Bella Care Home LLC-Karen's Cottage

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) M Vega conducted an unannounced Annual visit. LPA arrived at facility and was granted entry by Staff. Administrator was contacted and arrived a short time later. LPA met with Administrator (AD) - Marilen Gonzales, and discussed the purpose of the visit, administrator granted Staff 1 - Anne Lorio to sign report. LPA began the tour at the entrance of the facility and toured the inside and outside of the facility. Facility was observed at a comfortable temperature (71 Degrees F), clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. Common areas furnished and well-lit throughout. LPA observed the kitchen to be absent of any trash or debris. A two day supply of perishable and seven day supply of non-perishable food were observed. Residents’ bedrooms were observed to be furnished with bed, dresser, night stand, and overhead lightning. Mattresses, box springs, sheets, and linens, were absent of any tears and stains. Bathrooms were equipped with non-skid mats and securely fastened grab bars. Towels, linens, and personal hygiene supplies were observed in storage. There are no bodies of water outside. Water Temperature measured in common bathroom mid facility measured at 112.2 degrees F. All Fire extinguishers are current 12/11/2025; Carbon monoxide and smoke detectors were observed to be operational. First Aid Kit was checked and observed to have the required supplies. Emergency exit plan, phone numbers, and required postings were observed. A working telephone was present. Continuation on LIC 809C LPA reviewed Staff and Resident files. Resident files observed to have updated information. Medications are stored in pantry area. LPA reviewed medication records accurate at the time of inspection. Chemicals to be stored in laundry area. Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate and up to date information for your facility. In an effort to maintain your facility file, please submit the most current and complete forms and/or information as identified below: Residential Care Facility for the Elderly (RCFE): LIC 308 Designation of Facility Responsibility LIC 309 Administrative Organization LIC 400 Affidavit Regarding Client/Resident Cash Resources LIC 402 Surety Bond LIC 500 Personnel Report LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly LIC 9020 Register of Facility Clients/Residents Copy of current Liability Insurance Copy of current Administrator Certificate Alternate contact information including name, telephone number, and email address. Please submit the above forms/information to Fresno CCL by: 05/08/2026 As an operator of a Community Care Licensed facility it is your responsibility to be aware of and in compliance with all regulations, including Chaptered Legislation. Go to www.ccld.ca.gov to stay updated and informed. No deficiencies issued during this inspection. An exit interview was conducted with Staff 1 A copy of this report was given to Staff 1 whose signature on this form confirms receipt of these reports.the state’s words, verbatim · CDSS document, Apr 25, 2026

Type of visit: Prelicensing

Licensing Program Analyst (LPA) M Vega conducted an announced Prelicensing visit. LPA met with Licensee and Administrator Marilen Gonzales, and discussed the purpose of the visit. LPA began the tour at the entrance of the facility and toured the inside and outside of the facility. Facility was observed at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. Common areas furnished and well-lit throughout. LPA observed the kitchen to be absent of any trash or debris. A two day supply of perishable and seven day supply of non-perishable food were observed. Medications are stored in pantry area. Chemicals to be stored in laundry area. Residents bedrooms were observed to furnished with bed, dresser, night stand, and overhead lightning. Mattresses, box springs, sheets, and linens, were absent of any tears and stains. Bathrooms were equipped with non-skid mats and securely fastened grab bars. Towels, linens, and personal hygiene supplies were observed in storage. There are no bodies of water outside. Water Temperature at master bathroom 109.0 Degrees F, Bathroom mid facility measured at 109.2 degrees F. Continuation on LIC 809C All Fire extinguishers are current 11/07/2024; Carbon monoxide and smoke detectors were observed to be operational. First Aid Kit was checked and observed to have the required supplies. Emergency exit plan, phone numbers, and required postings were observed. A working telephone was present. Component III was reviewed with Licensee and Administrator. LPA will submit report to Centralized Application Bureau for review and further processing of application.the state’s words, verbatim · CDSS document, Apr 17, 2025