Nana's Garden

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by facility caregiving staff after introducing himself and stating the purpose of the visit. Administrator Brigitte Fisk was also present on the premises and available to assist. There are currently six residents in care, two of which are receiving hospice care at this time. Residents are observed relaxing in their respective bedrooms and in the common areas. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with six private bedrooms used by residents in addition to one staff room. There are four bathrooms used by residents. None of the residents are bedridden at this time. All occupied bedrooms appear clean and sanitary. Postural supports orders are verified to be on file. All resident bedrooms have the required furnishings. Bathrooms appear clean and sanitary and are all equipped with grab bars and slip mats. Hot water temperature measured at 110F in multiple shared bathrooms with faucets used for personal grooming. LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. Sharp items, cleaning supplies and the medication central storage located in the kitchen and living room are verified to be secure. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 A wall-mounted fire extinguisher is present and verified to be charged, with a maintenance tag dated 2025 attached. Carbon monoxide and smoke detectors are present and operational. Emergency water supplies are stored in the garage. LPA and facility staff toured the outside of the facility. LPA observed a shaded outdoor seating area with outdoor furniture for resident use in the backyard. The identified routes of egress is free of clutter and obstructions. There are self-latching gates on both sides of the premises. There are no bodies of water on the premises and the facility does not utilize either locked perimeters or delayed egress. LPA reviewed six resident records which were found to include all necessary elements of documentation. LPA reviewed resident medication records and prescription orders with no discrepancies observed for three residents. LPA reviewed staff records for two staff members during the visit. All staff members are background cleared and associated. Proof of current CPR training reviewed. Annual and initial training reviewed. Disaster drills are conducted quarterly. The administrator certificate is current. Based on the observation conducted during the present visit, no deficiencies are being cited per Title 22 of the California Code of Regulations. An exit interview was conducted and a copy of this report was provided to a facility representative.the state’s words, verbatim · CDSS document, Dec 5, 2025

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by caregiving staff after introducing himself and stating the purpose of the visit. Administrator Brigitte Fisk was notified via telephone and arrived later to assist with the inspection. There are currently six residents in care, one of which is receiving hospice care. LPA observed residents participating in activities in the facility’s common areas and relaxing in their respective bedrooms as well as having lunch in the dining area. LPA accompanied by facility caregiver toured the physical plant. The facility is a one-story house with an attached garage. The facility has six private resident bedrooms, three of which equipped with an en-suite bathroom and three others sharing a central bathroom. All bedrooms appeared clean and sanitary. LPA observed all the resident bedrooms has the required furnishings. One resident on hospice has a bed equipped with full rails and another resident has half-rails in place. All corresponding physician orders and hospice plans of care present on file and reviewed. All bathrooms appear clean and sanitary. Bathrooms were equipped with grab bars and non-slip mats. Hot water temperature measured within the required temperature range. LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. LPA observed knives locked in a secure block in the kitchen. A fire extinguisher is verified to be charged and has been maintained in 2024. LPA tested the smoke and carbon monoxide detectors which were found to be operational. The centrally stored medication is located in a locked cabinet in the dining room. The locking mechanism however appears to not be operational at the time of the visit, type B citation issued. The attached garage is inaccessible to residents and is used for storage and for laundry. Cleaning supplies are located in the garage. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 LPA and caregiving staff toured the outside of the facility and observed it to be free of obstructions. LPA observed a shaded outdoor seating area with furniture for resident use. The perimeter gates on both sides of the property are self-latching and can easily be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed six resident records and reviewed all necessary components. All necessary documents observed and present. Medical assessments have been updated in a timely manner. LPA reviewed resident medication records. No discrepancies were observed. LPA reviewed two staff records which were found to be complete. Training and CPR/First aid training reviewed and up-to-date. All staff are background cleared and associated to the licensed location accurately. Infection Control and Emergency and Disaster plans were both reviewed and are complete and accurate. Fire and emergency drills are conducted quarterly and documented as required. Based on the observations made during today’s visit, one type B 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 along with appeal rights was provided to a facility representative.the state’s words, verbatim · CDSS document, Dec 2, 2024