Brighten Cottages-Greenbrier

Type of visit: Annual/Random

On September 2, 206, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced 1 Year Required. LPA met administrator Edgar Yraheta and explained the purpose of today’s visit. The facility is licensed to operate for (6) non-ambulatory of which (1) may be bedridden resident ages 60 and above, The facility is approved for (2) hospice residents. Currently there is no hospice resident in care. The facility is a single-story structure located in a residential neighborhood. It consists of the following: (5) residents' rooms, (2) bathrooms, (1) staff bathroom, a living area, a dining area, a kitchen, an outside seating area, and a garage utilized for storage. LPA toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 109.6 degrees F. A comfortable temperature of 72 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Fire extinguishers were charged. A review of the Medication Administration Records (MAR) was observed to be maintained in order and complete as well as the Centrally Store Medication Log LIC 622. (Evaluation Report continues LIC 809-C) All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. A working landline phone was operational. The last fire drill was conducted on June 07, 2026. The facility had operational smoke and carbon monoxide in bedrooms and common areas. The facility has current liability insurance with policy #PC0934 effective 08/1/26 - 08/01/27. The facility has an adequate supply of PPE equipment. An audit of resident #1-#5 (R1-R5) service files and staff #1-#4 (S1-S4) personnel files. The facility has the current administrator's certification for Lucy Chen #0740 valid 09/08/25 - 09/07/27. The facility is current on (CCL) annual dues. No Deficiencies An exit interview was conducted with Edgar Yraheta, the Administrator, and a copy of the report was provided. Note: due to technical difficulties, you were unable to generate an electronic inspection tool and instead used a printable/PDF version.the state’s words, verbatim · CDSS document, Sep 2, 2026

Type of visit: Required - 1 Year

On 09/19/25, Licensing Program Analyst (LPA) Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Jose Umana as the purpose of the visit was explained. The facility is licensed to operate for (6) non-ambulatory of which (1) may be bedridden resident ages 60 and above, and is approved for (2) hospice residents. Facility fees are current. Liability insurance is active (001200934 Exp: 08/01/26). The facility is a single-story structure located in a residential neighborhood. It consists of the following: (5) residents' rooms, (2) bathrooms, (1) staff bathroom, a living area, a dining area, a kitchen, an activity room, and an outside seating area. A land line was observed. There are no weapons, no bodies of water on the premises, exits and walkways are free of debris/hazards. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 105-120 degrees F. Storage areas for personal hygiene and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. LPA conducted a records review of (4) staff records, (5) resident records, and (5) medication administration records, no discrepancies observed. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire was conducted on 06/12/25, (3) fire extinguisher fully charged, carbon monoxide and smoke detectors are interconnected and operational. Exit interview conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 19, 2025

Allegation investigated: Staff left resident in soiled briefs for an extended period of time. Staff sleep at the facility while on shift. Staff spoke inappropriately to resident in care. Staff do not provide meals to resident in a timely manner.

On 02/06/25, the department conducted an unannounced complaint visit at this facility to further investigate on the allegations listed above and deliver findings. The department met with Administrative Assistant, Edgar Yraheta, and the purpose of the visit was explained. The investigation consisted of the following: On 01/30/25, the department obtained copies of the staff roster, resident roster, facility menus, and daily notes for resident #1 (R1). The department requested service records for R1 and received them via email on 02/03/25. Additionally, the department conducted interviews with staff #1-#3 (S1-S3), resident #2 (R2), and attempted to interview residents #3-#4 (R3-R4). Furthermore, a tour of the facility was conducted with Licensee Jose Umana. Continued on LIC9099-C Unsubstantiated The investigation revealed the following: Allegation: Staff left resident in soiled briefs for an extended period of time. It is alleged that a resident was left in soiled briefs for hours at a time with staff refusing to clean them when asked. Based on interviews conducted with S1-S3, 3 out of 3 staff interviewed denied the allegation. 3 out of 3 staff interviewed stated that residents are changed regularly and as needed. S3 stated that they change the resident’s adult briefs every 1-2 two hours and when needed. The department conducted an interview with R2 and attempted to interview R3-R4. The interview conducted with R2 revealed that staff are frequently checking on the residents. R2 stated that staff change the resident’s adult briefs frequently and when needed. R2 stated that although they don’t require as much assistance, staff is readily available if they ever do need staff to assist them with anything. R2 stated that they are satisfied with the services being provided to them at this facility. Based on observations, and interviews conducted, there is no sufficient evidence to prove the above allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Allegation: Staff sleep at the facility while on shift. It is alleged that a resident had to call 911 several times to have police come out and wake up staff. Based on interviews conducted with S1-S3, 3 out of 3 staff interviewed denied ever sleeping while on shift. S2 stated that they are aware of a resident calling 911 several times one night, and when emergency services arrived, staff was awake, so emergency services just left. S2 stated that when the resident called 911 again, emergency services no longer came to the facility, instead they would just call and make sure things were okay. An interview conducted with R2 revealed that they have never witnessed staff sleeping while on shift. R2 stated that staff is always readily available to assist the residents with their needs. R2 stated that they are satisfied with the services being provided to them at this facility. Continued on LIC9099-C Based on observations, and interviews conducted, there is no sufficient evidence to prove the above allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Allegation: Staff spoke inappropriately to resident in care. It is being alleged that a resident was told that it’s their fault and that they asked for it. Based on interviews conducted with S1-S3, 3 out of 3 staff interviewed denied ever speaking inappropriately to a resident. 3 out of 3 staff stated that they treat all resident with dignity and respect. An interview conducted with R2 revealed that staff have never spoken to them or the other residents inappropriately. R2 stated that staff is very nice and respectful towards them, and that they are very satisfied with the services being provided to them at this facility. Based on observations, and interviews conducted, there is no sufficient evidence to prove the above allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Allegation: Staff do not provide meals to resident in a timely manner. It is alleged that a resident is not served breakfast until noon on most days. During a review of records, the department observed three weeks of the facility menu. The menu offers a variety of meals throughout the day, such as breakfast, lunch, dinner, including protein, starch, vegetables, and fruits. Based on interviews conducted with S1-S3, 3 out of 3 staff interviewed denied the allegation. 3 out of 3 staff stated that the residents receive 3 meals and snacks in between daily. 3 out of 3 staff interviewed stated that the meal times are 7AM-9AM for breakfast, 11:30AM-12:30PM for lunch, and 5PM for dinner. S3 stated that some residents sleep in, staff will go and ask them if they want to eat, but if the resident does not wish to wake up, staff will give them the option to have their breakfast at a later time. Continued on LIC9099-C An interview conducted with R2 revealed that staff is very attentive with the residents when it comes to their meals. R2 stated that they have 3 meals a day with snacks in between. R2 stated that the normal mealtimes are 8AM for breakfast, 12PM for lunch, and 5PM for dinner. Based on observations, and interviews conducted, there is no sufficient evidence to prove the above allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. During this investigation, the department did not find sufficient evidence to support the above-mentioned allegations, therefore no citations were issued. An exit interview was conducted with , and a copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 6, 2025 · control 11-AS-20250123125614

Type of visit: Required - 1 Year

On 08/08/24, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Jose Umana. LPA explained the purpose of today’s visit. The facility is licensed to operate for (6) non-ambulatory of which (1) may be bedridden resident ages 60 and above. Currently, the facility has (2) hospice residents in care. The facility is approved for (1) hospice residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: (5) residents' rooms, (2) bathrooms, (1) staff bathroom, a living area, a dining area, a kitchen, an activity room, and an outside seating area. LPA toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 107.9 degrees F. A comfortable temperature of 74 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Three fire extinguishers were fully charged. A review of the Medication Administration Records (MAR) was observed to be maintained in order and complete. (Evaluation Report continues LIC 809-C) During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. A working landline phone was operational. The last emergency disaster drill was conducted on 05/15/24. The facility had operational smoke and carbon monoxide in bedrooms and common areas. The facility has current liability insurance on file effective 08/01/2023 through 08/01/2024. The facility is current on CCL license annual dues. An audit of resident #1-#5 (R1-R5) service files and staff #1-#6 (S1-S6) personnel files revealed to be complete. The facility has the current administrator's certification on file for Lucy Chen #6036566740 Expiration 09/07/25. No deficiencies during this inspection visit. An exit interview was conducted with Jose Umana, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Aug 8, 2024

Type of visit: Required - 1 Year

On 11/11/23, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Jose Umana. LPA explained the purpose of today’s visit. The facility is licensed to operate for (6) non-ambulatory of which (1) may be bedridden resident ages 60 and above. Currently, the facility has (2) hospice residents in care. The facility is approved for (2) hospice residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: (5) residents' rooms, (2) bathrooms, (1) staff bathroom, a living area, a dining area, a kitchen, an activity room, and an outside seating area. LPA toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 115.9 degrees F. A comfortable temperature of 70 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Three fire extinguishers were fully charged. A review of the Medication Records Administration (MAR) was observed to be maintained in order and complete. (Evaluation Report continues LIC 809-C) During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. A working landline phone was operational. The last emergency disaster drill was conducted on 08/19/23. The facility had operational smoke and carbon monoxide in bedrooms and common areas. The facility has current liability insurance on file effective 08/01/2023 through 08/01/2024. The facility is current on CCL license annual dues. An audit of resident #1-#6 (R1-R6) service files and staff #1-#5 (S1-S5) personnel files revealed to be complete. The facility has the current administrator's certification on file for Lucy Chen #6036566740 Expiration 09/07/25. No deficiencies during this inspection visit. An exit interview was conducted with Jose Umana, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Nov 11, 2023