Britta Care

Type of visit: Office

On today’s date, Licensing Program Manager (LPM) Alisa Ortiz and Licensing Program Analyst (LPA) Rose Ruppert met with Licensee (LE), Frank Mangisi, for the purpose of discussing current operations at the facility after an annual visit on August 12, 2026. The following was discussed: · Concerns regarding recent Annual visit which resulted in: 6 Type A, 11 Type B, and 4 Technical Violations. Deficiencies discussed during today’s visit were as follows: o A non-ambulatory resident resided in an ambulatory room. o Sharps/Knives drawer and medications were unlocked and accessible. o Licensee’s requirement to have the following documents on file: TB test for one of five residents, a health screening for one of five staff, Admissions Agreements and Pre-Appraisals for three of five residents, and a record of dosages of centrally stored medications for five of five residents o Licensee’s requirement to conduct a fire drill quarterly for each shift with documentation stating the type of emergency covered by the drill and staff members’ names who participated in the drill o Licensee’s requirement to provide training, including dementia training, for five of five staff members, to document training conducted and to place in staff member files o Licensee’s Administrator’s Certificate has lapsed and there was no Administrator Designated to the facility. (Continued on LIC 809-C) (Continued from LIC 809) · During the meeting Licensee was reminded of requirement to keep Corporation filing with Secretary of State in good standing at all times. Failure to do so could result in possible forfeiture of license. The Licensee stated the following during today’s meeting: · Licensee moved the non-ambulatory resident to a designated non-ambulatory room #5. Licensee will check with facility floor plan and fire clearance prior to placing a resident in a room. Licensee will check Physician's Report for ambulatory status. · On-going staff training will be in place to ensure sharps, knives and medications are secured. Licensee will look into automatic locking mechanisms. · Licensee stated a part-time staff member has been hired to assist with documentation and files on 9/22/2026. Licensee is to meet with staff member on 9/24/2026 to create a detailed plan to address the Plan of Corrections and to email LPA by close of business 9/24/2026. Weekly updates will be communicated to LPA regarding documentation. Open Plan of Corrections are due on October 9, 2026. · Licensee will reach out to vendors such as: home health, hospice, pharmacies, etc. for assistance with centrally stored medications lists. · Licensee will conduct dementia training and additional training for staff members for the 20 hour requirement. · Licensee will submit a Health Screening Report or physical exam for one of five staff members (LIC 503) by 9/27/2026 by emailing LPA. Regulations were provided for Licensee with a copy of the report. · Licensee will provide paperwork for Administrator Designee by end-of-business, 9/24/2026, which includes LIC 501, LIC 503 and photo identification such as a driver's license or passport. · Licensee sent continuing education units (CEU)s, via certified mail, on 9/18/2026 for administrator certificate. Licensee will follow up with the Administrator Certification Bureau (ACB) for status. (Continued on LIC 809-C1) (Continued from LIC 809-C) During the meeting the Technical Support Program (TSP) referral was discussed and the Licensee has agreed to participate. An exit interview was conducted with Licensee Frank Mangisi and a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 23, 2026

Type of visit: POC

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced Plan of Correction Visit to clear deficiencies from an Annual Visit on 8/12/2026. LPA was greeted and granted entry by staff at 1:30pm. LPA met with Licensee Frank Mangisi and explained the purpose of the visit. Currently there are five residents in care. LPA provided Licensee (LE) with a notice for an Informal Meeting for 9/11/2026 at 1pm in the Regional Office. LE confirmed he will be in attendance. LPA also reminded LE of licensing fees due at the end of the month. During the visit LPA made copies of Continuing Education Units (CEUs) to renew LE's Administrator's Certificate. LE submitted CEUs on 2/1 and 2/9 2026 to Administrator's Certification Bureau (ACB) but LE is not on the ACB renewal, nor pending certificate lists. An Administrator Designee, Thomas Adams has been associated to the facility until Administrator's Certificate is renewed. LPA and LE spoke with duty officer LPA Alejandre; who associated the Administrator Designee. An LIC 308 was submitted to LPA and a personnel record was created for the Administrator Designee. LPA Alejandre also provided PIN and licensing fee website information. LPA cleared four of six Type A Deficiencies which included: moving a non-ambulatory resident into a non-ambulatory room on 8/13/2026, securing the sharps and knives drawers and locking one of five resident's medication in the locked drawer on 8/12/2026 and providing an Emergency Disaster Plan (LIC610E). LE will submit a quarterly disaster drill by end-of-business 8/28/2026. Licensee also scheduled a Tuberculosis test for one of five residents for 8/28/2026 and will submit TB test results to the Department. An exit interview was conducted with Licensee, Frank Mangisi, and a copy of this report, Cleared Plan of Correction Letters, and Informal Letter Notification were provided to the facility.the state’s words, verbatim · CDSS document, Aug 27, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by staff at 8am. During today’s visit, LPA met with Administrator (AD) Frank Mangisi and explained the purpose of the visit The facility is a single-story seven bedroom, three bathroom residence with an approved fire clearance of two ambulatory and four non-ambulatory residents. Bedrooms #2, #4 and #6 are approved for non-ambulatory but does not match the facility sketch or physical plant. The facility has an approved hospice waiver for six. Currently the facility has a census of five residents in care in which two receive hospice services. A non-ambulatory resident was in an ambulatory room and will be relocated to the non-ambulatory room which, per facility sketch and physical plant, is bedroom #5. A deficiency will be cited. There are six private rooms and one staff room. During today’s visit, LPA toured the facility and inspected the physical plant. The facility was 71 degrees Fahrenheit and was clean with no odors detected. Three residents were going to eat breakfast and two residents remain in their rooms and receive hospice services. The fire extinguisher was charged and inspected on 5/19/2026. The facility has not conducted a quarterly fire drill and a deficiency will be given Smoke and carbon monoxide detectors were tested and operational. The hot water temperature was tested in three of three bathrooms. The temperature ranged between 110.5 to 113.1 degrees Fahrenheit. LPA toured the kitchen and observed the facility had two days of perishable items and seven days of non perishable food items present. The knives drawer was not secured and one of five resident medications were not secured. Staff immediately locked the knives drawer and medication. Deficiencies will be cited. (Continued on LIC 809-C) (Continued from LIC 809) Kitchen appliances were in working order and pantry and cabinets were clean. LPA observed the washer and dryer in the garage were operational with additional emergency supplies. LPA observed medication storage was secured but could not determine if medications are being given as prescribed. LPA toured the exterior of the property and noted there was ample outdoor space for activities and a shaded seating area. Pathways were clear of hazards and obstructions. The facility has current liability insurance. LPA reviewed five of five staff training and fingerprint records. Staff do not have trainings documented and the Administrator's Certificate has lapsed. LPA conducted a complete review of resident records and one of five files did not have Tuberculosis documentation and three of five resident files did not have Admissions Agreements. Deficiencies for staff and resident record keeping have been given. LPA spoke with Administrator regarding the Technical Support Program (TSP) and an informal meeting in the Regional Office. The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Administrator (AD) Frank Mangisi and a copy of this report was given to the facility along with a copy of the LIC 858, LIC 859; LIC 809-Ds, LIC 9102-TVs and Appeal Rights.the state’s words, verbatim · CDSS document, Aug 12, 2026

The state marks this report as 16 pages; the online copy we transcribed has 12. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jessica Cho arrived unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver Joel Castillo and explained the reason for the visit. Administrator (Admin) Frank Mangisi arrived on premise to assist with the inspection. The administrator's certificate for Frank Mangisi is expired and is pending completion of course work for 2025. Admin completed 28 out of 40 hours for this year and indciated that all course work will be completed by November 30, 2025. The following was observed during the inspection: This is a single story residential home comprised of six private resident bedrooms and three shared and one private resident bathrooms. There is an additional bedroom occupied by two live-in staff. Facility operates within the conditions and limitations specified on the license. LPA observed six residents in care and two caregivers on duty during the visit. All common areas were inspected which includes the attached two car garage which also serves as a storage and laundry area. LPA inspected all bedrooms. The resident bedrooms' were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. All bathrooms were found be in compliance, clean, and operational. Slip resistant mats were provided. The hot water temperature in the resident bathrooms measured at 116.6, 107.6, 111.7, and 106.5 degrees Fahrenheit. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food in the kitchen. LPA tested and observed all four burners lighted unassisted. The toxins, disinfects, sharps, and medications were secured and inaccessible. LPA observed the interior/exterior kitchen appliances and pantry needed a deep cleaning as well as replacing one light fixture in the hallway. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction. The two exit gates on each side of the property was functional, and there were sufficient seating and shading in the patio area. The fireplace was appropriately screened. The two fire extinguishers were purchased on today's date per proof of receipt. The smoke/carbon monoxide detectors and all auditory devices tested operational except one smoke detector in the hallway. LPA observed emergency food/water in the garage. The first aid kit had all necessary elements. Facility is not conducting quarterly emergency drills. Admin stated that the drill will be conducted per shift next month. LPA reviewed two personnel files in which discrepancies were found. LPA confirmed per review of the Licensing Information System (LIS) Facility Personnel Report Summary and Guardian Background Check System that two out of the three staff were not fingerprint cleared, Staff #2 (S2) and Staff #3 (S3). Per file review, personnel records were incomplete and not maintained on file. LPA was unable to verify the initial 40 hour training records for S2 and S3, no health screening (which includes Tuberculosis (TB) test results) for S3 was maintained, and CPR/First Aid certificates for S2 to Staff #4 (S4) were missing. LPA reviewed six resident files and discrepancies were found as complete resident records were not maintained on file for all residents, reappraisals were not conducted for all residents, no medical assessments including TB tests were not completed for three out of six residents (Resident #2 (R2), Resident #4 (R4), and Resident #5 (R5). LPA found no medication errors in review of two out of six residents'. The following was addressed during the visit: to ensure complete resident/personnel records are maintained on file and readily available for review, obtain medical assessments/TB testing for R2, R4, and R5, to complete reappraisals and care plans for all residents, to provide proof of fingerprint clearance receipts tomorrow for S2 and S3, to obtain health screening and TB test result for S3, ensure both staff receives 40 hour training and documentation of training is maintained, to conduct quarterly emergency drills per shift effective November 2025, to deep clean the kitchen appliances and pantry, to repair one smoke detector and one light fixture, and to submit proof of liability insurance. Based on the observations made during today's visit, deficiencies are being cited and an immediate civil penalty is being assessed. Advisory Notes are also being issued. An exit interview was conducted with Administrator Frank Mangisi, and a copy of this report including the LIC858/859, and appeal rights were provided at exit.the state’s words, verbatim · CDSS document, Oct 30, 2025

The state marks this report as 12 pages; the online copy we transcribed has 8. You can request the full file from the county licensing office.

Type of visit: POC

On this day Licensing Program Analysts (LPAs) Alvaro Ramirez, Jr. and Brandon Lopez made an unannounced Plan of Correction (POC) visit in conjunction with the Required 1 Year Inspection and citation issued on October 02, 2024. LPAs were greeted and granted entry into the facility by Caregiver Norkisa Baladec. LPAs explained the reason for the visit. On October 18, 2024, AD failed to correct the following: *Deficiency cited under Title 22 Regulation 1569.625(b)(2) pertaining to training requirements. As of 10/25/24, Deficiency cited under Title 22 Regulation pertaining to training requirements has been CLEARED. Based on the observations made during today's visit, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with facility representative and a copy of this report were provided at the time of this visit.the state’s words, verbatim · CDSS document, Oct 25, 2024

Type of visit: POC

On this day Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. made an unannounced Plan of Correction (POC) visit in conjunction with the Required 1 Year Inspection and citations issued on September 16, 2024. LPA was greeted and granted entry into the facility by Caregiver Norkisa Baladec and explained the reason for the visit. On 09/17/24, AD failed to correct the following: *Deficiency cited under Title 22 Regulation 87456(a)(2) pertaining to Evaluation of Suitability for Admission. As of 10/02/24, Deficiency cited under Title 22 Regulation pertaining to Evaluation of Suitability for Admission has been CLEARED. Licensee has completed the pre-admission appraisal for two residents. On 09/23/24, AD failed to correct the following: *Deficiency cited under Health and Safety Code 1569.618(c)(3) pertaining to Other Provisions. As of 10/02/24, Deficiency cited under Health and Safety Code pertaining to Other Provisions has been CLEARED. LPA observed that the cardiopulmonary resuscitation (CPR) training and first aid training cards expired on September 2026. On 09/23/24, AD failed to correct the following: *Deficiency cited under Health and Safety Code 1569.625(b)(2) pertaining to Other Provisions ( training requirements shall also include an additional 20 hours annually). As of 10/02/24, Deficiency cited under Health and Safety Code pertaining to Other Provisions has been not been CLEARED; a Deficiency and Civil Penalty was issued today. CONTINUED ON LIC809-C... On 09/23/24, AD failed to correct the following: *Deficiency cited under Title 22 Regulation 87468(c)(2)(A) pertaining to Personal Rights of Residents. As of 10/02/24, Deficiency cited under Title 22 Regulation pertaining to Personal Rights of Residents has been CLEARED. Based on the observations made during today's visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Administrator (AD) Frank Mangisi and a copy of this report along with the LIC809D and Appeal Rights were provided at the time of this visit.the state’s words, verbatim · CDSS document, Oct 2, 2024

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.625(b)(2) · Plan of correction due date: Oct 18, 2024

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions , and hospice care as required by subdivision (a) of Section 1569.696. This requirement is not met as evidenced by: Based on interviews and record review, Staff 1 (S1) and (S2) have not completed the trainings. This poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Oct 2, 2024

Plan of correction: Licensee to email updated trainings for S1 and S2 by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Caregiver Norkisa Baladec. Administrator (AD) Frank Mangisi arrived shortly after. For today’s visit, LPA observed a total of six residents in care and two staff members on duty. LPA Ramirez toured the interior and exterior portions of the facility with caregiver Baladec. The facility is a single level structure and is licensed for two ambulatory residents and four non-ambulatory residents, of which six may be on hospice and zero bedridden. There are a total of seven bedrooms, of which six are resident bedrooms, and one private bedroom for staff. During the tour LPA did not observe the 20"x26" complaint poster (PUB 475).LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of four restrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 105.2-107.4 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged and located by the living room. CONTINUED ON LIC809-C... LPA observed the emergency disaster and evacuation plan which is located by the entryway. Facility had back-up emergency food. Licensee was reminded to have additional emergency water supply. LPA observed that First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. For the exterior portion, LPA Ramirez observed a shaded area, patio furniture, and the grounds were free of any hazards. There are two gates in the backyard, which both are self-closing and self-latching. No bodies of water were observed. During today's visit LPA observed residents watching television shows. LPA reviewed six resident files and two staff files. LPA observed that two of six resident records did not have a pre-admission appraisal and/or the pre-admission appraisal was blank; a Deficiency was issued today. LPA observed that two of two staff have an expired cardiopulmonary resuscitation (CPR) card; a Deficiency was issued today. LPA interviewed residents and staff present. For today's visit deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Mangisi. A copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, Sep 16, 2024