for bedridden, delayed egress, and/or locked interior/exterior. Physical Inspection: Areas inspected include, but not limited to, the kitchen, resident bedrooms, resident bathrooms, living and dining room and outdoor areas. LPA inspected 4 of 4 resident bedrooms and 2 of 2 bathrooms. In Bedroom #1 of the facility sketch, the exit door to the outside did not have proper ramp, as the height of the ramp is more than half an inch down. Advisory given to obtain appropriate ramp. Room temperature was maintained at 68 degrees F. The hot water temperature was measured at 117 degrees Fahrenheit. Smoke and carbon monoxide detectors were observed throughout. In the kitchen, the facility maintained at least a seven-day supply of non-perishable foods and a two-day supply of perishable foods. However, LPA observed only 3 kinds of fruits (banana, strawberries, oranges). LPA did not observe fresh vegetables in the refrigerator. Per interview with S1 and S2, they serve canned vegetables as preferred by residents in care. S2 confirmed there is no documentation that indicates their residents’ food preferences. Per review of the menu, vegetables are included. One fire extinguisher was observed in the kitchen area. Sharp objects were in a locked drawer. Cleaning solutions and dish soaps were in a locked cabinet under the sink. {1 of 2} Laundry room was inspected. Laundry soaps and hygiene supplies were observed to be locked in cabinet. The garage area was not locked. Inside the garage, LPA observed a laundry detergent in one of the cabinets that can be accessed by residents in care. The garage also has a refrigerator; inside this refrigerator, LPA observed 2 bottles of Pepto Bismol and are accessible to residents in care. Outdoor area was inspected. LPA observed covered areas with outdoor furniture. Ramps, fence, and exit gate were observed to be in good repair at this time. At the kitchen/dining exit door, going to the patio at the back, LPA observed the ramp to be missing. For shut off valves, initially, S2 was unable to locate the location of the electric and gas shut off valves until he called the AD. Per S2, he does not know how to operate the gas shut-off valves. Record Reviews: Review of 4 of 4 resident files was conducted, including but not limited to, review of Admission Agreement, Physician Reports, Needs and Services Plan, Centrally Stored Medication Record and Ambulatory Status. PRN Authorization Letter was on file for each resident. Medication reviews were conducted for 2 residents. For residents that require injection treatment, they did not have Restricted Health Care Plan in place prior to retaining those residents. Cash (P&I) records were reviewed for 3 residents. Staff counted 3 residents’ money in front of LPA. Review of 4 staff files included but not limited to background clearance, first aid/CPR certification, and training. Emergency Procedures Plan and Infection Control Plan were reviewed. Facility conducts monthly disaster/fire drills. Reminders were provided to review their plans at least annually. Staff tested one of the smoke/carbon monoxide detectors and were found to be operable. Documents Requested: LPA requested a copy of updated Liability Insurance Certificate, Surety Bond, LIC500, and LIC308. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies were cited and advisories were provided. An immediate Civil Penalty was assessed today in the amount of $500 due to fire clearance violation by removing the ramp at the exit door in the kitchen/dining area. Plan of corrections were discussed during exit interview was with Jose Ernesto Pasion. A copy of the report and appeal rights were provided upon exit. {2 of 2}the state’s words, verbatim · CDSS document, Apr 23, 2026

The state marks this report as 12 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

On 12/23/2025 Licensing Program Analyst (LPA) Shakaricka Hughes conducted an unannounced visit to the facility. The purpose of this visit was to check resident's medications. LPA met with the facility administrator Christopher Sinon. The current census is 4 with 3 facility staff. LPA entered the facility, and checked resident Medication Administrator Record (MAR) for 3 out of 4 residents and it was complete. LPA checked resident PRN medication record for 3 out of 4 residents in it was complete. LPA spoke with the facility licensee Lit Tien regarding changes that the facility has planned to implement regarding medication/ PRN records, and additional training for facility staff on medications administration and record keeping. Licensee stated that the changes the facility plans to implement regarding medication administrator has to be reviewed and approved by Alta Regional. There were no citations issued during today's visit. A copy of this report LIC 809 was provided to the facility.the state’s words, verbatim · CDSS document, Dec 23, 2025

Type of visit: Required - 1 Year

On 04/03/2025 at 8:38am, Licensing Program Analyst (LPA) Pang Lee and Shakaricka Hughes arrived at the facility to conduct an unannounced annual inspection. LPA Lee and Hughes met with caregiver Jose Pasion and explained the purpose of the visit. Jose called the facility designated administrator to inform that CCLD was present in the facility. The current census is 4 with 3 facility staff. This facility is a single story building licensed to serve (2) non-ambulatory residents in bedrooms 1 and 3. (2) ambulatory residents. LPA's inspected the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms, resident bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA's observed the facility to be free of odor, clean and in good repair. LPA's observed bedrooms to be properly furnished with appropriate bedding and lighting. There are no bodies of water present. LPA's toured the kitchen and observed sufficient seven-day non-perishable and two-day perishable food supplies. While touring the kitchen area, LPA's observed a staff's eye drop medication inside the refrigerator unlocked. Hot water temperature was measured at 118.5 degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Grab bars and non-slip mat were observed to be stable and in good repair at this time. Smoke and carbon monoxide detectors are in compliance with fire safety. The fire extinguisher is located and in the common area was last serviced on 12/06/2024. LPA's observed the facility has a public telephone in the common area and the facility has the required posters posted. Continuation 809-C Facility thermostat was observed at 74 degrees Fahrenheit. LPA's observed toxins located in the hallway closet and kept locked and inaccessible to residents. LPA's observed sharp knives kept locked in the kitchen and inaccessible to residents. LPA's checked medication storage and found medication to be locked away and inaccessible to residents. LPA reviewed 2 out of 4 residents medications and the medication administration record (MAR) was complete. The first aid kit was checked and contained the required components. LPA's requested resident and staff files for review. LPA's reviewed 4 out of 4 resident files and they were complete. LPA's reviewed 3 staff files, and it was complete. LPA's reviewed staff criminal record clearances, and a review of staff records indicates that all facility staff or other individuals who require caregiver background checks are fingerprint. The following documents was provided during today's visit: (1) Copy of administrator certificate (2) Proof of Current Liability Insurance (3) LIC 500 Current Personnel Report The following documents will be email to LPA by 04/10/2025 end of day 5:00 PM: (1) LIC 308 Designation of Administrative Responsibility (4) LIC 610 Current Emergency Disaster Plan As a result of this annual visit, the facility is not in compliance with Title 22 Regulation, and the deficiency can be found on the LIC 809-D page. An exit interview was conducted and a copy of these LIC 809 reports, LIC 809-D page, and Appeals rights were provided to the facility.the state’s words, verbatim · CDSS document, Apr 3, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ruth Wallace conducted a unannounced Required 1 year Inspection Visit. LPA met with administrator and explained the purpose of visit. LPA and administrator inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, and outside backyard. LPA observed sufficient furniture and lighting throughout the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies. LPA measured the hot water temperature in resident's bathroom at 114.6 degrees Fahrenheit which is within the required range of 105 to 120 degrees. First aid kit was checked and is complete. LPA observed carbon monoxide detectors in the facility. Fire extinguisher last inspected on 7/3/2023. Smoke detectors are operational. LPA observed centrally stored medications are kept locked and inaccessible to residents. LPA reviewed and compared resident medication vs. medication logs. LPA observed carbon monoxide detectors in the facility. The facility conducts fire/disaster drills with residents on 3/30/2024. LPA reviewed four resident files and four staff files, including criminal record clearances. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks are Fingerprint cleared and associated to the facility. LPA verified staff training for staff file reviews. LPA received the following updated documents for community care licensing: LIC 308 Designation of Administrator and LIC 500 Personnel Report. Based on today’s visit, Per California Code of Regulations, Title 22 Division 6, Chapter 8, no deficiencies observed or cited today. Exit interview conducted with administrator. A copy of report and LIC 811 (Confidential Names) left at facility.the state’s words, verbatim · CDSS document, Apr 4, 2024