Bright Horizons Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Graham Gunby arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA met with Administrator, Florin Bucovati, and explained the purpose of the visit. LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to resident bedrooms, bathrooms, kitchen, common areas and backyard. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins and cleaning supplies are locked and inaccessible to residents in care. The hot water temperature was measured in the kitchen sink at 112.9 degrees Fahrenheit. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguisher is located in the kitchen and was last serviced on 07/25/25. LPA observed required Licensing posters posted in the entry of the facility. LPA observed medications to be locked and inaccessible to residents in care. LPA reviewed six (6) resident files. Resident files contained all required documentation. LPA reviewed three (3) staff records. Staff have all required documentation and first aid training. No deficiencies are being cited during today's inspection. Exit interview conducted and a copy of the report will be emailed to Administrator.the state’s words, verbatim · CDSS document, Nov 25, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA met with Florin Bucovati acting on behalf of Administrator Sheila Bucovati due to their absence on 10/17/24, and explained the purpose of the visit. LPA and staff conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to resident bedrooms, bathrooms, kitchen, garage, common areas and backyard. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins and cleaning supplies are locked and inaccessible to residents in care. The hot water temperature was measured in the bathroom sink at 105.1 degrees Fahrenheit. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguisher was last serviced on 07/01/24. LPA observed required Licensing posters posted throughout the facility. LPA observed medications to be locked and inaccessible to residents in care. LPA also conducted a medication check for two (2) residents. LPA reviewed four (4) resident files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, releases, and resident's rights. LPA reviewed two (2) staff records. Staff has training in dementia care, infection control, first aid and CPR, and other various areas of care provision. No deficiencies being cited during today's inspection. Exit interview conducted and a copy of the report was left at the facility.the state’s words, verbatim · CDSS document, Oct 17, 2024

Allegation investigated: Staff hit a resident Staff spoke inappropriately to resident

On 05/08/24, Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to deliver final findings Community Care Licensing (CCL) received on 03/06/24. LPA met with Administrator Florin Bucovati and explained the purpose of the visit. During the course of the investigation, the Department conducted interviews and obtained pertinent documents relevant to the complaint investigation. Please continue to LIC9099-C Unsubstantiated Allegation: Staff hit a resident. -Unsubstantiated LPA conducted interviews with residents. Interview with Resident #1 (R1) revealed that they have not had problems with any of the staff at the facility. R1 cannot recall working with Staff #1(S1) and is unsure if they have worked with S1. During the course of the investigation LPA was not able to get in touch with S1. LPA interviewed other residents living in the facility and all residents stated that they have never seen a staff member hit another resident. Additionally, LPA interviewed staff. Staff #3 (S3) stated they have not witnessed other staff being aggressive towards the residents in care. Allegation: Staff spoke inappropriately to resident. -Unsubstantiated During the department’s investigation, LPA conducted interviews with staff and residents. Resident interviews revealed that they have never had staff at the facility yell or talk to them in an inappropriate manner. Interview with staff indicated that they have never heard another caregiver speak inappropriately to residents in care. Resident interviews revealed that they all enjoy living at the facility. During visit LPA observed staff to have a positive interaction with residents in care. Based on this information, these allegation are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. Exit interview conducted and a copy of the report and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, May 8, 2024 · control 59-AS-20240306105105

Allegation investigated: Staff did not prevent a resident from eloping from the facility.

LPA Keosavang, conducted this visit to change the findings from unfounded to substantiated. This reports supercedes the report done on 2/09/2024. On 02/14/2024, Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced to deliver final finding Community Care Licensing (CCL) received on 09/11/2023. LPA met with administrator, Florin Bucovati, and explained the purpose of the visit. During the course of the investigation, the Department conducted interviews with facility staff and obtained pertinent documents relevant to the complaint investigation such as residents’ (R1 and R2) physician’s report, incident reports, confidential facsimile transmittal, medication administration records, and medication list. Continue on page LIC 9099-C. Substantiated The Department conducted interviews and reviewed records regarding the allegation that staff did not prevent a resident from eloping for the facility. On 08/07/2023, the Department received a telephone call from administrator, Sheila Bucovati, to report an incident that occurred at the facility. The administrator submitted an unusual incident report for review. According to the incident report, on 08/07/2023 at approximately 6 AM, R2 managed to walk out of the facility front door. The staff were assisting other residents in their care with their showers at the time and heard the front door alarm sound. The staff immediately went to conduct rounds to check on residents in care. The staff noticed R2 was missing and walked outside to locate R2. R2 was located a few houses from the facility. The staff were able to redirect R2 back to the facility. Based on interviews conducted, it took staff approximately 5 minutes to locate R2. At the time of the incident, R2’s power of attorney (POA) was notified. The facility put a plan in place for R2 which included engaging R2 with more one on one observation to keep R2 from distraction and wandering away from the facility. R2 did not sustain any bodily injury as a result of R2’s elopement from the facility. The Department reviewed R2’s physician’s report. According to physician’s report, R2 can be confused/disoriented, has wandering behavior, and is unable to leave the facility unassisted. Although the facility did their due diligence by reporting the incident to the licensing agency and R2’s POA via telephone no later than the next working day and in writing within 7 calendar days, staff did not provide R2 with proper supervision resulting in R2 eloping from the facility. As a result of this investigation, the Department finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies are being cited for today's visit. Exit interview conducted and report provided.the state’s words, verbatim · CDSS document, Feb 14, 2024 · control 59-AS-20230911115419

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(a) · Plan of correction due date: Feb 23, 2024

Personnel Requirements - General Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on interviews and records review, R2 eloped from the facility which poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Feb 14, 2024

Plan of correction: Licensee agrees to submit an elopment plan to ensure residents in care do not elope from the facility. Licensee agrees to submit POC by due date, 2/23/2024.

Allegation investigated: - Facility obtained a prescription for a resident without consent from resident's responsible party.

LPA Keosavang, conducted this visit to change the findings from unfounded to substantiated. This reports supercedes the report done on 2/09/2024. On 02/09/2024, Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced to deliver final finding Community Care Licensing (CCL) received on 09/11/2023. LPA met with administrator, Florin Bucovati, and explained the purpose of the visit. During the course of the investigation, the Department conducted interviews with facility staff and obtained pertinent documents relevant to the complaint investigation such as residents’ (R1 and R2) physician’s report, incident reports, confidential facsimile transmittal, medication administration records, and medication list. Continue on page LIC 9099-C. Unfounded Allegation: Facility obtained a prescription for a resident without consent from resident's responsible party. -Unfounded. The Department conducted interviews and reviewed records to investigate the allegation that Facility obtained a prescription for a resident without consent from a resident’s responsible party. The Department reviewed R1’s physician’s report, medication list and medication administration records. According to the R1’s physician’s report, R1 is unable to administer their own prescription medication, administer their own PRN medication, and store their own medication. The Department interviewed a total of five (5) facility staff and four (4) residents. Interviews indicated that R1 was seen by a physician at which time (1) one of resident’s medications were changed. Based on Title 22 regulations (§87465(a)(4) … The licensee shall assist residents with self-administered medications as needed.) Additionally, there is no documentation that R1 is conserved therefore the facility is not required to obtain consent to administer medications to R1 as long as the medication administered are prescribed by a physician. Based on records reviewed, facility observations and interviews the facility was following physician orders in administers all prescribed medication to R1 therefore the allegation listed above is UNFOUNDED. A finding that the allegations are unfounded means that the allegations are false, could not have happened, and/or is without a reasonable basis. Exit interview conducted and report provided. Allegation: Facility is not serving nutritious meals to residents in care. – Unsubstantiated. According to interviews received, R1 was transferred to the hospital and sodium level was at 177. The facility was not serving low sodium and nutritious foods to R1. The Department interviewed a total of 5 facility staff and 4 residents in care. Interview statement received from S3 indicated staff ensures that the food provided to residents in care is balanced. S4 stated there is more than enough food available for the residents. S4 stated the portion size of the food is overwhelming. There is a lot of food and staff want to ensure residents eat and digest their food properly. Interview statement received from resident (R4) indicated meals are balanced. The Department reviewed R1’s physician’s report. The physician’s report indicated R1 is not on a special diet. Allegation: Facility staff did not serve an adequate amount of food to residents in care. – Unsubstantiated. The complainant was present at the facility and observed that the food was not appealing. There were slivers of dry chicken with vegetables and a side that was smashed. The complainant stated the food looked like it could be served to a 5-year-old because the portions were so small and R1 had gotten thin while in the facility’s care. On 09/13/2023 at 12:30 PM, LPA Keosavang arrived at the facility unannounced to commence a complaint investigation during lunch time and observed 3 residents in care eating their lunch in the dining room area. LPA observed residents eating pasta, one slide, fruits, yogurt, water, and juice. LPA observed staff serving adequate amount of food to residents in care. The Department interviewed a total of five (5) facility staff and four (4) residents. Interview statement received from staff (S1) indicated some residents barely touch their food, so they are given smaller portions. Residents may ask for larger portions. S2 stated there is a weekly meal calendar and staff would follow it. Residents in care are served protein, fruits, and vegetables. S3 indicated there is more than enough food available for the residents. Interview statement received from resident (R3) indicated, the facility provides a lot of fruits, pasta, and other things. R3 stated, “They give us way too much.” R3 stated that a lot of residents do not finish their food on the plate. Interview statement received from R4 indicated, the facility provides a lot of food, and the portion is too much. Food is loaded with fruits and vegetables. Due to the information above, CCL finds the allegation to be UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of the report was left at the facility.the state’s words, verbatim · CDSS document, Feb 9, 2024 · control 59-AS-20230911115419

Type of visit: Required - 1 Year

On 11/08/2023 at 9:00 AM, Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA met with Administrators, Florin and Sheila Bucovati, and explained the purpose of the visit. At 9:30 PM, LPA and administrator toured the interior and exterior of the facility to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, residents' bedrooms, bathrooms, kitchen, garage and backyard. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of one (1) week and perishable foods for a minimum of two (2) days. Toxic and cleaning supplies locked and is inaccessible to residents in care. The hot water temperature was measured in the kitchen at 111 degrees Fahrenheit. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguisher was last serviced on 07/14/2023. LPA observed medications to be locked and inaccessible to residents in care. LPA observed required Licensing posters posted throughout the facility. At 10:00 PM, LPA reviewed a total of three (3) resident files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, releases, and resident's rights. Medications are centrally stored, locked, and appear to be given per doctor order. LPA compared medications to those being given for three (3) residents and found no discrepancies. Facility is correctly using the Medication Administration Records (MAR). LPA reviewed a total of four (4) staff record. Staff has training in dementia care, infection control, first aid and CPR, and other various areas of care provision. No deficiencies being cited during today's inspection. Exit interview conducted and report provided.the state’s words, verbatim · CDSS document, Nov 8, 2023