Briones Family Homecare

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an Annual inspection. LPA met with Jhoy and Penafranci explained the purpose of the visit. Later joined by Jean Briones LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards. LPA observed sufficient furniture and lighting throughout the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 106.9 degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees. Fire extinguishers, smoke detectors and carbon monoxide detector are current and compliant with fire safety. LPA observed centrally stored medications. LPA reviewed and compared resident medication vs. resident medication logs. LPA reviewed 4 resident and 2 staff files, including criminal record clearances. All staff are fingerprint cleared and is associated to the facility. First aid kit was checked and is complete. No deficiencies were cited, however, advisories were given. Exit interview conductedthe state’s words, verbatim · CDSS document, Jun 9, 2026

Type of visit: Required - 1 Year

On 6/9/25 at 8:48am Licensing Program Analyst(LPA) Noel Wolf Petersen and Licensing Program Manager(LPM) Liza King arrived to the facility unannounced met the administrator Jean Cherryl Briones and conducted an annual inspection. Briones Family Homecare is a 6 person facility with a current census of 5. Approved to accommodate 6 non ambulatory persons of which 3 may be bedridden. Hospice waiver approved for 6. Physical plant was inspected including but not limited to the bedrooms, bathrooms, hallways, storage, exteriors and evacuation routes. The traffic areas are unobstructed. Required furniture is present, infection control encasements for the mattress is missing in 1 of 5 beds. The facility is sanitary, night lighting is absent in the bathrooms and hallways. Sharps and Medications are locked away, toxics were locked with the exception of some hand soap. No bodies of water were observed. resident use water temp was taken at 109*F, Fire extinguisher was checked on 10-7-24. Fire drills are conducted quarterly. Smoke and CO detectors are functional. Required posters for Client Rights were not present.Technical Advisories are issued for the Physical Plant (Personal rights poster, bed bug encasements, non-toxic soap, and night lights), while no resident is at risk for these issues currently, future nonambulatory clients and ambulatory clients may be. 2 Client interviews were conducted. 5 client files were reviewed. MAR's for the clients are incomplete, missing elements like reasons and effects for PRN medications. The 602's and Needs and Appraisals forms need to be updated on a yearly basis. Residents with restricted conditions are accepted and retained without applying for exceptions (catheter use, contractures, and total care). The Licensee did inquire about a exception for cathether use to her LPA in January 2025. Continued on C page 2 Staff interviews were conducted. 2 staff records were reviewed for finger printing, background check clearances, required training's, and for first aid. Records are present and up to date. The administrator records were reviewed including a Plan of Op, Liability insurance, and Admission agreement. Guardian facility profile needs to be updated. Plan of Op was prepared by a consultant, Administrator should review it, Administrator is not reporting unusual incidents as outlined in the Plan of Op. Dues are up to date. Citations were issued on following D-pages. Exit interview was conducted, the report was read and given to the administrator. Appeal rights were provided.the state’s words, verbatim · CDSS document, Jun 9, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ruth Wallace conducted an unannounced Required 1 Year Inspection Visit. LPA met with direct care staff and explained the purpose of the visit. Administrator Certificate #6050433740 for Erwin Briones expires 12/12/2024. LPA and direct care staff toured the physical plant including resident bedrooms, resident bathrooms, garage and backyard area. LPA observed the facility to be free of odor, clean and in good repair. LPA observed sufficient furniture and lighting throughout the facility. There are no bodies of water present. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 113.4 degrees Fahrenheit in kitchen sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Fire extinguishers last inspected 4/2/2024. LPA checked medication storage and found medication to be locked away and inaccessible to residents. First aid kit was checked and is complete. Emergency and disaster drill conducted on 3/3/2024. LPA reviewed four resident files and two staff files, including criminal record clearances. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks are Fingerprint cleared and associated to the facility. LPA verified staff training for staff file reviews. LPA requested the following updated documents for community care licensing to be submitted via email by May 24, 2024: LIC 308 Designation of Administrator, LIC 500 - Personnel Report, Copy of Administrator's Certificate, and Copy of Liability Insurance with expiration date. ruth.wallace@dss.ca.gov Based on today’s visit, Per California Code of Regulations, Title 22 Division 6, Chapter 8, no deficiencies observed or cited today. Exit interview conducted with direct care staff. A copy of report and LIC 811 (Confidential Names) left at facility.the state’s words, verbatim · CDSS document, May 20, 2024