B & C Elderly Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual inspection. LPA was greeted, granted entry by staff and explained the reason for the visit. Structure: The facility is a single level structure and licensed for six residents and six residents are admitted to the facility. There’s a total of 5 bedrooms (4 resident and 1 staff room) and 2 restrooms available. There’s a living room space, a dining space, backyard area and an attached garage. Bedrooms: All bedrooms have the required furnishings. Bathroom(s): Bathrooms are equipped with a working toilet, wash basin, and shower. Hot water measured in between 105.8 – 106.1 degrees F. Kitchen: 4 of 4 burners and the warmer were operational on the gas stove. Sharps are stored in the locked medication cabinet near the refrigerator. Food Service: A food supply that meets regulation requirements was observed. Client & Staff Files: Resident and staff files are located in locked cabinet in the garage. File Review: Five resident files and three staff files were reviewed during the inspection. Medications/First-Aid Kit: Resident medications are stored in a locked kitchen cabinet near the refrigerator. A first aid kit with all the required elements was observed in the medication cabinet. Medication Review: All six resident medication were reviewed during the visit. Continued on LIC809C Linens & Hygiene Supplies: Hygiene items were observed in locked cabinets in the main hallway. Additional hygiene and incontinent care supplies were observed in the garage. Garage Area: Walk ways were free of obstruction. A laundry area equipped with a washer and dryer was observed. A office area was observed. An additional perishable and nonperishable food supply was observed. Emergency items were observed including a supply of emergency food and water. Backyard/Exterior: A table and chairs was observed under a shaded gazebo areas. There’s a storage shed in the back yard with miscellaneous facility items. Bodies of Water: None Smoke/Carbon Monoxide Detectors: Smoke and carbon monoxide detectors tested operational. Fire Extinguisher: Fire extinguishers was observed mounted on the wall in the kitchen and on mounted on the wall in the living room area. An emergency evacuation drill: Have not been conducted. Emergency Phone Numbers, House Rules, Exit Plan & Menu: Facility postings are posted are available for review on the wall near the front door. Additional Comments: Contact information was reviewed and updated during the visit. Deficiencies are being cited as a result of today’s inspection, and Technical Advisories will be issued. An exit interview conducted, and a copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, Aug 27, 2026

The state marks this report as 10 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: POC

Licensing Program Analyst (LPA) Jenifer Tirre made an unannounced visit to the facility for the purpose of a Plan of Correction (POC), based upon deficiencies cited during annual inspection on 9/29/2025. On 9/30/2025, Administrator John Jason Eugenio contacted Licensing to inform that a water mixing valve was ordered to help correct water temperature of sink and expected to be delivered 10/1/2025. On 10/1/2025 Administrator Eugenio sent a video with water measuring at 108.0. Based upon today’s inspection visit, LPA observed the following; Water temperature in restrooms was measured at 108.3 degrees Fahrenheit. *Deficiency cited under Title 22 Regulations, section 87303 (e)(2) dated 9/29/2025 has been cleared. Licensee complied with the terms of the POC. Licensee adjusted water temperature to be within regulations. Therefore, deficiency has been cleared. Based on the observations no deficiencies were noted today. An exit interview was conducted with Administrator John Jason Eugenio and A copy of report was provided along with copy of Plan of Correction (POC) letter.the state’s words, verbatim · CDSS document, Oct 10, 2025

Type of visit: Required - 1 Year

On September 29, 2025, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Assistant Administrator John Jason Eugenio was available to assist with facility inspection. The facility is licensed for six (6) non-ambulatory residents with approved hospice waiver for six (6) residents. Currently, there are zero (0) Hospice residents present during today’s visit. This is a single story with attached garage facility. The facility has five bedrooms (two shared resident rooms, two private resident rooms and one staff room) and two full bathrooms. LPA conducted a tour of the physical plant accompanied by Assistant Administrator John James Eugenio, and the following was observed: There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 115.8 to 121.1 degrees F. A comfortable temperature of 73 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for cleaning supplies and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient two day perishable and seven day non-perishable food was maintained. Facility has supply of emergency food and water. Facility has one fire extinguisher which was mounted and fully charged. CONTINUED ON 809C During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents. LPA observed the facility has mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. The last fire drill was conducted on June 27, 2025. The facility had operational smoke and carbon monoxide detectors in bedrooms and common areas. The facility has current liability insurance on file effective 10/9/2024 – 10/9/2025. A review of six residents (R1-R6) service files and three staff (S1-S3) personnel files revealed to be complete. LPA verified on active certification list, facility has the current administrator's certification on file for John Jason Eugenio #7029054740 - Expiration 10/15/2026. Based on the observations made during today's visit, the following violation is being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report as well as appeal rights were discussed and provided to Facility Representative.the state’s words, verbatim · CDSS document, Sep 29, 2025

Allegation investigated: Staff does not assist resident with care needs in a timely manner

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed resident and staff. Regarding the allegation that staff does not assist resident with care needs in a timely manner, the investigation revealed the following: Resident 1 (R1) indicated needing incontinence care and requesting from Staff 1. Incontinence care was not provided resulting in resident remaining soiled through the night. Interview with staff indicated an awareness of the situation occurring. R1 indicated requesting a facial wipe from S1 for cleansing and not receiving the wipe for 3 days. Staff confirm the incident. Assistant Administrator as well as staff state S1 was released from duty on 08/30/2024 and is no longer employed at the facility. Based on interviews conducted, 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, Chapter 8), are being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report was provided to facility administrator along with appeal rights. Substantiatedthe state’s words, verbatim · CDSS document, Sep 4, 2024 · control 22-AS-20240826114350

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(1) · Plan of correction due date: Sep 18, 2024

Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff, residents, and other persons. This req is not being met as evidenced by: Based on interviews conducted, Licensee failed to ensure residents are afforded dignity in the facility. R1 was left soiled and not provided requested supplies. This poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Sep 4, 2024

Plan of correction: Licensee to provide retraining on personal rights and forward proof to LPA by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to B & C Elderly Care The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the facility and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents. Facility has an approved hospice waiver for 6 residents and the facility currently has 2 residents on hospice. Assistant Administrator John Eugenio has an administrator certificate valid until 10/15/2024. LPA Lyman along with Assistant Administrator toured the facility at 11:20 AM. LPA toured the physical plant, checked food service, first aid kit and reviewed records. Facility appears to be clean, safe, and sanitary. The home consists of four resident bedrooms, 1 common restroom, resident restroom, one staff room, living room, dining room, and kitchen. Facility has required postings in entrance of facility. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. LPA observed two residents with bed rails. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 107.2 and 107.9 degrees F in all facility bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. Auditory exit alarms were operational during today's visit. First aid kit had all the elements including thermometer, tweezers and scissors. LPA observed toxins are secured during today's visit. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Smoke detectors and carbon monoxide detectors tested operational during today's visit. Fire extinguishers are fully charged. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample shaded seating for residents. Exit gate is unlocked and self latching. LPA observed ample emergency food. LPA reviewed the emergency disaster plan and plan is thorough and complete. Facility provided documentation of last fire drill conducted on 06/15/2024. Facility provides activities in the form of exercise and music therapy and LPA observed resident participating in exercise during the visit. CONTINUED ON LIC 9099C DATED 09/04/2024. LPA reviewed five resident files and three staff files. Resident files contained required documents including admission agreements, physician reports and resident appraisals. Staff files reviewed contained required documentation as well as CPR training and criminal record clearance. Staff files did not contain proof of required annual training. LPA reviewed medication storage and administration. Medications are stored in a locked cabinet. Medications are being administered per physician order and medications are audited monthly. Based on the observations made during today's visit, the following violation is being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report as well as appeal rights were discussed and provided with facility representative.the state’s words, verbatim · CDSS document, Sep 4, 2024