Blas Homes

Type of visit: Required - 1 Year

On April 16, 2026, Licensing Program Analyst (LPA), Jarred Torres, arrived at the facility unannounced to conduct an annual inspection and met with House Manager, Ahnna Hayes. The Administrator, Daniel Blas, was unable to come to the facility due to transporting a new mattress from another city to the facility. A facility file review was conducted at the regional office and additional records were requested and reviewed at the facility. The facility is licensed for six elders and was operating at a census of five elders. The LPA toured the facility and made observations pertaining to the annual inspection. The LPA inspected the facility inside and outside. There were no obstructions on the indoor and outdoor passageways at the time of this visit. Additionally, there were no bodies of water on the premises. During the tour of the premises, the LPA observed the facility phone to be operable. The facility's phone number is 951-999-9212. The LPA observed the residents' bedrooms which were equipped with the required furniture as stated in Tittle 22 of the California Code of Regulations (CCR). The furniture in all areas of the facility was observed to be in good condition. The facility's appliances were observed to be operational at the time of this visit. Required postings regarding safety, personal rights, and emergency exits were posted in the home. Sharp items were kept locked and inaccessible to residents in care. The facility's cooling and heating system is operational and the air temperature was at 73 degrees Fahrenheit (F) and the hot water was measured at 119 degrees F. Continued on LIC 809-C... The LPA observed the medications to be locked and inaccessible to clients in care. The medication supply was sufficient for the five clients in care. There were no discrepancies with the centrally stored medications. In the kitchen, the food supply of non-perishable and perishable foods consisted of, but not limited to, bread, rice, pasta, frozen meats, vegetables, water, and fruits. The facility goes grocery shopping once per week and maintains an appropriate food supply for the five clients in care. Adequate staff was present for the supervision of the five residents in care. The facility has a designated area for storing activity supplies and activities are conducted in the living room. Telephone numbers and floor plans were posted in the facility. The Administrator has a current administrator's certificate on file. Client files and staff files were reviewed and no deficiencies were observed. Their files were stored in a secure location. The LPA reviewed the emergency disaster plan and fire clearance at the regional office. The last fire drill was on March 1, 2026. The fire alarms and carbon monoxide detectors were tested and operational. The fire extinguishers were in good condition and were inspected on April 8, 2025. The emergency disaster plan meets the department's standards. The LPA inspected the bathrooms and observed the hand washing stations to be stocked with soaps, bath tissue, and single-use hand towels. Furthermore, the bathrooms were free of dust and debris. Additionally, the facility has an approved infection control plan in their files. An exit interview was conducted and this report was reviewed and provided to House Manager, Ahnna Hayes, whose signature on this form confirms receipt.the state’s words, verbatim · CDSS document, Apr 16, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Debbie Palacios made an unannounced visit to the facility to conduct a required annual inspection. LPA met with House manager Ahnna Hayes who was informed of the purpose of the visit. The facility has a fire clearance for six (6) ambulatory only and serves adults age range 60 and over. Waiver granted for hospice care for three (3). House Manager was the only staff present during the visit and has a criminal record clearance and is associated with the facility. LPA toured the facility with House Manager and reviewed records. During the tour, LPA observed the facility is made up of a one (1) story home with three (3) resident bedrooms, one (1) staff room, two (2) bathrooms, a living room, dining room, kitchen and attached garage. All resident's bedrooms had required furniture and lighting. LPA toured the facility's exterior and observed outdoor pathways were free of obstructions. Outdoor shaded seating area is also available for the residents in care. LPA observed a hallway cabinet filled with clean towels, blankets, and linen, available for the residents. LPA toured the kitchen and observed the facility has a 2-day supply of perishable foods and more than a 7-day supply of non-perishable foods, which are stored in a safe and healthful manner. LPA toured the garage and observed an additional refrigerator with perishable foods. LPA also noted the facility secures additional cleaning solutions, laundry detergent, and disinfectants in the locked garage. House Manager tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. Medications are secured in a locked cabinet stored in the hallway closet. Exit signs, emergency contact information, resident's personal rights, and complaint information are visibly posted near the entrance. Staff files reviewed include but not limited to have personnel records, required training, and valid first aid/CPR certification. Administrator Certificate is valid until 09/14/25. LPA was unable to review the facility's Fire Drill logs and earthquake drill due not having the physical document or file in the facility (Deficiency Cited). Resident files included but are not limited to signed admission agreements, pre-placement, personal rights, house rules, needs and service plans, and physician reports. Facility sketch, LTCO, CCL complaint poster, license and emergency disaster plan is posted on a wall in the living room. Based on facility missing Fire and Earthquake drill documentation, a deficiency will be cited. An exit interview was conducted. A copy of this report, LIC 809-D, and the appeal rights were provided to House Manager Ahnna Hayes.the state’s words, verbatim · CDSS document, Apr 2, 2025

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Debbie Palacios conducted a case management visit to address concerns regarding the facility not having resident's files/records available at the time of the visit. The LPA met with House Manager (HM) Ahnna Hayes and informed her the purpose of the visit. During the time of the visit, LPA was unable to review resident and staff record's; House Manager (HM) Ahnna reported to LPA that the resident's records were inaccessible due to Director Daniel Blas having them in his possession. Director Daniel Blas was not present during this visit due to family emergency. Based on resident files not being available at the facility, a deficiency will be cited for not having resident records available for review. An exit interview was conducted and a copy of this report was provided along Appeal Rights.the state’s words, verbatim · CDSS document, Jan 14, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(a) · Plan of correction due date: Jan 14, 2025

87506(a) Resident Records. A separate, complete, and current record shall be maintained for each resident in the facility, readily available to facility staff and to licensing agency staff and shall contained specified information. Staff were unable to provide LPA with resident records, as they did not have access to them.the state’s words, verbatim · CDSS document, Jan 14, 2025

Plan of correction: Licensee must provide proof that resident records are readily available to facility staff and to licensing agency staff by the POC date of 1/31/25.

Type of visit: POC

On today's date Licensing Program Analyst (LPA) Javina George conducted an announced Plan of Corrections-Pre licensing visit. LPA met with Daniel Blas and explained the purpose of today's visit. On 1/31/24 an initial pre licensing visit was conducted and the following items were noted to be missing: Bedroom furniture (chair, night stand, a lamp, or lights sufficient for reading, and a chest of drawers), Night Lights, Towels and Linens, Grab bars and non-skid mat, Hot water temperature (105 -120), Exit signs, Emergency call button/ bell, Required Postings (Emergency Disaster Plan (LIC 610E), Theft and Loss Policies, Visitors Policy, Personal Rights, rights of resident council, a Facility Sketch (LIC 999), and Complaint Information, Ombudsman). Activity supplies (magazines, and games), Fireplace Cover and Liability insurance. The purpose of the visit was to verify the items noted above had been corrected. LPA conducted a tour of the interior and exterior of the home. The facility is a single story home with a total of four (4) bedrooms, three (3) are designated for residents and one (1) is designated for a live in caregiver. There are a total of two (2) bathrooms, 1 of which is for resident use. The hot water was tested in the resident bathroom and was found to be within regulatory limits as it was measured to be 118.7 degrees Fahrenheit. LPA observed 2 grabs bars and a nonskid mat inside the bathroom in the shower/bathtub. Upon entry to the facility LPA observed the required postings such as the Emergency Disaster Plan (LIC 610E), Theft and Loss Policies, Visitors Policy, Personal Rights, rights of resident council, Facility Sketch and Complaint Information. LPA observed a screened and locked fireplace inside the family room. LPA also observed for there to be games such as checkers, word searches, as well as other books available for the residents to use to promote and encourage socialization. Each resident bedroom was observed to have a chair, night stand, lamp and a chest of drawers. Additionally inside the resident bedrooms, each night stand was observed to have a bell, for the residents to use to alert staff when assistance is needed. LPA observed for there to not be any outlets in the hallway, however there were operable night-lights switches mounted on the wall. LPA observed for there to be a supply of towels and linens (comforters, and sheets) readily available for the residents to use. LPA was provided proof Liability insurance was the obtained and was observed to be in effect 3/1/24-3/1/25. LPA did not observe the two Males that were present on the visit that was conducted on 1/31/24. Per the Administrator Daniel, the home was being used as a room and board, and the two individuals have since vacated the premises. However LPA observed for there to be a female individual/Staff #1 (S1) that is residing in the home and per Mr. Blas both he and S1 will both be running the home. LPA discussed the immediate need to have S1 obtain proper fingerprint clearance. LPA also discussed Guardian and having access as well as the need to ensure all individuals over the age of 18 that will be residing at the home and providing care and supervision to the residents have obtained proper fingerprint clearance and are associated to the facility. Based on today's inspection the home is still not ready for licensure, as there is an uncleared individual (S1) residing in the home. LPA discussed the available options, which includes to have S1 vacate the premised and encouraged Mr. Blas to not accept any residents in the home until there are properly cleared individuals. All other noted missing items have been completed. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Daniel Blas.the state’s words, verbatim · CDSS document, Mar 25, 2024

Type of visit: Prelicensing

On 1/31/2024, Licensing Program Analyst (LPA), Chinwe Nwogene conducted an announced pre-licensing inspection at the facility. LPA Nwogene met with Applicant, Daniel Blas and toured the facility. Application: The application is for a Residential Care Facility for the Elderly. The fire clearance has been granted for six (6) ambulatory residents. Buildings and Grounds: The home is composed of Livingroom, kitchen, and dining room combination, three (3) client bedrooms, one (1) resident restroom, master bedroom with master bathroom (non-resident room), a garage, and backyard. The interior/exterior walkways of the home were observed to be clutter free with no obstructions. Smoke and Carbon Monoxide detectors were tested and operable. There are no pools or other bodies of water located at the home. According to Daniel, there are no weapons stored in the home. Rooms, furniture, beds, mattresses are all in good repair and privacy is available. The dining and living room areas/furniture are clutter free and in good condition. Bathrooms were observed to be cleaned. The hot water was tested and measured at 126 degrees Fahrenheit which is above regulatory limits. Outdoor areas had sufficient room for activities. A washing machine and dryer are available and in working order. Central heating and air conditioning system installed with a central panel located in hallway to control entire house. Storage and Supplies: Medications will be stored in a locked closet, inaccessible to any unauthorized individuals. Secured areas are available for facility files and resident files. The first aid kit was observed to be available and complete. Cleaning supplies will be stored away in a closet, inaccessible to clients. A Fire extinguisher was available and fully charged. CONTINUE ON LIC809-C CONTINUED FROM LIC809 Activities: Inside and outside, there are areas for residents to use for their leisure. The backyard is in good condition with a covered patio to provide shade over the outside table and chairs. Food Service: Utensils and dishware are sufficient for the requested capacity. The refrigerator and stove are in working order. Sharps will be stored in a locked closet , available only to authorized individuals. Trash cans have tight-fitting lids. Dishwasher will be used to clean and sanitize dishes. All need appliances were present and shown to be in working condition and clean. Missing Items: Bedroom furniture (chair, night stand, a lamp, or lights sufficient for reading, and a chest of drawers) Night Lights Towels and Linens Grab bars and non-skid mat Hot water temperature (105 -120) Exit signs. Emergency call button/ bell Required Posters (Emergency Disaster Plan (LIC 610E), Theft and Loss Policies, Visitors Policy, Personal Rights, rights of resident council, a Facility Sketch (LIC 999), and Complaint Information, Ombudsman). Activity supplies (magazines, and games) Fireplace Cover Liability insurance In addition, there were two individuals living at the home. Facility is not ready for licensure. LPA Nwogene will inform the Centralized Applications Bureau (CAB) that the home is ready for licensure when the missing items has been received and the two unauthorized individual has moved out. An exit interview was conducted were this report was discussed with and provided to Daniel Blas.the state’s words, verbatim · CDSS document, Jan 31, 2024

The state marks this report as 15 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.