Casa Blanca Senior Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct the required annual visit today. Upon arrival, the LPA was greeted by Administrator, Monica Vigil and at this time the reason for the visit was explained. Entrance interview conducted. Beginning at 09:40 a.m., the LPA along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. The following was observed: Kitchen: The LPA inspected the kitchen/food service area at approximately 09:40 a.m. Knives and sharps were observed in a kitchen drawer locked and inaccessible. Cleaning supplies were observed in a locked cabinet and under the kitchen sink inaccessible at the time of the visit. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. Common Areas: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. The LPA observed a fire extinguisher to be fully charged with a date of 04/02/2025. Required postings were observed throughout the common space. There is a working telephone on premises. Cameras observed in the common areas. Nightlights were observed throughout the hallways and inside the bathrooms. Report Continued on LIC 809C... Report Continued from LIC 809... The LPA observed a fireplace in the living room adequately screened at the time of the visit. Activities were observed in the living room. Auditory alarms were observed functioning at the time of the visit. Smoke detector, carbon monoxide, and fire door were tested and operational at the time of the visit. No hazards/obstruction observed inside or out. Restrooms: There are two (2) restrooms for residents’ use. Bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. Starting at 10:05 a.m., the hot water temperature was measured in bathrooms, and they measured within the required range of 105 – 120 degrees Fahrenheit. Personal hygiene items were observed locked and inaccessible to residents at the time of the visit. Bedrooms: There are five (5) bedrooms for resident use. Four (4) bedrooms are designated as private / single bedrooms, and one (1) bedroom is designated as a shared / double occupancy. Bedrooms were observed to be furnished appropriately with appropriate furnishings, and sufficient lighting. Additional clean linens and towels were observed in a closet by the main hallway. There is no staff room on premises Garage / Outdoors: The garage was inaccessible to residents in care at the time of the visit. There is a second refrigerator with additional food for residents. The LPA observed an adequate amount of emergency food and water. A sufficient supply of Personal Protection Equipment (PPE) was observed. Additional cleaning supplies and detergents are kept in the garage locked and inaccessible to residents in care. Washer and dryer were observed inside the garage. There is a working generator for emergency purposes. The backyard has a covered patio area with patio furniture for residents’ use. The LPA observed a locked shed used for storage purposes. All passageways were observed to be clear of any obstructions. There are two (2) side gates with latching mechanisms. No bodies of water noted at the time of the visit. Report Continued on LIC 809C... Report Continued from LIC 809C... Records: Record review began at approximately 10:20 a.m. Six (6) resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, consent for treatment form, and current needs and services plan. All files were in order. Six (6) personnel files were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate yearly training. All personnel files were complete. The Administrator’s Certificate is valid until 07/05/2026. Infection Control / Emergency Disaster Planning: During today’s visit, the LPA reviewed the facility's infection control plan. The facility’s policies and procedures as they pertain to infection control are adequate. The LPA also reviewed the facility's emergency disaster plan, which was observed to be complete and recently reviewed/updated. Emergency disaster drills conducted quarterly as per regulation; last fire drill conducted on 10/09/2025. Medications: Medications review began at approximately 12:30 p.m. Medications are centrally stored and kept in a locked cabinet adjacent to the kitchen. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. Medications are properly documented on the centrally stored medication and destruction record. Medications appear to be administered as prescribed at the time of the visit. No citations issued. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Nov 18, 2025

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a Case Management visit with the purpose of verifying a pending increase in capacity and updating bedridden for the facility. Upon arrival, the LPA was greeted by the Administrator, Monica Vigil and the reason for the visit was explained. Entrance interview conducted. A capacity change and bedridden update was requested for the facility to increase capacity from 4 residents to 6 and updating bedroom #4 to be bedridden. The fire clearance (STD850) was approved on 02/20/2025 for capacity of 5 non-ambulatory residents in bedrooms #1 - #5 and 1 bedridden resident in bedroom #4 only. During today’s visit, the LPA, along with the Administrator, toured the facility. The LPA observed that Bedroom #3, which was previously a staff room, is now set up as a shared resident bedroom. For the NOC shift, awake night staff will be present. Additionally, Bedroom #4 has a direct exit to the outside. Both the main hallway leading to the resident bedrooms and Bedroom #4 were observed to be equipped with fire doors. Physical plant is consistent with the submitted facility sketch/floor plan. No physical plant or health and safety concerns were noted during today's visit. No citations issued. Exit interview conducted. A copy of today's report was provided.the state’s words, verbatim · CDSS document, Feb 24, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit. Upon arrival, there were two (2) staff and four (4) residents present. The LPA was greeted by the Administrator, Monica Vigil and the reason for the visit was explained. Entrance interview conducted. Starting at 10:44 a.m., the LPA along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: The LPA inspected the kitchen/food service area at 10:44 a.m. Knives and sharps were observed locked and inaccessible in a kitchen drawer. The LPA observed cleaning supplies in a locked cabinet and under the kitchen sink inaccessible to residents in care. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. At 10:51 a.m., the hot water temperature was measured in the kitchen sink, and it measured at 114.6 degrees Fahrenheit. COMMON AREAS: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. The LPA observed the fire extinguisher to be fully charged with a date of 04/23/2024. Required postings were observed throughout the common space. The LPA observed a fireplace adequately covered at the time of the visit. Activities were observed in the living room and dining room. There is a working telephone on premises. Cameras observed in the common areas. The LPA observed a closet in the hallway with additional clean linens and towels. Auditory alarms were observed at the time of the visit. Report Continued on LIC 809... Report Continued from LIC 809... RESTROOMS: There are two (2) restrooms for resident use. Bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. Starting at 10:13 a.m., the hot water temperature was measured in both bathroom and they measured between 109.2 and 113.5 degrees Fahrenheit. BEDROOMS: There are four (4) bedrooms for resident use. All bedrooms are designated as private rooms. All resident rooms were observed to be furnished appropriately with linens, appropriate furnishings, and sufficient lighting. The LPA observed a staff bedroom on premises. GARAGE: The garage was locked and inaccessible to residents at the time of the visit. The LPA observed an adequate amount of emergency food and water. Washer and dryer were observed inside the garage. Additional cleaning supplies are kept in the garage locked and inaccessible to residents in care. BACKYARD: The backyard has a covered patio area with patio furniture for resident use. The LPA observed a locked shed for storage purposes. All passageways were observed to be clear of any obstructions. There are two (2) side gates with latching mechanisms. No bodies of water noted at the time of the visit. RECORDS: LPA reviewed Resident Records at 9:23 a.m. and Personnel Records at 10:03 a.m. Four (4) resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, and current needs and services plan. All files were in order. Six (6) personnel files were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate yearly training. All records were in order. Report Continued on LIC 809C... Report Continued from LIC 809C... INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control plan. The facility’s policies and procedures as it pertains to infection control are adequate. LPA also reviewed the facility's emergency disaster plan, which was observed to be complete and recently reviewed/updated. Emergency disaster drills conducted quarterly as per regulation; the last one being a fire drill which was conducted on 09/23/2024. MEDICATIONS: Medications review began at approximately 11:30 a.m. The medications are locked in a cabinet adjacent to the kitchen. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. Medications appeared to be given as prescribed at the time of the visit. No citations issued. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Nov 19, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual inspection at 8:15 a.m. The last annual conducted at this facility was on 11/22/2022. When the LPA arrived, there were two staff and four residents present. Upon arrival, the LPA was scanned and greeted at the door by staff Kat Walker and Administrator Monica Vigil, at this time the reason for the visit was explained. Entrance interview conducted. The LPA along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: The LPA began the inspection in the kitchen/food service area at 8:20 a.m. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates. Knives and sharps stored inside a box in a locked cabinet in the kitchen. Cleaning supplies and disinfectants are stored under the kitchen sink inaccessible to residents. At 8:31 a.m., the hot water temperature was measured in the kitchen at 113.5 degrees Fahrenheit. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. There is a fireplace in the living room, which is adequately screened and inaccessible. The facility maintained a comfortable temperature. At 9:00 a.m., the smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguisher was fully charged and last serviced on 11/15/2022. The LPA observed required postings throughout the common space. GARAGE: The garage is kept locked and inaccessible at all times. The washer and dryer were observed inside the garage. The LPA observed a sufficient supply of emergency water. At 8:50 a.m., the LPA observed a few food items that were expired; these included canned fruit (09/2023) and canned soup (08/2023). Items were immediately discarded. Cleaning supplies, detergents, and disinfectants were observed locked and inaccessible at the time of the visit. (Report Continued on LIC 809C...) (Report Continued from LIC 809...) BACKYARD: The backyard has a covered outdoor area equipped with furniture for resident use. At 8:35 a.m., the LPA observed two self-latching gates; however, both passageways had items obstructing the passageways. The Administrator had passageways cleared at the time of the visit. There were no bodies of water noted at the time of the visit. BEDROOMS: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are four (4) designated private bedrooms and one (1) staff room. Each bedroom has its own supply of clean towels and linens; however, there is a linen cabinet in the hallway with extra towels, blankets, and linens. RESTROOMS: The two (2) resident restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels; towels and washcloths are not shared. The hot water temperature was measured in both bathrooms; the first bathroom measured 112.1 degrees Fahrenheit at 8:43 a.m.; and the second bathroom measured 106.8 degrees Fahrenheit at 8:48 a.m. RECORDS: Records review began at 9:07 a.m.; four (4) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. All records were in order. Four (4) Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Although the facility has a designated training binder, the LPA was unable to determine the number of hours completed per regulation for the past 12 months. The facility has not conducted an emergency drill in the last 12 months. Administrator stated the facility will schedule one soon. MEDICATIONS: Medications review began at approximately 12:15 p.m. The medications are centrally stored and locked in a cabinet by the kitchen. PRNs were labeled, stored, and inaccessible to residents. PRNs have physicians order on file. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. (Report Continued on LIC 809C...) (Report Continued from LIC 809C...) INFECTION CONTROL: Upon entry, the facility has a central entry point for symptom screening, temperature checks, and sanitation station. At this time, the staff will continue to keep up signs that promotes good hand hygiene and symptoms of COVID. The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of a communicable disease. The facility’s policies and procedures as it pertains to infection control are adequate. At approximately 1:00 p.m., the LPA interviewed one (1) staff member and two (2) residents. During today’s visit, the LPA obtained copies of the following: LIC 500 Personnel Report, LIC 9020 Client Roster, Emergency Disaster Plan, and limited liability insurance. The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were issued.the state’s words, verbatim · CDSS document, Nov 3, 2023

The state marks this report as 8 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.