Brio Manor

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 11:00 a.m. Upon arrival, LPA Mosley was greeted by staff who called the Administrator to inform them of the visit. The Administrator / Licensee Representative, Johneil Briones arrived shortly after and the reason for the visit was explained. Entrance interview. Starting at 11:15 a.m. the LPA and staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. COMMON AREAS: This includes the living room, and dining room. At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. At 12:38 p.m., hardwire combination of smoke / carbon monoxide detectors were tested and operational at the time of the visit. The two (2) fire extinguishers were observed and fully charged on 10/30/2025. The emergency exiting plans/sketch are posted. The emergency telephone numbers are posted in the common hallway. The LPA observed required postings throughout the common space. The last emergency disaster drill took place on 10/28/2025 and are conducted quarterly. Activities were observed in the common areas. The fireplace in the living room was adequately screened and noted to be non-functional. There is a functioning telephone on the premises. Auditory alarms at the entrances and exits were observed and functional at the time of the visit. INTERVIEWS: Starting at 11:17 a.m. and throughout the visit two (2) staff and two (2) resident interviews were conducted. Staff interviews revealed that staff are knowledgeable in Resident rights, different forms of abuse, and reporting procedures. Resident interview revealed that no concerns were noted or voiced at the time of the visit. Report Continued on LIC 809-C PAGE 2... (PAGE 2) Report Continued from LIC 809-C... BEDROOMS: There are six (6) total bedrooms in the facility; five (5) bedrooms are designated as private, single occupancy, resident rooms and one (1) staff room. The staff room is kept locked at all times and observed to be occupied by staff. one (1) out of five (5) resident rooms have exits to the exterior. All passageways were observed to be clear of obstructions. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. RESTROOMS: There are two (2) total restrooms. One (1) is designated as a shared / common resident restroom, One (1) is designated as a private resident restroom. Resident restrooms were observed to be equipped with a slip resistant surface / mat. Grab bars were observed in the restrooms. The restrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured in all resident restrooms and ranged between 107.8 - 110.5 degrees Fahrenheit, all within the required range. LPA observed storage space closets in the hallway containing extra clean linens and towels for resident use. KITCHEN: The LPA inspected the kitchen/food service area at 11:50 a.m. Knives and sharps were observed in a locked drawer. Kitchen appliances were in operable condition. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. The kitchen faucet was measured for hot water temperature, and it measured 111.6 degrees Fahrenheit at 11:52 a.m. Cleaning supplies and other chemicals are kept locked under the sink and in a locked cabinet in the laundry room inaccessible to residents in care. LAUNDRY ROOM: LPA observed the locked laundry room adjacent bedroom #5. Laundry room has a washer and dryer and locked cleaning supplies. BACKYARD: The entire property is fenced. The backyard has a covered patio area with shade, patio furniture including a table and chairs for resident use. All passageways were observed to be clear. LPA observed two (2) self-latching gates. There is a gated in the ground pool that was locked and inaccessible at the time of the visit. There is a locked storage shed in the back yard inaccessible to residents. Both pathways are used as an emergency exit which were free of obstructions at the time of the visit. Report Continued on LIC 809-C PAGE 3... (PAGE 3) Report Continued from LIC 809-C PAGE 2... GARAGE: LPA observed the attached facility garage, which is accessible through the kitchen and was locked at the time of the visit. LPA observed emergency food and water, personal protection equipment (PPE) , incontinent supplies, and an extra refrigerator/freezer that were checked for proper labels and expiration dates. LPA observed an open office area. MEDICATIONS: Medication review began at approximately 12:35 p.m. Medications are centrally stored and locked in a closet at the entrance adjacent to the living room. Medications for three (3) residents were reviewed. Medications are labeled and checked for expiration dates. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. Medications reviewed were found to be self-administered as prescribed and documented on the centrally stored medication and destruction records. No errors observed during review. LPA observed the first aid supplies to be complete, including a thermometer and a current version of a first aid manual. RECORDS: INFECTION CONTROL/ EMERGENCY DISASTER PLANNING: During today’s visit the LPA reviewed the facility’s infection control practices and the facilities emergency disaster plan. Both documents were observed to be complete and updated annually as required. The facilities policies and procedures, as they pertain to infection control and emergency planning meet the regulatory standard. Resident Records: were reviewed beginning at 12:55 p.m. five (5) Resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, and current needs and services plan. All records were in order. Personnel Records were reviewed beginning at 1:39 p.m. five (5) Personnel files including the Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order. DOCUMENTS: Documents obtained during the visit include: LIC 500 facility roster and LIC 9020A Resident roster and copy of the Limited Liability insurance. Licensee representative submitted a hospice waiver increase form to LPA during the visit along with emailed it to the Regional Office. During today's inspection, the facility is in compliance with Title 22 regulations. No citations issued. Exit interview conducted. Copy of report reviewed and provided.the state’s words, verbatim · CDSS document, Dec 9, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kelly Dulek arrived unannounced to conduct a Required Annual Inspection. Upon arrival, LPA was greeted at the door by House Manager Maria Veronica Large and the reason for the visit was explained. The Licensee, Johneil Briones, arrived at approximately 03:45PM. Entrance interview conducted. Beginning at 01:58PM, the LPA, along with House Manager toured the physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: BEDROOMS: There are 5 (five) resident rooms and 1 (one) staff room. LPA observed the resident rooms, which were furnished appropriately with clean linens, furnishings, and sufficient lighting. RESTROOMS: There are two (2) resident restrooms, one in the hallway and another in the master bedroom. Both restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. Restrooms are sufficiently stocked with liquid hand soap and paper towels. Restrooms were measured for hot water, which measured within the required range. KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of seven (7) days perishable and two (2) days non-perishable food. The LPA observed all knives and sharps locked in a drawer inaccessible to residents. Cleaning supplies and toxins were observed locked under the kitchen sink. GARAGE AND GROUNDS: The garage is locked and attached to the house. There is another refrigerator in the garage with additional food. The LPA observed a sufficient supply of emergency water and food. Two (2) fire extinguishers were observed to be fully charged and recently purchased 12/07/2024. The facility maintains at a temperature. There is a covered patio area with patio furniture including a table and chairs for resident use. Facility has two (2) fence gates that self-latch with clear passageways for emergency exit use. The backyard contains a pool, which was fenced and locked appropriately. Report Continued on 809-C COMMON SPACES: The living and dining areas are clean and properly furnished with seating, a table, and television for resident use. The living room does have a fireplace, which was observed screened and inaccessible to residents in care. Combination smoke and carbon monoxide detector was tested at 04:39PM and was functional at the time of the visit. RECORDS: Records will be reviewed during the annual continuation visit MEDICATIONS: Medications will be reviewed during the annual continuation visit. INFECTION CONTROL/EMERGENCY DISASTER PLAN: Will be reviewed during the annual continuation visit. No citations issued. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Dec 11, 2024

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a continuation to a required annual visit at 10:00 a.m. The LPA was greeted by staff and informed them of the reason for the visit. Administrator Johneil Briones and designated facility Representative Holly White arrived shortly thereafter. MEDICATIONS: Medications review began at 10:35 a.m.; medications are centrally stored and kept locked in the medication closet located at the entrance of the facility. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. RECORDS: Residents’ records review began at 2:05 p.m., records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were in order. INFECTION CONTROL: Upon entry, the facility has a central entry point for symptom screening, temperature checks, and sanitation station. The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The LPA obtained the following documents: - LIC 308 Designation of facility Responsibility Exit interview was conducted. No deficiencies cited at this time. A copy of the report was provided.the state’s words, verbatim · CDSS document, Dec 18, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a required annual visit at 10:30 a.m. The LPA was greeted by staff and informed them of the reason for the visit. Administrator Johneil Briones arrived shortly thereafter. The LPA and Staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: The LPA toured the kitchen/food service area. Knives and cleaning supplies are stored inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. The hot water temperature was measured in the kitchen and measured 120.2 degrees Fahrenheit. BEDROOMS/BATHROOMS: Bedrooms were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. At 1:42 p.m. the LPA observed accessible scissors in bedroom #3 in a drawer next to the resident’s bed. The scissors were taken out and locked with the sharps immediately upon discovery. There are five designated resident rooms and one staff room. The two resident bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper towels. The hot water temperature measured at 120.1 degrees Fahrenheit in the hallway bathroom. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. There is a fireplace in the living room, which is screened and inaccessible. The facility maintained a comfortable temperature of 73 degrees F. Smoke detector(s) and carbon monoxide detector were tested at 1:32 p.m. and operational at the time of the visit. The two fire extinguishers were fully charged and last purchased on 12/4/23. The LPA observed required postings throughout the common space. There is a laundry room located in the main hallway and all cleaning and laundry supplies are kept locked and inaccessible. ** Continued on LIC 809-C** OUTDOOR AREA: The backyard has a covered outdoor area equipped with furniture for resident use. There is a side gate for resident exit and is single latched, all exits are free of obstructions. There is a gated pool which was locked and inaccessible at the time of the visit. There is an attached garage with an additional refrigerator with perishable and non-perishable food items. At 11:25 a.m. the LPA observed various expired dry food items such as macaroni and cheese, crackers, cereal and dry pasta. All identified items were discarded immediately. Additionally, two cartons of eggs requiring refrigeration were located outside of refrigerator and both cartons were discarded immediately. Cleaning supplies and tools are kept locked in the garage. The LPA observed an adequate supply of emergency food and water including a sufficient supply of Personal Protective Equipment (PPE). In addition the LPA observed the required generator with a generator switch in the backyard area. Due to time constraints, the LPA will return at a later date to complete the inspection. The LPA obtained the following documents: - Resident Roster - Liability Insurance The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, Dec 4, 2023