B & B Residential Facilities, Inc.

Type of visit: Required - 1 Year

On 07/20/2026, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced annual inspection visit. LPA met with administrator Noralee Reyes and explained the purpose of today's visit. There are 2 staff present and 6 residents in care at time of visit. This facility is licensed for ages 60 years and over. All may be non-ambulatory. Hospice wavier on file. There is currently 1 resident 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 on the ground floor. The upper floor 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 cabinet in the main living room area. Perishable and non-perishable food items are observed as in place. LPA advised that more canned goods to be in place. There are additional refrigerator/freezer in the garage areas which also carry additional food supplies. Laundry area is located in the garage and is in working condition during time of inspection. First aid kit is observed as complete with required items. LPA observed fire extinguisher in place and charged 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. Continued on next page. Page 2 Emergency exit routes are observed inside and outside to be free and clear of obstructions. LPA observed at least 2 fire extinguishers in place with inspection dates of 10/02/2025. Last emergency/disaster drill was conducted on 06/12/2026. Water temperature was measured at 110F. All resident rooms contain a half bath. Shower floor have non-skid mats when shower is in use in the common bathroom located in the main hallway. 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 stored in a closet that is locked with cleaning supplies. 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 • Copy of 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: Case Management - Incident

On 12/17/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced case management - incident report visit. LPA met with the licensee Ante Buljan. On 11/07/2025, The Department received an incident report regarding a verbal abuse that took place on 08/24/2025. According to the incident report a staff person was observed yelling at a resident by another staff. According to interviews conducted, a staff person (S1), was assisting R1 but at some point R1 became agitated and picked up a stick to try and hit S1. S1 requested assistance from S2 at this point. R1 redirected agitation to S2 and in reaction S2 began yelling at R1. The event eventually de-escalated between staff and the resident. S2 and R1 apologized to each other after the incident. It was later found out that S1 recorded the incident after originally calling for help due to S1's inability to help the resident or de-escalate the situation. S1 has a language barrier in speaking English clearly as S1 primary language is Portuguese. As a result of the incident staff were trained in regards to personal rights. Both S1 and S2 no longer work at the facility. S1 has filed complaints to other outside agencies regarding various allegations unrelated to this incident. Those complaints and allegations are pending. As of today, there has been no substantiated allegations found against the facility from any other outside agencies. Citation is issued on the following LIC809D. Report is reviewed with Ante and a copy is provided on this day.the state’s words, verbatim · CDSS document, Dec 17, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(2) · Plan of correction due date: Dec 18, 2025

87468.1(a)(2) Personal Rights of Residents in All Facilities - To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This regulation has not been met as evidenced by: Based on interviewes conducted, and incident report recieved, it was confirmed by staff interviewed, and video evidence reviewed by the licensee, that S2 was recorded yelling at R1 in attempt to de-escalate the situation where R1 had a stick and was attempting to hit staff.the state’s words, verbatim · CDSS document, Dec 17, 2025

Plan of correction: The facility, licensee/administrator, shall conduct an in-service training with staff regarding Resident Rights, including types of abuse, handling residents with behaviors, etc. Evidence of such training to be recieved by due date.

Type of visit: Required - 1 Year

On 07/07/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced annual inspection visit. LPA met with administrator Noralee Reyes and explained the purpose of today's visit. There are 2 staff present and 6 residents in care at time of visit. This facility is licensed for ages 60 years and over. All may be non-ambulatory. Hospice wavier on file. There is currently 1 resident 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 on the ground floor. The upper floor 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 cabinet in the main living room area. Perishable and non-perishable food items are observed as in place. LPA advised that more canned goods to be in place. There are additional refrigerator/freezer in the garage areas which also carry additional food supplies. Laundry area is located in the garage and is in working condition during time of inspection. First aid kit is observed as complete with required items. LPA observed fire extinguisher in place and charged 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. Continued on next page. Page 2 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 110F. All resident rooms contain a half bath. Shower floor have non-skid mats when shower is in use in the common bathroom located in the main hallway. 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 stored in a closet that is locked with cleaning supplies. LPA reviewed 4 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 07/14/2025: • 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, Jul 7, 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 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 and documentation reviewed, staff were trained by hospice to administer medication such as morphine to those residents who may need it. Per interviews, R1 was never given morphine during her time at the facility. This allegation unsubstantiated. Based on these observations, the above allegations are UNSUBSTANTIATED. Although the allegations 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 above allegations are unsubstantiated at this time. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 16, 2025 · control 14-AS-20250314094640

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 2 staff and 5 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 observed to be locked in a cabinet located in the living room. Perishable and non-perishable food items are observed as in place. There is an additional refrigerator and freezer in the garage area 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 06/28/2023, 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 04/05/2024. 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 in a hallway closet. Continued on next page... Page 2 LPA reviewed 2 client files and also reviewed 2 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 • Copy of facility's liability insurance • 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