Blessings Senior Care

Allegation investigated: Staff failed to administer residents medications as prescribed Staff do not maintain HVAC unit in good repair Staff do not ensure that fire exits are free of obstruction Staff did not seek medical attention for resident in a timely manner Staff falsified resident's records Staff did not ensure resident's hygiene needs are being met Staff yelled at resident

Licensing Program Analyst (LPA) Hanna Gough arrived at the facility to investigate the above mentioned complaint allegations. LPA was greeted and granted entry by staff. LPA met with Operations Manager (OM) Glenn Navarro and discussed the purpose of the visit. The investigation into the allegations of Staff do not maintain HVAC unit in good repair, staff do not ensure that fire exits are free of obstruction, staff did not seek medical attention for resident in a timely manner, staff falsified resident’s records, staff did not ensure resident’s hygiene needs are being met, staff yelled at resident, staff failed to administer residents medications as prescribed revealed the following: Regarding the allegation Staff do not maintain HVAC unit in good repair, LPA observed an invoice from Nexgen dated March 2, 2023, stating maintenance and cleaning on the HVAC unit was performed. The HVAC unit was tested and found to be operational by a Nexgen technician. Continue on LIC9099C Unsubstantiated During interviews with Staff #1 (S1) it was revealed that they never observed residents experiencing allergy symptoms due to the HVAC system. S1 informed LPA that they never observed dust coming from the vents and that they changed the filters monthly. Staff #2 (S2) revealed that there was no major work done to the air conditioning unit prior to March 2, 2023, besides routine filter changes. 2 of 2 staff informed LPA that staff change HVAC filters themselves. Therefore, the allegation has been deemed Unsubstantiated. Regarding the allegation Staff do not ensure that fire exits are free of obstruction, LPA toured the physical plant and did not observe any obstructions at the time of the investigation, including in room #1. Two of two staff informed LPA that they do not recall obstructions at the facility, but if an obstruction is observed staff are to remove the obstruction immediately. Therefore, the allegation has been deemed Unsubstantiated. Regarding the allegation Saff did not ensure resident’s hygiene needs are being met, LPA reviewed a physician’s report for Resident 1 ( R1) dated October 10, 2022, stating they have bowel and bladder impairment. The physicians report also states that R1 is unable to bathe themselves or care for their toileting needs. A needs and services plan was not produced to LPA upon request due to the facility not having R1s records. LPA reviewed four of four staff have current training on personal care services for residents. During interviews with R1s responsible party it was revealed that R1 was always clean. During interviews with S1 it was reported that staff checked on R1 every couple of hours and cleaned regularly. S1 reported they never observed a stench coming from R1. Therefore, the allegation staff did not ensure resident’s hygiene needs are being met is deemed Unsubstantiated. Regarding the allegation Staff did not seek medical attention for resident in a timely manner, LPA observed a Bowel Movement Record for R1 for the month of January 2023. LPA reviewed records of R1s bowel movements and observed that on January 11th and 25th, R1 had a bowel movement with blood. Two of two staff informed LPA that they reported the bowel movements with blood to R1s Responsible Party. One of two staff informed LPA that R1s responsible party took them to the doctors due to the blood found in R1s stool. R1s Responsible Party informed LPA that they were not told about blood in R1s bowel movements but was struggling to remember. LPA did not observe documentation on reporting to R1s physician or responsible party. Therefore, the allegation has been deemed Unsubstantiated. Continue on LIC9099C LPA observed staff training is current in regards to personal rights. It remains unclear if documentation of R1s bowel movement record was falsified with switching of dates from January 11th to noticing blood on January 25th. LPA only observed documentation where blood was observed on January 25th. Therefore, the allegations have been deemed Unsubstantiated. Regarding the allegations Staff failed to administer residents medications as prescribed revealed the following: During record review it was revealed that Resident #2 (R2) was admitted to the facility on November 30, 2022. LPA observed a physician report for R2 dated November 23, 2022, stating that R2 cannot manage their medication. LPA observed a Resident Appraisal for R2 that was not dated and did not have signatures, stating that R2 needed help with medication. LPA observed a Medication Administration Record for R2 dated December 2022 where all medication was marked as given for the entire month. During interviews with S1 it was revealed to their knowledge R2 was given all their medications. During interviews with R2s Responsible Party, it was revealed that to their knowledge there was no issues with the dispensing of R2s medication and that it was administered as prescribed. Two of two witnesses informed LPA that staff would alter medication based on R2s symptoms and stop medication even though they did not have doctors orders. Therefore the allegation, staff failed to administer residents medications as prescribed has been deemed Unsubstantiated. LPA attempted to interview two of six residents in care and was unsuccessful. Two of two witnesses stated they do not have proof anymore due to the complaint being first reported a couple of years ago. Based on information gathered, interviews and record review, the Department is unable to ascertain if the above allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegations are deemed UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was provided at the time of the investigation.the state’s words, verbatim · CDSS document, Oct 10, 2025 · control 22-AS-20230215094013

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Hanna Gough arrived at the facility to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Operations Manager (OM) Glenn Navarro and discussed the purpose of the visit. The facility currently has six residents in care. The facility is a one story home with six resident bedrooms, four bathrooms, kitchen, living room, dining room, attached two car garage and a backyard with a pool. The facility appears clean, safe and sanitary. All resident bedrooms have the required components and furnishings. LPA observed no obstructions on any facility exits. LPA observed the restrooms to have paper towels, toilet paper and non-slip mats in the shower. LPA tested the water to be between 108.5 and 111 degrees Fahrenheit. LPA observed a clean supply of linens in the hall closet located by the bathroom closest to the kitchen. LPA observed a two-day perishable and seven-day nonperishable food supply on hand. LPA observed the kitchen to be clean and free of vermin. LPA observed the knives to be locked under the kitchen sink and made inaccessible to residents in care. LPA observed the medication to be in a locked medication cart located in the dining room and in a locked closet located next to the kitchen. LPA observed a fire extinguisher in the dining room charged and with a service date of July 14, 2025. LPA observed the chemicals to be in a locked cabinet in the garage and made inaccessible to residents in care. LPA observed the garage to be used as extra storage and office space. LPA observed the backyard to have a shaded seating area for resident use. LPA observed a pool to be enclosed by a perimeter cinder block wall on two sides and is locked by white fences and the patio deck railings making the pool inaccessible to residents in care. LPA observed the backyard to be free of debris and obstructions. LPA and OM tested the carbon monoxide and smoke detectors and they were found to be operational. LPA reviewed staff files and 1 of 2 staff do not have a health screening at the facility, but took it home with them. LPA observed resident files and 3 of 6 residents do not have an order for bedrails on file at the facility. LPA observed OM take the bedrails off of the beds and will obtain orders before putting them back on. The citation was cleared at the time of the visit. 2 of six residents do not have updated needs and services plans and 1 of 6 residents do not have a TB test. LPA observed the last fire drill was conducted on July 17, 2025. LPA reviewed resident medications and no discrepancies were observed. Based on today’s inspection, deficiencies were given and technical violations were noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with LIC 809D, technical violations, 858, 859 and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Oct 10, 2025

Allegation investigated: Staff yelled at resident Facility did not ensure resident's dietary needs are being met

Licensing Program Manager Victoria Bertozzi contacted facility to deliver findings regarding the above-mentioned complaint allegations and spoke with Jennifer Brower-Ghahyasi. Staff yelled at resident – Complaint alleges that the manager of the facility picks on resident, R1 everyday for their hygiene and yelled at resident when urine dripped from their incontinence brief. Two of two staff interviewed, and five of five interviewed residents denied ever hearing manager yell at resident. Facility did not ensure resident's dietary needs are being met – Complaint alleges that R1 does not like the facility's food and makes their own food on a burner in their room or orders fast food. Interviews revealed that R1 rented a room in the facility and was independent until they became a resident on June 18, 2022. Continued on LIC9099C Unfounded Continued from LIC9099 Per interview, R1 was permitted to eat the food provided by the facility but staff cannot stop R1 from eating food that does not comply with their low sodium and low sugar diet. During 6/22/2022 visit, LPA observed that R1 received a food delivery that they ordered themselves. This agency has investigated the complaint alleging Staff yelled at resident and Facility did not ensure resident's dietary needs are being met. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. No deficiencies cited. Continued from LIC9099 Manager interview indicated that staff clean R1’s room when R1 allows it. Interviews revealed that R1 rented a room in the facility and was independent until they became a resident on June 18, 2022. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies cited.the state’s words, verbatim · CDSS document, May 16, 2025 · control 22-AS-20220614161146

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Dwayne Mason Jr. arrived at the facility unannounced for the purpose of conducting a required annual inspection. LPA was greeted at the facility by Fia Fernandez, Caregiver. Jennifer Ghahyasi, Licensee/Administrator joined the inspection as well. LPA explained the purpose of the inspection. The facility is one-story home with six resident bedrooms, four resident bathrooms, kitchen, dining room, living room, staff room, attached 2-car garage and backyard with pool. Pool is enclosed on all four sides. Two sides are enclosed by a brick wall separating the yard from neighboring yards. The other two sides are enclosed by the facility. One resident bedroom has patio that leads to the pool area, however the gate leading from the patio to the pool area is permanently locked. Facility appears clean, safe and sanitary. LPA observed the facility has the necessary postings posted on the walls. All resident rooms had the required elements, including bed, chair, closet space and ample lighting. Facility has extra linens and hygiene supplies for residents in hallway cabinets. Restrooms are stocked with soap and paper towels and have hand washing postings. Hot water measured between 105 and 120 degrees F. LPA observed facility has emergency food and water supply. LPA observed the fire extinguisher was serviced on 7/26/2024 according to the attached service tag. Smoke/Carbon Monoxide detector were tested and noted as operational. LPA observed hazardous items such as knives, chemicals and cleaners to be locked up in the kitchen and garage. Knives are locked up separate from toxic chemicals. Medication for each resident is kept locked in a cabinet in the dining area. Based on medication review, LPA determined facility transferred medication between containers. A citation is being issued. Exit gate is unlocked and self-latching. LPA observed exit gate to be unobstructed. LPA reviewed three resident files and three staff files. LPAs also reviewed medication for three residents. LPA interviewed one staff and one resident. Based on today's inspection, one citation and one technical violation are being issued. An exit interview was conducted and a copy of this report, deficiency page sand appeal rights were provided to the facility.the state’s words, verbatim · CDSS document, Oct 10, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.