Balboa Island Board & Care

Type of visit: Required - 1 Year

On February 11, 2026, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley introduced self and was granted entry into the facility by staff, after stating the purpose of the visit. Licensee/ Cynthia Barton arrived shortly to assist with the visit. Cynthia Barton currently has an expired Administrator certificate. The facility is licensed to operate for four (4) non-ambulatory residents, and located on the first floor of the building, in a residential neighborhood. It consists of the following: two (1) resident bedrooms, one (1) staff bedroom, two bathrooms, living room area, kitchen, and outdoor covered seating area on the patio. During the visit, LPA toured the inside and outside of the physical plant with Licensee. There were no bodies of water or obstructions on the premises. All rooms were inspected, beds and bedding supplies were in good condition, and storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be clean and operational, with water temperatures in bathrooms measured between 110 degrees F and 116 degrees F. The smoke alarms and carbon monoxide detectors were operable. First aid kit is maintained and contains all the necessary elements. The facility has one (1) fire extinguisher that was charged, mounted and charged on December 19, 2025. CONTINUE TO LIC809-C.... Current Liability Insurance was provided during the visit with a policy start date of July 22, 2025 through July 22, 2026. A working telephone (949)673-0460 remains available and the facility has a device that can be used for video teleconference purposes. LPA conducted an audit of two (2) resident files (R1-R2), two (2) staff files (S1-S2), and medication and medication administration record review. Resident and staff interviews were conducted. Based on today’s observations and record review, deficiencies were cited during this visit, as per Title 22, Division 6, Chapter 8 of the California Code of Regulations. CIVIL PENALTIES ASSESSED. An exit interview was conducted with Licensee Cynthia Barton, and a copy of this report, LIC809-D, LIC421BG, and appeals right were provided at exit.the state’s words, verbatim · CDSS document, Feb 11, 2026

The state marks this report as 6 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) William Vanegas made an unannounced inspection for the purposes of conducting a plan of correction visit in regards to deficiencies issued during last annual inspection. Upon arrival LPA Vanegas was greeted and granted entry to the facility by Care Giver (CG) Patrick Guillemer and advised the purposes of the inspection. LPA Vanegas began to review documents and conducting a facility tour to check on the well being of the residents in care, and observed the following. Residents in care were observed to be having breakfast, in the respected kitchen area. Staff was attending any resident needs, and facility is clean and sanitary. LPA Vanegas reviewed staff files; and in regards to deficiency being issued for staff members LIC503 not being available for review; this deficiency has been cleared as there was a 503 available for review, and a T.B test available for review. In regard to deficiency HSC 1569.695(a); was not corrected, and LPA Vanegas reissued the deficiency. Administrator and LPA Vanegas collaborated to make a plan of correction, and AD was made aware of the P.O.C due date. LPA Vanegas conducted an exit interview with CG Patrick Guillermer and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Apr 15, 2025

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.695(a) · Plan of correction due date: Apr 29, 2025

(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above as there were no available disaster prepeardiness plan or infection control plan available for review; which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Apr 15, 2025

Plan of correction: Administrator will aquire infection control plan and disaster preparidness plan. AD will have the plans filled out and send proof of correction via email to LPA Vanegas by P.O.C due date

Allegation investigated: Licensee is smoking inside the facility Licensee does not treat residents with dignity or respect

An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez regarding the allegations mentioned above. LPA met with Administrator (AD) Cynthia Burton. Interviews were conducted with facility residents, Staff 1 (S1), and Licensee regarding allegation Licensee is smoking inside the facility. During their interview, one of two facility residents denied having any knowledge of anyone smoking inside the facility, including Licensee and stated they do not like smoke. One of two residents was unable to confirm or deny allegation. During their interview, S1 denied Licensee, staff, or any other individual smoking inside the facility. Licensee also denied personally smoking inside of the facility and also denied any other staff smoke inside the facility. During today’s visit, LPA conducted a tour of the facility and did not observe smoke or anyone smoking inside, and facility scent was odorless. (Cont. LIC9099-C) Unsubstantiated Interviews were conducted with facility residents, Staff 1 (S1), and Licensee regarding allegation Licensee does not treat residents with dignity or respect. During their interview, one of two facility residents stated they are treated well by staff and they enjoy the tranquility at the facility. One of two residents could not confirm or deny allegation. During their interview, S1 denied Licensee does not treat residents with dignity or respect. Per S1, Licensee and staff treat facility residents well. Licensee also denied not treating resident with dignity or respect and stated they and staff treat residents well. Due to conflicting information received during interviews conducted, LPA is unable to determine if Licensee is smoking inside the facility or if Licensee does not treat residents with dignity or respect. Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore at this time the above allegations are unsubstantiated. An exit interview was conducted and copy of this report was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Mar 14, 2025 · control 22-AS-20250304115058

Type of visit: Required - 1 Year

On February 24th, 2025 Licensing Program Analyst (LPA) William Vanegas made an unannounced inspection for the purposes of an annual inspection. Upon arrival LPA Vanegas was greeted and granted entry to the facility by Administrator (AD) Cynthia Barton. LPA Vanegas made the following observations This is a one storied home with three bedrooms one of which is a staff room and two of which are resident rooms and one of which is a staff room along with two bathrooms both accessible to residents in care. LPA Vanegas observed kitchen area to be clean and free of debris. LPA Vanegas observed a two day supply of perishable food and a 7 day supply of non perishable food. LPA Vanegas observed resident bathrooms to be clean and clear of debris. Resident bathrooms were observed to have all the required furnishings such as grab bars, shower chair, and slip resistant flooring. Water faucets and toilets tested to be operational and water tested between 113.6-116.3 degrees. LPA Vanegas observed resident rooms to be clean and have no obstructions blocking the doorways. Bedrooms were observed to have all required furnishings such as a lamp, chair, chest drawers, and a bed with clean linens in good repair meaning no strains or tears. LPA Vanegas did not observe a PUB475 (see something say something) Sign of the proper dimensions posted on the entrance of the facility a technical violation was given on today's date. LPA Vanegas did not observe an emergency disaster plan available for review nor did LPA Vanegas observe and infection control plan available for review. A deficiency was cited on today's date. Smoke and carbon monoxide detectors were tested and observed to be operational. LPA Vanegas observed a fire extinguisher to not be up to date and was expired. CONTINUED ON LIC809C LPA Vanegas reviewed resident #1's resident file and observed that not all required documentation was in the file. LPA Vanegas observed that there was no file available for review of resident #2. A deficiency was cited on today's date. LPA Vanegas was not provided with a staff file for staff member that was on duty at the time of the visit, however staff member is cleared to work at the facility. A deficiency was cited on today's date. LPA Vanegas reviewed all medications with AD, and per LPA Vanegas review all medications are being documented when administered, and are being administered per physicians orders. After observations made during today's visit deficiency's will be cited per tittle 22 chapter six of the California Code Of Regulations. An exit interview was conducted and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Feb 24, 2025

The state marks this report as 6 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.