Francel Guest Home II

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Claudia Gutierrez conducted an unannounced Case Management visit for the purpose of conducting a health and safety inspection in conjunction with investigation into complaint number 22-AS-20260827162156. LPA met with Administrator (AD) Francisco Balisi and explained the purpose of the inspection. During today’s visit, LPA conducted a tour of the facility and observed all resident bedrooms had the required furnishings. LPA observed resident beds had linens and blankets. Water temperature tested between 115.5 - 119.1 degrees Fahrenheit and faucets and toilets were operational. The facility has a 2-day supply of perishables and a 7-day supply of non-perishable food. Medication was observed to be accessible in the kitchen fridge. Staff immediately placed the lock back on the lock box for medication requiring refrigeration and placed medication not requiring refrigeration with the rest of the centrally stored medication. Centrally stored medication was observed to be locked in the staff room. Smoke detectors and carbon monoxide detectors are inspected by a third party inspector and were last serviced on May 4, 2026. Fire extinguisher was observed to be fully charged. Based on observations made during this inspection, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Sep 2, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465 · Plan of correction due date: Sep 3, 2026

(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Based on observation, the Licensee did not comply with the section cited above as LPA observed medication to be accessible in the kitchen fridge.the state’s words, verbatim · CDSS document, Sep 2, 2026

Plan of correction: Staff immediately locked medication. AD stated an in-service will be conducted to ensure centrally stored medicines are kept in a safe and locked place.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced annual inspection at the facility. Upon arrival, LPA met with Administrator (AD) Christine Balisi, explained the purpose of the visit, and toured the interior and exterior of the facility with AD.The facility is a single-story home consisting of eight bedrooms, including one staff room, four bathrooms, a living room, dining room, and kitchen. The backyard includes a storage shed with three rooms and an additional storage area.During the inspection, LPA observed that resident rooms were furnished with a bed, chair, clean linens, and adequate storage space, and were free of tripping hazards. Manual smoke detectors, carbon monoxide detectors, and exit alarms were tested and found to be operational. Bathrooms were observed to be in good condition and equipped with grab bars.LPA measured the hot water temperature in both restrooms, which ranged from 110.0 to 114.6 degrees Fahrenheit. The facility maintained the required minimum two-day supply of perishable food and seven-day supply of nonperishable food. Kitchen appliances were inspected and found to be operational. Knives and cleaning chemicals were secured in a locked cabinet located in the garage.Fire extinguishers were fully charged, with pressure indicators in the green zone. The exterior of the facility was observed to have a shaded seating area and was free of tripping hazards.LPA reviewed two resident files and medications and found no discrepancies. All staff and resident files reviewed contained the required documentation.Based on LPA’s observations during today’s visit, no deficiencies were cited. An exit interview was conducted with AD Christine Balisi, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Apr 8, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced annual inspection at the facility. LPA met with Administrator (AD) Christine Balisi, explained the purpose of the visit, and toured the interior and exterior of the facility with AD. The facility is a single-story home with eight bedrooms (one for staff), four bathrooms, a living room, dining room, and kitchen. The backyard includes a storage shed with three rooms and a storage area. Resident rooms were furnished with a bed, chair, clean linens, and adequate storage space, free of tripping hazards. Manual smoke detectors, carbon monoxide detectors, and exit alarms were tested and operational. Bathrooms were in good condition, equipped with grab bars. At 10:38 AM, hot water temperatures in both restrooms measured between 110.0°F and 114.6°F. The facility met requirements for a minimum two-day supply of perishable food and a seven-day supply of non-perishable food. Kitchen appliances were inspected, but the cabinet intended to secure knives and sharp objects was broken, making them accessible to residents. Additionally, chemicals under the kitchen sink were accessible due to a broken cabinet lock. AD and staff temporarily secured the chemicals and sharps in the locked garage until repairs are made. Fire extinguishers were fully charged with indicators in the green zone but had an outdated inspection date of January 30, 2023. Medications were securely stored in a locked cart in the staff room. LPA reviewed two resident files and medications, finding no discrepancies. All staff and resident files contained required documentation. However, the facility could not provide a log of the required quarterly fire drills. LPA did not see PUB 475 sign in the facility. The facility did not have any tablet device for residents' use. The exterior had outdoor furniture in good repair, but the grounds had tripping hazards, including broken wooden pallets and multiple plastic bags obstructing a clear path. Based on the observations, deficiencies are cited per Title 22, Division 6 of the California Code of Regulations. LPA conducted an exit interview with AD, providing a copy of this report and appeal rights at the conclusion of the inspection.the state’s words, verbatim · CDSS document, Apr 15, 2025

The state marks this report as 8 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with caregiver Jocylyn Late and was granted entry to the facility. Licensed capacity is (14) current census (11). LPA was accompanied by caregiver Jocylyn Late and Administrator Francisco Balisl to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated office for client/staff files. During facility tour, LPA observed outdoor activity area not easily accessible for residents in care. Outdoor patio was surrounded by large boxes, bed mattresses and pervious residents’ wheelchairs. Administrator had agreed to relocate items to their storage space. Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a variety of food available for clients. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (3) resident files for admission agreements, updated physician reports, and needs and services plans. 1 out the 3 residents did not have their annual medical assessment, which is required for dementia residents. R1 last medical assessment was conduct in 2021. LPA reviewed (3) resident medications. 1 out of the 3 residents prn medication, did not have the exact date and time it was provided. LPA also reviewed (3) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. Based on the observations made during today’s visit, two (2) Type A and one (1) Type B deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Francisco Balisl. Along with a copy of appeal rights.the state’s words, verbatim · CDSS document, Jul 17, 2024