B & B Residential Facilities

Type of visit: Required - 1 Year

On 07/20/2026, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced annual inspection. LPA met with administrator Noralee Reyes and explained the purpose of today's visit. There is 3 staff present and 6 residents present. This facility is licensed for ages 60 years and over. All may be non-ambulatory. Hospice wavier for 3 residents. There are currently 3 residents on hospice at time of this inspection. LPA was allowed entry into the facility. This is a multilevel facility but the residents only reside on the main floor where the front door is located. The upper and ground floors are rented out to private renters. Renters do not have access to the residents in the facility. Annual fees are current. The physical plant was toured inside and outside to ensure the safety of the residents. LPA observed the facility kitchen which is clean and observed appliances are in good repair. Knives are stored and locked in the kitchen in a drawer adjacent to the stove top. Medications are also locked in a lower kitchen in a cabinet. Perishable and non-perishable food items are observed as in place. There are additional refrigerators and freezers in the garage areas which also carry additional food supplies. First aid kits are observed as complete with required items. LPA observed that there are multiple fire extinguishers in place. All are charged and within operable range, smoke detector/carbon monoxide detectors are observed in place through out the facility, and central heating/cooling system. PPE and additional food supplies are observed as in place. Laundry area is also observed as fully operational located beneath the facility. Emergency exit routes are observed inside and outside to be free and clear of obstructions. Continued on next page. Page 2 Last emergency/disaster drill was conducted on 04/28/2026. LPA observed at least 2 fire extinguishers in place with inspection dates of 10/02/2025. Water temperature was measured at 105F in a residents room half bathroom. All resident rooms contain a full bathroom. Shower floor have non-skid mats when shower is in use. LPA observed rooms at random and all appeared clean, free of odors, and contained all the required furniture per regulatory recommendations. Resident linen supplies are observed as in place. LPA reviewed 3 resident files and also reviewed 3 staff files on this day. Per resident files reviewed they are current. Per staff files reviewed all files were current with training and CPR/First Aid. Client medications are inspected and are current including facility medication administration records. Administrator certificate is observed as current expiring on 09/24/2027. The following updated forms are requested to be submitted to CCLD by 07/27/2026: • Copy of updated Administrator Certificates • LIC500 Staff Schedule • Facility liability insurance No citations issued on this day. Report is reviewed with Noralee and a copy is provided.the state’s words, verbatim · CDSS document, Jul 20, 2026

Type of visit: Required - 1 Year

On 06/17/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced annual inspection. LPA met with administrator Noralee Reyes and explained the purpose of today's visit. There is 3 staff present and 5 residents present. This facility is licensed for ages 60 years and over. All may be non-ambulatory. Hospice wavier for 3 residents. There are currently 2 residents on hospice at time of this inspection. LPA was allowed entry into the facility. This is a multilevel facility but the residents only reside on the main floor where the front door is located. The upper and ground floors are rented out to private renters. Renters do not have access to the residents in the facility. Annual fees are current. The physical plant was toured inside and outside to ensure the safety of the residents. LPA observed the facility kitchen which is clean and observed appliances are in good repair. Knives are stored and locked in the kitchen in a drawer adjacent to the stove top. Medications are also locked in a lower kitchen in a cabinet. Perishable and non-perishable food items are observed as in place. There are additional refrigerators and freezers in the garage areas which also carry additional food supplies. First aid kits are observed as complete with required items. LPA observed that there are multiple fire extinguishers in place. All are charged and within operable range, smoke detector/carbon monoxide detectors are observed in place through out the facility, and central heating/cooling system. PPE and additional food supplies are observed as in place. Laundry area is also observed as fully operational located beneath the facility. Emergency exit routes are observed inside and outside to be free and clear of obstructions. Last emergency/disaster drill was conducted on 06/15/2025. Water temperature was measured at 105F. All resident rooms contain a full bathroom. Shower floor have non-skid mats when shower is in use. LPA observed rooms at random and all appeared clean, free of odors, and contained all the required furniture per regulatory recommendations. Resident linen supplies are observed as in place. Continued on next page. Page 2 LPA reviewed 5 resident files and also reviewed 3 staff files on this day. Per resident files reviewed they are current. Per staff files reviewed all files were current with training and CPR/First Aid. Client medications are inspected and are current including facility medication administration records. Administrator certificate is observed as current expiring on 09/24/2025. The following updated forms are requested to be submitted to CCLD by 06/24/2025: • Copy of updated Administrator Certificates • LIC308 Designation of responsible staff person • LIC610E Emergency Disaster Plan • LIC500 Staff Schedule No citations issued on this day. Report is reviewed with Noralee and a copy is provided.the state’s words, verbatim · CDSS document, Jun 17, 2025

Allegation investigated: - Unqualified staff are administering medications to residents in care

On 04/16/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigaiton visit to deliver findings regarding the allegations received. LPA met with administrators Administrators Ante and Nediljka Buljan and explained the purpose of today's visit. During the course of the investigation, LPA conducted interviews, conducted research, and reviewed pertinent documents related to the allegations. According to interviews, staff were trained by hospice to administer medication such as morphine, and administered it to a hospice resident at least once. Additionally staff were being requested by family to provide the morphine at least one time. Title 22 regulations do not allow staff to administer such medication to residents even if on hopsice. This allegation is substantiated. Based on LPA interviews and items letters received, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, are being cited on the attached LIC9099D. Report is reviewed with Ante and a copy of this report is provided. Substantiatedthe state’s words, verbatim · CDSS document, Apr 16, 2025 · control 14-AS-20250314092346

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(2) · Plan of correction due date: Apr 17, 2025

87468.1(a)(2) - Personal Rights of Residents in All Facilities - (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This regulation has not been met as evidenced by: Based on inteviews conducted, the facility indicated that they were trained by hospice to provide morphine when needed. Additionally staff were being requested by family to provide the morphine at least one time. This poses an immediate health and safety risk to residents in care as the staff providing is not a skilled professional such as a nurse.the state’s words, verbatim · CDSS document, Apr 16, 2025

Plan of correction: Facility shall develop a plan to ensure how they will meet this regualtion in regards to medications such as morphine in the future. This plan shall be received by the department per the due date provided.

Type of visit: Required - 1 Year

On 07/03/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced annual inspection. LPA met with administrator Noralee Reyes and explained the purpose of today's visit. There is 3 staff present and 4 residents present. LPA was allowed entry into the facility. This is a multilevel facility but the residents only reside on the main floor where the front door is located. The upper and ground floors are rented out to private renters. Renters do not have access to the residents in the facility. Annual fees are current. The physical plant was toured inside and outside to ensure the safety of the residents. LPA observed the facility kitchen which is clean and observed appliances are in good repair. Knives are stored and locked in the kitchen in a drawer adjacent to the stove top. Medications are also locked in a lower kitchen in a cabinet. Perishable and non-perishable food items are observed as in place. There are additional refrigerators and freezers in the garage areas which also carry additional food supplies. First aid kit is observed as complete with required items. LPA observed that there are multiple fire extinguishers in place inspected 06/27/2023, smoke detector/carbon monoxide detectors are observed in place through out the facility, and central heating/cooling system. PPE and additional food supplies are observed as in place. Laundry area is also observed as fully operational located beneath the facility. Emergency exit routes are observed inside and outside to be free and clear of obstructions. Last emergency/disaster drill was conducted on 04/17/2024. Water temperature was measured at 107F. Shower floor uses non-skid mat when shower is in use. LPA observed rooms at random and all appeared clean, free of odors, and contained all the required furniture per regulatory recommendations. Resident linen supplies are observed as in place. Continued on next page... Page 2 LPA reviewed 2 client files and also reviewed 3 staff files on this day. Per resident files reviewed they are current. Per staff files reviewed all files were current with training and CPR/First Aid. P&I is not handled by the facility. Client medications are inspected and are current including facility medication administration records. Administrator certificate is observed as current expiring on 09/24/2025. The following updated forms are requested to be submitted to CCLD by 07/10/2024: • Copy of updated Administrator Certificates • LIC308 Designation of responsible staff person • LIC400 Affidavit Regarding Client/Resident Cash Resources • LIC610E Emergency Disaster Plan • LIC500 Staff Schedule • Copy of control of property No citations issued on this day. Report is reviewed with Noralee and a copy is provided.the state’s words, verbatim · CDSS document, Jul 3, 2024