Jen-N-Leen Board & Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a required annual inspection and was greeted by administrator (admin) Jennifer Saddi. Facility is an Adult Residential Care Facility for the Elderly with an approved fire clearance for capacity of 6 (six) residents. There are currently six (6) residents in care with one resident on hospice. LPA toured the building and grounds which was found to be clean and at a comfortable temperature. LPA observed all walkways and exits to be unobstructed. All required postings were in a highly visible area. Fire extinguishers were last inspected 2/02/2026. Fire extinguisher needed to be recharged, Fire Marshall arrived during visit to charge fire extinguisher. Fire alarm and carbon monoxide alarms all tested and operational. Outdoor furniture accessible for resident use. Water temperature check measured within regulation at faucets accessible to residents within the allowable range of 105 to 120 degrees F. Resident bathrooms observed to have bath mat and grab bar. Disaster drills are being conducted quarterly. All bedrooms were equipped with required furnishing. Facility had an ample supply of linens, towels and extra hygiene products for residents. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable foods. Snacks accessible for residents. Emergency food was not observed to meet the 72 hour emergency supply. LPA advised admin to ensure there is enough water and separate emergency food supply at all times, water ordered during visit. Facility kitchen, refrigerators and freezers were clean, and food stored properly. Expiration dates were noted in food items found in refrigerator. Toxins are locked and inaccessible to residents. Sharps and knives were locked. Phone accessible for resident use. continued onto 809.... continued from 809.... LPA conducted a file review for 6 of 6 residents. Documentation of a medical assessment within the last 12 months was not present in 3 of 6 resident records :R1,R2,R3 (Deficiency cited, see 809D). LPA conducted file review for 2 staff. All required documentation found to be up to date. LPA and admin conducted a spot check of medication and medication records, all records up to date. Medication is centrally stored and locked. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report (Retrieved during visit) LIC308- Designation of Responsibility (Retrieved during visit) Liability Insurance (Retrieved during visit) Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and report read with Administratorthe state’s words, verbatim · CDSS document, Apr 23, 2026

Type of visit: Required - 1 Year

At approximately 10:15AM Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct an required annual inspection and was greeted by administrator(admin) Jennifer Saddi. Facility is a Residential Care Facility for the Elderly with currently 6 residents in care. Facility is approved for 6 residents with a hospice waiver for 3. LPA and Admin toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered with expiration dated noted. Kitchen cabinet containing cleaning supplies was locked. Kitchen drawer with sharp knives locked. All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathrooms had required bath mat and grab bar. Water temperature in sink accessible to residents in care measured at 115 degrees F which is within the allowable range of 105 to 120 degrees F. Fire extinguishers were last inspected 2/03/2025 Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Door alarms were operational. Facility’s last quarterly disaster drills were conducted with each staff member during their respective training days. Continued on 809C... Continued from 809.. Entrance to garage is being used for staff room. Staff room not indicated in facility sketch. LPA told admin to submit new facility sketch and fire clearance request for room in garage by 6/19/2025. LPA conducted a review of 6 resident records. All required documentation present. LPA conducted review of 4 staff records. Two staff did not have required Health Screening(LIC503). Admin provided an LIC503 from a previous facility which appeared to be fabricated with the year changed with original year from 2022. LPA did not accept and let admin know LIC503 must be from current facility from date of hire. Both staff did have TB clearance. LPA spoke with admin and advised all staff must have required records in file. S1 did not have TB clearance and Personnel Record(LIC501) present. S2 did not have (LIC501) present.(Deficiency Cited, see LIC809-D) 3 out of 3 staff did not have required 40 initial training hours and required 20 annual hours. LPA spoke with admin about required training and advised admin to immediately have staff properly trained during initial and annual. (Deficiency Cited,see LIC809-D). LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. Jennifer Saddi Administrator Certificate #7004150740 expires 5/23/2026. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibility Liability Insurance Current Lease Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrator and a copy of this report was given.the state’s words, verbatim · CDSS document, Jun 12, 2025

Type of visit: Required - 1 Year

At approximately 9:30 AM, Licensing Program Analyst (LPA) Mutialu made an unannounced annual required inspection of this licensed senior care facility. LPA met with Administrator/Licensee, Jennifer Saddi. At approximately 9:45AM, LPA and Administrator toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a highly visible area. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in locked cabinets. Water temperature measured within regulation between 111 and 117 degrees F at five out of five faucets accessible to residents. One of one fire extinguisher inspected was charged. Ten out of ten smoke detectors were found to be in working order. Three out of three carbon Monoxide detectors were present and found to be in working order. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure. LPA observed two of five residents in the living room watching television and interacting with residents dog. LPA observed staff interacting and checking on residents often. LPA observed two of five residents in their rooms. One resident was resting and watching television in their room. The other client was relaxing in their room awaiting to be picked up by their spouse for a doctor's appointment. One of five residents is in the hospital after experiencing a stroke and will be returning upon discharge from the hospital. LPA observed residents happy, active, and engaging. Each room reflected residents preferences and the common areas was reflective of a home atmosphere/environment to include holiday, Fourth Of July decorations. One of five residents owns a cat and dog which provides pet therapy for all residents per Administrator. Per resident's comments, they are well taken care of, the food very good, they are bathed daily, the place is kept clean, and the staff are wonderful, work very hard and ensure each resident's needs are met. At approximately 11:00AM, LPA reviewed four of five residents records and three of three Staff records, which were all found to be well organized, thorough and contained the required documentation. First aid and CPR certification were current in staff files. Medication records are thorough and contained physician's orders. Administrator's Certificate was expired as of 05/2024. Administrator has completed CU and submitted payment but still awaiting recertification certificate. Administrator to submit proof of payment to CCL. At approximately 11:40 AM, LPA reviewed the facility emergency disaster plan with staff. Facility has emergency flash lights during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. LPA advised Administrator Emergency Disaster Plan needs to be updated with non-local evacuation site outside of Vacaville. Facility has supplies enough to operate for more than 72 hours in an emergency. LPA advised Administrator per regulation need to have water supply to last 72 hours for five residents in case of emergency.F acility conducted and documented a disaster drill on 04/24/2024. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC610 - Disaster Plan (updated) Register of Residents Proof of Administrator Certificate Fee payment The following documents were submitted during inspection visit: Evidence of Liability Insurance Fire Clearance/Inspection No deficiencies were observed in the areas inspected, No citations were issued during today’s visit.the state’s words, verbatim · CDSS document, Jun 6, 2024