Byxbee Home

Type of visit: Required - 1 Year

On 9/22/26, LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Staff Jamila De Vera, Ethel Atendido & Administrator Maria Jasmin Nelson followed after. LPA explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, garage and kitchen area. While touring the facility it was observed that the room temperature was at 70 deg F. Hot water was also tested in the bathrooms and the temperature was 108 deg F. The facility is observed to be clean, odorless, and well maintained. Residents bedrooms were observed to be well organized and fully furnished with adequate lighting. Sharps and toxic materials were observed locked and inaccessible to residents. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Carbon monoxide/smoke detectors, and fire extinguisher were present throughout the facility. Facility has an updated log for emergency drill is done every quarter. Two resident records and three staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs. Staff have current First Aid/CPR certifications on file. Centrally stored medication was locked and inaccessible by residents. All medication was labeled and sorted by resident name. All medication logs are complete and updated. No deficiencies being cited today. Report is reviewed and copy is provided.the state’s words, verbatim · CDSS document, Sep 22, 2026

Type of visit: Case Management - Other

On 03/10/2026, Licensing Program Analyst (LPA) Yi Sam Jian conducted an unannounced Case Management visit at the facility. LPA met with staff Ethel Atendido(S4) and Roberto Molabola(S3). The Administrator, Maria Jasmin Nelson, was contacted by phone and the purpose of the visit was explained. Administrator stated that S4 was the staff in charge and granted permission for S4 to sign required documents on behalf of the facility. The purpose of the visit was for LPA to deliver an Immediate Exclusion Letter for staff member S1. Administrator confirmed that S1 is no longer employed at the facility as of this date. The exclusion letter was provided to staff in charge, S4. This report was reviewed and discussed with staff in charge, and a copy was provided.the state’s words, verbatim · CDSS document, Mar 10, 2026

Type of visit: Required - 1 Year

On 9/3/25, LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Administrator Maria Jasmin Nelson. LPA explained the purpose of the visit.. LPA toured the facility inside and outside including all of resident rooms, garage and kitchen area. All residents are currently in Day Program except for one. While touring the facility it was observed that the room temperature was at 70 deg F. Hot water was also tested in the bathrooms and the temperature was 110 deg F. The facility is observed to be clean, odorless, and well maintained. Residents bedrooms were observed to be well organized and fully furnished with adequate lighting. Sharps and toxic materials were observed locked and inaccessible to residents. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Carbon monoxide/smoke detectors, and fire extinguisher were present throughout the facility. Facility has an updated log for emergency drill is done every quarter. One resident record and three staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs. Staff have current First Aid/CPR certifications on file. Centrally stored medication was locked and inaccessible by residents. All medication was labeled and sorted by resident name. All medication logs are complete and updated. LPA received the following: Certificate of Liability Insurance. No deficiencies being cited today. Report is reviewed and copy is provided.the state’s words, verbatim · CDSS document, Sep 3, 2025

Allegation investigated: Facility staff do not treat clients with dignity or respect Facility staff hit clients Staff are not responding when clients call for assistance

On 12/4/2024, Licensing Program Analyst (LPA) Tobola arrived unannounced for the purpose of delivering complaint investigation findings and was greeted by Administrator, Jasmine Nelson. LPA toured the facility, interviewed staff, residents and outside parties, reviewed resident records and made observations during the course of the investigation. Complaint alleges facility staff do not treat clients with dignity or respect with staff yelling at resident/victim (R1) or speaking in an inappropriate manner. Based upon interviews with residents (R1, R2 & R3), staff (S2) and Golden Gate Regional Center Service Coordinator (SC1), LPA found inconsistent statements with no indications of staff speaking to residents in demeaning manner. Upon further interview with SC1, it was found that R1 may misinterpret social interactions creating another primary behavior of false accusations. SC1 and facility practice social skills and coaching with R1 for improved independence and interpreting social interactions. Upon review of R1’s Behavioral Support Plan dated 1/18/2024, it is indicated that staff are to conduct teaching methods of appropriate conversation with R1, including the phrases; “what do you think about” or “have you ever” in order to increase R1’s comprehension and understanding of circumstances that R1 may misinterpret. R1’s behaviors include false accusations. Continued onto LIC9099-C Unsubstantiated In addition, LPA acquired a voice recording conversation between resident R1 and Administrator. Upon review of the recording with SC1, it was found that Administrator is speaking with R1 in a stern manner and repeating a question “when did you ever go without money?” to R1. R1 appears to be soft spoken in the recording. However, SC1 interpreted the interaction as a statement of facts, with the Administrator providing a coaching moment to R1. LPA found that the language and question used in the conversation between R1 and the Administrator is line with R1’s behavior plan. Due to contradicting information gathered and a lack of corroborating evidence from several interviews and records gathered, the allegation is found to be unsubstantiated. Complaint alleges facility staff hit clients. Based upon interviews with residents (R1, R2 & R3) and staff (S2) there were inconsistent statements or information of staff hitting resident (R2). R2 also indicated that they had not been hit or physically mistreated by staff. Upon interview with Golden Gate Regional Center Service Coordinator (SC1), LPA found that SC1 had never observed or received statements or indications from R1 or any other residents of residents being hit by staff. Due to contradicting information gathered and a lack of corroborating evidence, the allegation is found to be unsubstantiated. Complaint alleges staff are not responding when clients call for assistance. Based upon interviews with residents (R1, R2 & R3) and staff (S2) LPA received inconsistent information regarding staff providing appropriate assistance. R2 & R3 reported no concerns and stated that staff provide care and respond timely. R1 indicated that they have not been ignored by staff but have had to wait several minutes for a assistance. All resident statements are contradicting from allegation of staff not responding, therefore the allegation is found to be unsubstantiated. A finding that the complaint allegations, facility staff do not treat clients with dignity or respect, facility staff hit clients & staff are not responding when clients call for assistance are unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.the state’s words, verbatim · CDSS document, Dec 4, 2024 · control 14-AS-20240925133534

Type of visit: Required - 1 Year

On 8/8/2024, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. inspection for this facility and was greeted by Caregiver, Etehl Atendito. Administrator, Maria Jasmin Nelson was contacted and arrived later in the visit. The facility currently provides care for 4 residents 3 of which were present, none of which are receiving hospice services or with a diagnosis of dementia. LPA continued with a tour of the facility with Administrator, facility found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on 5/15/2024. Smoke and carbon monoxide detectors found throughout the facility are interconnected. Local Fire Inspection agency had conducted inspection within the year and scheduled for re-inspection by 12/19/2024 with documentation posted. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations, with food stored in the kitchen refrigerator found to have appropriate coverings, enough for residents in care. Cleaning supplies and other toxins are safely stored in locked cabinets under kitchen sinks and garage, all of which were secured upon inspection. There was a supply of hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings and bedding items. Water measured at faucets accessible to residents measured between 115.7 and 116.6 degrees F and is within regulation. Residents that were present during the inspection were observed returning from day program in their bedroom resting and exercising. The facility encourages regular family visits and utilizes outings for resident activities. There is an outdoor patio with shade and large outdoor space for residents. All residents appear to to have a positive relationship during visit and state that they find the level of care to be adequate. Continued onto LIC809-C LPA conducted a sample file review for 4 residents and found all items to be in order. Upon a check for 3 out of 3 staff files, LPA found that caregiver staff have 1st aid and CPR and annual training up to date. In addition, upon a spot check of medications all medication counts and records are in order. Maria Jasmin Nelson's Administrator Certificate 7023981740 is currently active through 11/24/2024. LPA requested the following documents be sent to CCL by COB 8/22/2024: LIC 308 Designated Facility Responsibility LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan LIC 9020 Register of Facility Client’s/Resident’s Liability Insurance No deficiencies cited.the state’s words, verbatim · CDSS document, Aug 8, 2024