Bravo Family Home

Type of visit: Required - 1 Year

On 11/06/2025 at 08:00 AM, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Bravo Family Home Facility. LPA Calderon was allowed entry into the facility by Administrator Ivan Bravo. The Facility is licensed to serve residents in the age range 60 and over, six non- ambulatory residents. Currently, there are two (2) residents residing in the facility. LPA Calderon explained to Administrator Ivan Bravo the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Two (2) client service records, two (2) client medication records (MAR), two (2) staff records, and inspected the inside facility and outside grounds. The facility’s last fire drill was conducted on 11/03/2025. The one-story residential home consists of five (5) client bedrooms, two (2) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored or found on the premise grounds. The kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the patio/garage area. LPA Calderon observed that all facility rooms are clean and in good repair. A comfortable temperature was observed, and the facility has central air and heating. LPA Calderon observed the following during inspection of client’s rooms: mattresses are in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. All bedrooms contain furniture, lighting fixtures and personal storage space as required, all beds have the required amount of linen and mattress covers, LPA Calderon observed fully stocked closet with bedding, towels, and toiletries supplies. Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. LPA Calderon observed bathrooms were found to be within Title 22 regulation. Bathroom #1 hot water temperature properly measured at 105 degrees Fahrenheit; bathroom #2 hot water temperature properly measured at 105 degrees Fahrenheit. Kitchen hot water temperature properly measured at 105 degrees Fahrenheit. Facility seven (7) Carbon Monoxide and seven (7) Smoke Detectors, hard-wired and connected, were tested and are working properly. Facility two (2) Fire Extinguisher was checked and found to be fully charged and accessible. All exit doors in the facility have alarm systems. The facility has a working landline/ telephone. All toxins and knives are locked/secured and inaccessible to clients. Medications are centrally stored and in a locked storage cabinet. Facility one (1) first aid kits are fully stocked with manuals being checked and in order. Outside grounds were toured and no bodies of water were observed. All Exits/ Walkways around the home were free of debris and hazards. Outside patio accessible to clients. Two (2) client files were reviewed and found to be complete. LPA Calderon reviewed two (2) resident medications (MAR) and they were all found to be administered according to doctor's orders. Two (2) staff files were checked, and they have the required documents. LPA Calderon noted the Administrator Ivan Bravo Certification # 7005889740 expiration date of 08/07/2026 was valid at time of inspection. Commercial General Liability Policy #01002916731 policy period from 03/28/2025 to 03/28/2026 underwritten by Kinsale Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. All the required documents are posted in the facility in a clearly visible area. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA Calderon did not observe deficiencies therefore no citations were issued at this time. Annual Licensing Fee is CURRENT. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Administrator Ivan Bravo.the state’s words, verbatim · CDSS document, Nov 6, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sparkle Day conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one-year inspection. LPA met with Ivan Bravo, Administrator, Administrator and the purpose of the visit was discussed. Facility is licensed to serve 6 non- ambulatory residents residents. Currently there is 2 residents in placement here. There is a dementia waiver on file. (1) resident is diagnosed with dementia. No residents are receiving home health or hospice care services. The facility does not handle any of the residents’ money. This home is a single story home consisting of: (4) resident bedrooms, (2) resident bathrooms, 1staff bedroom, 1 staff bathroom, living room, kitchen with dining area, detached garage where the laundry room is located and an outdoor shaded patio area. LPA and Administrator Ivan Bravo toured the facility. All resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, water temperature measured between 111.F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly and fire extinguisher was fully charged. Carbon monoxide detector was operational. First Aid kit was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. During todays visit LPA observed the following deficiencies: continue on 809C Deficiencies cited under California Code of Regulations (Title 22, Division 6, Chapter 8), LPA observed the following deficiencies: On 11/14/24 LPA reviewed Staff #1, Staff #2 and Staff #3 files. LPA observed that Staff #1 - Staff #3 did not have a current First Aide certificate on file - On 11/14/24 LPA reviewed Facility files and observed and was confirmed by Administrator Ivan Bravo that fire drills are only conducted once and year. An exit interview was conducted, Plans of Corrections were reviewed and developed with the Administrator . A copy of this report and appeal rights were discussed and left wit Administrator, Ivan Bravo.the state’s words, verbatim · CDSS document, Nov 14, 2024