Bernadette Home Care II

Allegation investigated: Staff do not provide adequate food service Staff do not safeguard resident's personal belongings

Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced complaint visit to investigate the allegations listed above. Upon arrival LPA met with staff and explaind the reason for the visit. Administrator arrived shortly after. At approx 12:55 p.m. LPA conducted physical plant, interviewed staff, residents and reviewed and obtained copies of pertinent documentation relevant to the investigation. It was reported that "staff do not provide adequate food service" as It was alleged that the facility frequently provides Resident #1 (R1) with food that is not appropriate for a diabetic diet. LPA interviewed two of five residents who stated they had no concerns with the quality, variety, or taste of the food provided. One resident stated they liked the food and its variety but preferred to obtain food from outside the facility. LPA was unable to effectively interview the remaining three residents. LPA also interviewed R1's family/responsible party, who reported no concerns regarding the food provided to R1 or the other residents. Unsubstantiated Continued from 9099 During the physical plant inspection, LPA observed an adequate supply of perishable and nonperishable food, including lean proteins, fresh vegetables, whole grains, and fresh fruit, properly stored and available to meet residents' dietary needs. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation 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 "Staff do not provide adequate food service" has been deemed Unsubstantiated at this time. It was reported that "Staff do not safeguard resident's personal belongings" as It was alleged that staff took R1's blood glucose monitor and refused to return it. Interviews and record review determined that the facility centrally stored the blood glucose monitor for R1. Staff reported that the sensor routinely replaced every 10 days. On the scheduled replacement date, R1 refused to wear the device. LPA confirmed that R1 did not have a physician's order or prescription for the blood glucose monitor. LPA's interview with R1 reflected that they did not want to wear the device. When LPA asked whether they wanted staff to return the device, R1 declined. LPA's interview with two (2) other residents in care reflected that they had no concerns with staff taking away their personal belongings. LPA also interviewed R1's family/responsible party, who reported no concerns regarding staff taking away residents personal belongings. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation 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 "Staff do not safeguard resident's personal belongings" has been deemed Unsubstantiated at this time. During the visit, the Administrator informed LPA that they needed to leave the facility due to a prior appointment. The Administrator stated that available facility staff were authorized to sign documents on their behalf. Exit interview conducted and copy of report issued.the state’s words, verbatim · CDSS document, Aug 3, 2026 · control 29-AS-20260731114430

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Brian Balisi conducted a Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint Control # 29-AS-20260731114430). The purpose of the visit is to issue a citation for deficiencies observed during the initial complaint investigation unrelated to the complaint. During today’s visit, LPA met with staff and the reason for the visit was explained. Administrator arrived shortly after. During today's visit, LPA determined that Resident #1 (R1) uses a continuous glucose monitor. R1's Physician's Report dated 10/16/2025 indicates that R1 is unable to perform their own glucose testing. Interviews and record review revealed that facility staff have been applying R1's continuous glucose monitor, which requires insertion of a sensor, and recording R1's glucose readings since September 2025. LPA did not observe a physician's order authorizing daily glucose monitoring. Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies were cited (refer to LIC 809-D.) Failure to correct may result in civil penalties. During the visit, the Administrator informed LPA that they needed to leave the facility due to a prior appointment. The Administrator stated that available facility staff were authorized to sign documents on their behalf. Exit interview conducted, and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Aug 3, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87628(a) · Plan of correction due date: Aug 4, 2026

The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing... through injection, or has it administered by an appropriately skilled professional. This requirement was not met as evidenced by: Based on interviews and record review, the Licensee did not comply with the regulation cited above as facility staff were applying a glucose monitor daily without a physician's order, which posed an immediate health and safety risk to the resident in care.the state’s words, verbatim · CDSS document, Aug 3, 2026

Plan of correction: Licensee rep agreed to contact R1's PCP and inquire about the glucose monitoring. Licensee rep also agreed to review section cited and provide a written plan to ensure future compliance then send to LPA via email by COB 08/04/2026.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87465(e) · Plan of correction due date: Aug 14, 2026

For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed...physician's order and the label shall contain at least all of the following information. This requirement was not met as evidenced by: Based on interviews and record review, the Licensee did not comply with the regulation cited above as R1's glucose levels were being monitored daily by facility staff without a physician's order, which posed a potential health and safety risk to the resident.the state’s words, verbatim · CDSS document, Aug 3, 2026

Plan of correction: Licensee rep agreed to review section cited and provide a written plan to ensure future compliance then send to LPA via email by COB 08/14/2026.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit at 9:20 a.m. The LPA was greeted by Caregiver, Virginia Ching. Caregiver contacted the Administrator by phone, Bernadette Abiera. At 9:30 a.m. Administrators arrived at the facility. LPA informed the reason for the visit. Entrance Interview. At 9:35 a.m. LPA conducted a physical plant tour inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. Fire extinguishers are fully charged and last serviced 7/15/2025. At 9:41 a.m. the smoke detectors and carbon monoxide detectors were tested and functioned properly. The facility has a fire door in the hallway which also functioned properly. COMMON AREAS: This includes the living room and dining room areas. LPA observed common areas to be clean and properly furnished at the time of the visit. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly. The facility maintained a temperature of 73 degrees. Facility provides sufficient space to accommodate both indoor and outdoor activities. LPA observed a working phone available for residents use whenever needed. BEDROOMS: There are 6 (six) total bedrooms; 5 (five) are designated as resident rooms - 1 (one) shared and 4 (four) private and 1 (one) is designated as a staff room. All residents’ rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Continued on LIC 809-C Continued from LIC 809 BATHROOMS: The LPA observed three (3) bathrooms in the facility; one is a shared resident bathroom, one is a private bathroom, and one is a staff restroom. Bathrooms were observed to be equipped with non-slip resistant surfaces and grab bars. Hot water temperature was measured in both residents’ bathrooms and were within the required range of 105 and 120 degrees Fahrenheit. KITCHEN: The LPA observed the kitchen to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food and water. LPA conducted a review of expiration dates on product labels. Cleaning supplies are located in a locked cabinet under the kitchen sink and separate from food supplies. All sharps were locked in a kitchen drawer next to the refrigerator and inaccessible to residents in care. At 9:45 a.m. hot water temperature measured 118.5 degrees Fahrenheit. OUTDOOR SPACE: The backyard has a covered patio area with patio furniture, and the front porch is covered and equipped with furniture as well. All passageways were observed to be clear. The LPA observed a non-operable water fountain in the backyard, with no water present inside the fountain during today’s visit. Facility has four gates; the two (2) side gates leading to the front yard were observed to be self-closing and self-latching gates with clear passageways for emergency exit use. Garage/Laundry room: The garage is attached to the house, and it remains locked and inaccessible to the residents in care. Inside, LPA observed emergency food and emergency water, mobility aids such as walkers, wheelchairs, adult briefs. Additionally, in the garage is where the washer and dryer are kept. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and emergency disaster plan. The facility’s policies and procedures as they pertain to infection control are adequate, however they were neither reviewed nor annually updated. Technical Violation (TV) issued. Emergency disaster drills are conducted quarterly, with the last drill documented on 01/02/2026. Continued on LIC 809-C Continued from LIC 809-C RECORD REVIEW: Between 12:15 p.m. and 1:30 p.m. LPA reviewed five (5) staff files and six (6) resident files. Files were reviewed for, but not limited to: Physician's Reports, Personal Rights, Admission Agreements, staff training records, health screenings, TB tests, and background clearance. All files reviewed were observed to be in compliance with regulation. MEDICATION REVIEW: Medications are securely stored in a locked closet located in the main hallway. At 11:40 a.m. LPA reviewed medications for six (6) residents. All medications observed were labeled, stored, and properly documented at the time of the visit. INTERVIEWS: One (1) staff was interviewed; no concerns noted, and staff answered questions appropriately. During today's visit, LPA gathered the following Personnel report (LIC 500), Resident Roster, a copy of the facility's liability insurance. No citations issued. Exit interview conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Mar 20, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit at 9:45 a.m. The LPA was greeted by Caregiver, Virginia Ching. Caregiver contacted the Administrators by phone, Bernadette Abiera and Jannette Villapando. At 10:00 a.m. Administrators arrived at the facility. LPA informed the reason for the visit. Entrance Interview. At 10:17 a.m. LPA conducted a physical plant tour inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. Fire extinguishers are fully charged and last serviced 7/15/2024. At 10:41 a.m the smoke detectors and carbon monoxide detectors are combined units; they were tested and functioned properly. The facility has a fire door in the hallway which also functioned properly. No fire clearance concerns were observed. COMMON AREAS: This includes the living room and dining room areas. LPA observed common area to be clean and properly furnished at the time of the visit. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly. The facility maintained a comfortable temperature of 73 degrees. Facility provides sufficient space to accommodate both indoor and outdoor activities. LPA observed a working phone available for residents use whenever needed. BEDROOMS: There are 6 (six) total bedrooms; 5 (five) are designated as resident rooms - 1 (one) shared and 4 (four) private and 1 (one) is designated as a staff room. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Continued on LIC 809-C Continued from LIC 809-C BATHROOMS: The LPA observed 3 (three) restrooms in the facility; one is a shared resident restroom, one is a private restroom, and one is a staff restroom. Restrooms were observed to be equipped with non-slip resistant surfaces and grab bars. Between 10:22 a.m. and 10:40 a.m. hot water temperature was measured in both bathrooms and was within the required range of 105 and 120 degrees Fahrenheit. KITCHEN: The LPA observed the kitchen to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food and water. LPA conducted a review of expiration dates on product labels. Cleaning supplies are located in a locked cabinet under the kitchen sink and separate from food supplies. At 10:43 a.m. hot water temperature measured at 110.7 degrees Fahrenheit. OUTDOOR SPACE: The backyard has a covered patio area with patio furniture and the front porch is covered and equipped with furniture as well. All passageways were observed to be clear. There were no bodies of water on the premises. Facility has two total side gates; both were observed to be self-closing and self-latching gate with clear passageways for emergency exit use. Garage/Laundry room: The garage is attached to the house, and it remains locked and inaccessible to the residents in care. Inside, LPA observed emergency food and emergency water, mobility aids such as walkers, wheelchairs, adult briefs. Additionally, in the garage is where the washer and dryer are kept. LPA observed detergents and chemicals securely locked inside a cabinet. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster drills are conducted quarterly, with the last drill documented on 01/24/2025. Continued on LIC 809-C Continued on LIC 809-C RECORD REVIEW: Between 11:08 a.m. and 12:39 p.m. LPA conducted a file review of resident and staff records. During the resident files review, LPA observed that Resident #1’s (R1’s) physician’s report (LIC 602A) indicated their ambulatory status as bedridden. However, during the facility walkthrough, LPA observed R1 seated in a wheelchair in the living room watching TV. Per facility administrators, an amended LIC 602 will be submitted by R1’s case manager to reflect R1’s current ambulatory status and a copy will be sent to LPA. Furthermore, LPA observed a refusal TB test for R1. Reason for refusal was that a chest Xray was taken on 12/31/2024. However, LPA noted that the medical documentation providing this information was dated on 12/31/2025. All staff files reviewed were complete during today’s visit. MEDICATION REVIEW: Medications are securely stored in a locked closet located in the main hallway. At 1:45 p.m. LPA reviewed medications for six (6) residents. All medications observed were labeled, stored, and properly documented at the time of the visit. INTERVIEWS: Two (2) staff were interviewed; no concerns noted, and staff answered questions appropriately. During today's visit, LPA was not able to interview residents due to medical conditions. Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies were cited (refer to LIC 809-D.) Administrator was informed that failure to correct the deficiencies may result in civil penalties. Exit interview conducted, appeal rights discussed, and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Mar 13, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Teresa Camara arrived at the facility unannounced to conduct a required annual visit at 11:00 a.m. LPA met with Licensee/Administrator Bernadette Abiera and explained the reason for the visit. At 11:05 a.m. LPA conducted a physical plant tour inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. Fire extinguishers are fully charged and last serviced 7/15/2023. The smoke detectors and carbon monoxide detectors are combined units; they were tested and functioned properly. The facility has a fire door in the hallway which also functioned properly. No fire clearance concerns were observed. KITCHEN: The LPA observed the kitchen to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food and water. Cleaning supplies are located in separate locked cabinets with additional supplies in the locked garage. COMMON AREAS: This includes the living room and dining room areas. LPA observed common area to be clean and properly furnished at the time of the visit. Exit doors contain alarms and were functional at the time of the visit. BATHROOMS: There are two (2) bathrooms for resident use. One is a private bathroom located in a shared bedroom and one is a shared bathroom located in the hallway. Bathrooms were observed to be equipped with nonskid surfaces and grab bars. The water temperature measured 115.7*F which was within the required range. BEDROOMS: There are four (4) private bedrooms and one shared bedroom. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. (continued on LIC809C) (continued from LIC809) OUTDOOR SPACE: The backyard has a covered patio area with patio furniture and the front porch is covered and equipped with furniture as well. All passageways were observed to be clear. There were no bodies of water on the premises. RECORD REVIEW: Staff and resident records were reviewed. The files all appeared complete. INTERVIEWS: Two (2) staff were interviewed; no concerns noted and staff answered questions appropriately. During today's visit, LPA was not able to interview residents due to medical conditions. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster drills are conducted quarterly. MEDICATION REVIEW: Medications for two (2) residents were observed. All medications observed were labeled, stored, and properly documented at the time of the visit. No deficiencies cited. Exit interview conducted. A copy of today's report was provided.the state’s words, verbatim · CDSS document, Apr 5, 2024