Bel Amor III

Type of visit: Required - 1 Year

On 5/5/2026, LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Licensee Olivia Deanda. LPA explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas, kitchen area & garage. The indoor and outdoor passageways were free of obstruction. LPA observed some residents were in the living room watching tv and doing some activities with the care staff. While touring the facility it was observed that the room temperature was at 69 deg F. Hot water was also tested and the temperature was 108 deg F. The residents have adequate amount of linens and incontinence care items. All personal belongings are intact. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current. Resident bedrooms and bathrooms were observed to be in good repair equipped with grab bars and non-skid mats. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Emergency drills are logged and done every quarter. Three resident records and three staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete. Facility accepts hospice residents and are in compliance with the required waiver requirements. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. LPA requested a copy of the Liability Insurance. No deficiencies are cited at this time. Report is reviewed with Administrator and a copy is provided.the state’s words, verbatim · CDSS document, May 5, 2026

Allegation investigated: - Staff are not documenting medication properly

On 03/25/2026, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint inspection visit to deliver findings regarding the allegations received. LPA met with Olivia Deanda and explained the purpose of today's visit. During the investation, LPA interviewed staff and reviewed pertinent documents. LPA reveiwed facility's centralized medication record and daily record for medications. Per review, LPA observed that the medications are logged correctly in the centralized medication record for prescribed medications, but for the daily record for medications, LPA did observe prefilling of medications being administered to a resident for a few days, which supports the information received as part of the complaint. It was indicated in the complaint supporting documents that medications were marked as from 1/13/26 to 1/20/26 before they were actually given and this record was observed by the complaining party on 1/14/26. LPA observed this record and confirmed observation and the reporting of this. Based on this observation, LPA confirmed that PRN medication is not accurately documented on the MAR for R1. This allegation is substantiated. Based on LPA interviews and items 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 administrator. A copy of report is provided with appeal rights. Substantiatedthe state’s words, verbatim · CDSS document, Mar 25, 2026 · control 14-AS-20260204105434

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(a) · Plan of correction due date: Apr 2, 2026

87506(a) Resident Records. A separate, complete, and current record shall be maintained for each resident in the facility, readily available to facility staff and to licensing agency staff and shall contained specified information. This regulation has not be met as evidenced by: Based on medication administration record (MAR) observed, R1's medication was prefilled in sowing it was administered for at lease two weeks prior to when it was actually given. This poses a potential health and safety risk to resident in care.the state’s words, verbatim · CDSS document, Mar 25, 2026

Plan of correction: Facility shall ensure compliance with this regulation at all times by submitted a plan addressing the regualtion and correcting the records indicating this regualation is followed at all times.

Type of visit: Required - 1 Year

On 6/17/2025, LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Administrator Olivia Deanda. LPA explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms and kitchen area and backyard. LPA observed a storage shed at the back of the facility. LPA observed residents having exercise activities. While touring the facility it was observed that the room temperature was at 72 deg F. Hot water was also tested in the bathrooms and the temperature was 110 deg F. The facility is observed to be clean and well maintained. Residents bedrooms were observed to be well organized and fully furnished with adequate lighting. Sharps and toxic materials were observed locked. Food supply was observed with an adequate two day perishable and seven day 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. Resident records and staff records were reviewed. 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. Administrator will send the Liability Insurance to LPA. No deficiencies cited today. Report is reviewed and copy is provided.the state’s words, verbatim · CDSS document, Jun 17, 2025

Type of visit: Required - 1 Year

On 6/17/2024, LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Staff, Reyna Epstein. LPA explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas, kitchen area & garage. The indoor and outdoor passageways were free of obstruction. LPA observed a storage shed at the back of the house which was also checked. LPA observed some residents were in the living room watching tv. After a while, the residents were observed to be having coloring and reading activities. While touring the facility it was observed that the room temperature was at 71 deg F. Hot water was also tested in the bathrooms and the temperature was 106 deg F. The residents have adequate amount of linens and incontinence care items. All personal belongings are intact. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current. Resident bedrooms and bathrooms were observed to be in good repair equipped with grab bars and non-skid mats. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Emergency drills are logged and done every quarter. Six resident records and four staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs. Facility has a certified administrator, certificate still pending status. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. LPA received updated Certificate of Liability Insurance and LIC500. No deficiencies cited today. Report is reviewed and copy is provided.the state’s words, verbatim · CDSS document, Jun 17, 2024