Bella Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Daiquiri Boyd arrived at the facility unannounced to conduct a required annual visit. LPA was granted entry by Administrative Assistant(AA) Anne Lorio and LPA explained the purpose of the visit. Licensee/Administrator (AD) Marilen Gonzales was called. (AD) told LPA that she was out of town and could not come to the home and stated AA would assist me. LPA completed the inspection with staff AA, Anne Lorio. LPA toured the home inside and outside. No exits were found to be obstructed. Temperature of the home was set at 75 degrees F. Last Fire and Emergency Drill was conducted on 5/18/26 Emergency and Disaster Plan was reviewed by facility on 5/18/26. Fire extinguisher serviced on 2/5/2026. Infection Control Plan was reviewed and last updated and reviewed by facility on 5/18/26. The home has 5 bedrooms and 2 bathrooms. All bedrooms are nicely furnished with personal affects, beds, tv's, chairs, lighting, dressers, bedside tables, and ceiling fans. Bathrooms delivered hot water at a temperature of 112 degrees F. Fire place is covered with a safety screen. LPA observed a fresh supply of fruits and vegetables, perishable and non-perishable foods. LPA observed the home to be in good condition with flooring, walls, lighting, counter tops, fixtures, all in good working order. LPA observed a supply of linens in the hall way closet. All hazardous chemicals and items are kept stored in a locked hall closet. The washer and dryer are kept in the hall way area. Smoke and carbon monoxide detectors were observed and checked and found to be in working order. The upstairs area of the home is designated at staff only as LPA verified by observation. Resident medications and medication records were reviewed. LPA reviewed three resident files and three staff files. (continued on next page) Back yard area is clean and free of hazards, pool on premises has a locked fence and gate. The back yard has two sheds, neither contains any hazards as observed by LPA. LPA requests that updated forms be sent to CCL by 4/18/25: LIC500, Liability Insurance. Signature of staff confirms receipt of this document.the state’s words, verbatim · CDSS document, Jun 1, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Daiquiri Boyd arrived at the facility unannounced to conduct a required annual visit. LPA was granted entry by Administrative Assistant(AA) Anne Lorio and LPA explained the purpose of the visit. Licensee/Administrator (AD) Marilen Gonzales was called. (AD) told LPA that she was out of town and could not come to the home and stated AA would assist me. LPA completed the inspection with staff AA, Anne Lorio. LPA toured the home inside and outside. No exits were found to be obstructed. Temperature of the home was set at 75 degrees F. Last Fire and Emergency Drill was conducted on 5/18/26 Emergency and Disaster Plan was reviewed by facility on 5/18/26. Fire extinguisher serviced on 2/5/2026. Infection Control Plan was reviewed and last updated and reviewed by facility on 5/18/26. The home has 5 bedrooms and 2 bathrooms. All bedrooms are nicely furnished with personal affects, beds, tv's, chairs, lighting, dressers, bedside tables, and ceiling fans. Bathrooms delivered hot water at a temperature of 112 degrees F. Fire place is covered with a safety screen. LPA observed a fresh supply of fruits and vegetables, perishable and non-perishable foods. LPA observed the home to be in good condition with flooring, walls, lighting, counter tops, fixtures, all in good working order. LPA observed a supply of linens in the hall way closet. All hazardous chemicals and items are kept stored in a locked hall closet. The washer and dryer are kept in the hall way area. Smoke and carbon monoxide detectors were observed and checked and found to be in working order. The upstairs area of the home is designated at staff only as LPA verified by observation. Resident medications and medication records were reviewed. LPA reviewed three resident files and three staff files. (continued on next page) Back yard area is clean and free of hazards, pool on premises has a locked fence and gate. The back yard has two sheds, neither contains any hazards as observed by LPA. LPA requests that updated forms be sent to CCL by 4/18/25: LIC500, Liability Insurance. Signature of staff confirms receipt of this document.the state’s words, verbatim · CDSS document, Jun 1, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Daiquiri Boyd arrived at the facility unannounced to conduct a required annual visit. LPA was granted entry by staff and explained the purpose of the visit. Licensee/Administrator Marilen Gonzales responded to the facility to assist with the visit. LPA completed the inspection with staff Ann Lorio. LPA toured the home inside and outside. No exits were found to be obstructed. Temperature of the home was set at 73 degrees F. Last Fire and Emergency Drill was conducted on 3/2/25. Fire extinguisher serviced on 2/7/2025. The home has 5 bedrooms and 2 bathrooms. All bedrooms are nicely furnished with personal affects, beds, tv's, chairs, lighting, dressers, bedside tables, and ceiling fans. Bathrooms delivered hot water at a temperature of 115 degrees F. Fire place is not used. LPA observed a fresh supply of fruits and vegetables, perishable and non-perishable foods. LPA did not observe a supply of emergency food and water. Disaster drill needs more information and LPA requested more details be added to the Emergency and Disaster Plan. LPA requests that an updated floor plan with location of utility shut-off's be provided to Licensing. LPA observed the home to be in good condition with flooring, walls, lighting, counter tops, fixtures, all in good working order. LPA observed a supply of linens in the hall way closet. All hazardous chemicals and item are kept stored in a locked hall closet. The washer and dryer are kept in the hall way area. LPA spoke to staff regarding keeping this area clean and the dryer properly maintained to avoid a build-up of lint. Smoke and carbon monoxide detectors were observed and checked and found to be in working order. The upstairs area of the home is designated at staff only as LPA verified by observation. Resident medications and medication records were reviewed. LPA reviewed four resident files and four staff files. (continued on next page) Back yard area is clean and free of hazards, pool on premises has a locked fence and gate. The back yard has two sheds, neither contains any hazards as observed by LPA. LPA requests that updated forms be sent to CCL by 4/18/25: LIC500, LIC610D, Liability Insurance, LIC308. Signature of staff confirms receipt of this document.the state’s words, verbatim · CDSS document, Apr 8, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct a required annual visit. LPA was granted entry by Staff Erica Ocariza and explained the purpose of the visit. Licensee/Administrator Marilen Gonzales responded to the facility to assist with the visit. The residence was set at 73 degrees F temperature and free of passageway obstructions inside and outside. LPAs observed five bedrooms in the residence. Facility is two story. Upstairs is designated for staff only. Residents' rooms were toured and inspected. Rooms were found to be clean, and furnishing was in good condition. Hot water temperature was measured at 115.4 degrees F. Kitchen toured, supply of food observed, and food stored properly for perishable and nonperishable. Medication and knives are locked in a kitchen cabinet. Cleaning supplies were locked in the hallway closet. Smoke and carbon monoxide are dual detectors, they were checked and operating. Fire extinguishers was service on 2/5/2024. Last drill completed on 02/02/24. There was outdoor seating for the residents. Outdoor area was clean and free of obstruction. Facility has a pool which is gated, locked and inaccessible to residents in care. Resident and staff records were reviewed. Medications were reviewed. An exit interview was conducted with Staff Ann Lorio, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Apr 15, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) M. Flores arrived at the facility unannounced to conduct a required annual visit. LPA was granted entry by caregiver staff and explain the purpose of the visit. Licensee Marilen Gonzales arrived at the facility minutes after to complete this annual visit. The residence was set at 70 degrees F temperature and free of passageway obstructions inside and outside. LPAs observed five bedrooms in the residence. Residents' rooms were toured and inspected. Rooms were found to be clean, and furnishing was in good condition. Hot water temperature was measured at 109.6 degrees F. Kitchen toured, supply of food observed, and food stored properly for perishable and nonperishable. Medication and knives are locked next to the kitchen area. Cleaning supplies were locked in the hallway. Smoke and carbon monoxide are dual detectors, they were checked and operating. Fire extinguishers was service on 2/6/2023. Last drill completed on 08/01/23. There was outdoor seating for the residents. Outdoor area was clean and free of obstruction. During the visit a file review was conducted for residents and staff files, refer to 809D for deficiencies. An exit interview was conducted, and a copy of this report was provided to Licensee whose signature confirms receipt. LPA requested the following updated forms faxed to CCLD by 12/08/23: Designation of Facility Responsibility (LIC308), Administrative Organization (LIC309), Personnel Report (LIC 500), Proof of current Liability Coverage, LIC 9282, Fire drill training log.the state’s words, verbatim · CDSS document, Nov 28, 2023

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.