Ruby Cottage

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced visit for the required annual inspection. LPA Rodriguez explained the purpose of today’s visit, and was greeted and granted entry by staff on duty, who informed facility administrator (AD) Venus Bravo about visit. For this visit, LPA Rodriguez met with AD Bravo. For today’s visit, LPA Rodriguez observed a total of 5 residents in care and 2 staff members on duty. LPA Rodriguez observed the Administrator's Certificate for Venus Bravo which expires on 8/4/2026. LPA Rodriguez observed the PUB 475 "See Something Say Something" poster located at the entrance. LPA Rodriguez toured the interior and exterior portions of the facility with staff on duty. The facility is a single level structure and is licensed for 6 non-ambulatory residents, of which 6 may be on hospice. There are a total of 5 bedrooms of which 4 are designated for resident use and one for staff. LPA Rodriguez 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 4 restrooms in the facility. 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 108.7 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 mounted, charged, tagged for the date 2025, and was located in the kitchen. LPA Rodriguez observed the emergency disaster and evacuation plan, which is located by main entrance. Facility had back-up emergency food and water supply located in the garage. LPA Rodriguez observed that First Aid Kit had all the required components. LPA Rodriguez observed that medications and toxins were locked and inaccessible to residents in care. For the exterior portion, LPA Rodriguez observed a shaded area, patio furniture, and the grounds were free of any hazards. There is 1 gate in the backyard, which was observed to be self-closing and self-latching. No bodies of water were observed. LPA Rodriguez reviewed all five resident files and observed that the staff currently present at the facility were background cleared and associated via Guardian. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Bravo. A copy of this report was provided and explained.the state’s words, verbatim · CDSS document, Jul 15, 2025

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Licensee did not ensure staff completed required training hours. Licensee did not ensure facility has a certified administrator

Licensing Program Analyst (LPA) Jessica Cho arrived unannounced for the purpose of conducting the 10-day complaint investigation into the above allegations. LPA was greeted and granted entry by Caregiver Ana Heizel Balonda and explained the reason for the visit. House Manager (HM) Arnold Bravo arrived approximately 9:20am and was advised of the visit. Administrator (Admin) Venus Bravo arrived at the facility approximately 12:10pm to complete the Personnel Report Sumary (LIC500) and assist with the investigation. During the course of the investigation, LPA interviewed six residents, four staff, and other witnesses and obtained pertinent staff records such as the Resident Roster, Personnel Report Summary, Photo Identification, Personnel Records, 2024 Caregiver's Training Records, CPR/First Aid Certificates, and Resident's Face Sheets/Physician's Reports. The investigation revealed the following: It is alleged that the licensee did not ensure staff completed required training hours. Per review of the Personnel Report Summary, there are three caregivers currently employed to this home. Two are the primary live-in caregivers and one is a reliever. Unfounded Interviews conducted with four staff, all confirmed completing the required annual training and confirmed the training records were not falsified. Mandated Reporter trainings were covered under the Dementia and Residents Rights topics which was verified by Administrator Venus Bravo. Therefore, based on the interviews which were conducted and the records that were reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the following allegation: Licensee falsified staff records is deemed UNSUBSTANTIATED. An exit interview was conducted with Administrator Venus Bravo and House Manager Arnold Bravo, and a copy of this report was provided at exit. Per review of the 2024 training records, three out of the three staff completed 31 out of the 20 training hours required. Regarding the two former caregivers, who were temporarily working at this facility as relievers, LPA verified per training records both completed their 40 hour annual training in 2022 at another facility operated by the same licensee. Interviews conducted with the current three caregivers, three out of three reported attending and completing the trainings per records. Interviews conducted with residents, one out of the six residents confirmed observing the trainings on site while the remaining residents did not recall and/or observe due to medical conditions. It is alleged that the licensee did not ensure facility has a certified administrator. The administrator's certificate for Venus Bravo expired on August 4, 2024 and on May 13, 2023 for Arnold Bravo. Per review of the Certificate of Completion dated May 31, 2024, Venus Bravo completed the coursework and submitted the renewal documents to the Department around June 2024 as noted in the email correspondence. Facility has not received the current certificate due to a back log in issuing certificates by the Department. Administrator has completed all required coursework. Administrator stated that Arnold Bravo will not be renewing their certificate and is acting as the House Manager. Therefore, this agency has investigated the complaint and based on the observations made, interviews which were conducted, and the records that were reviewed, the following allegations: Licensee did not ensure staff completed required training hours and Licensee did not ensure facility has a certified administrator are deemed UNFOUNDED. We have found that the complaint was unfounded, meaning that the allegations were false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted with Administrator Venus Bravo and House Manager Arnold Bravo, and a copy of this report was provided at exit.the state’s words, verbatim · CDSS document, Sep 24, 2024 · control 22-AS-20240917153724

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 Anaheizel Balonda. Administrator (AD) Venus Bravo arrived shortly after. For today’s visit, LPA observed a total of six residents in care and two staff members on duty. LPA observed the Administrator's Certificate for facility AD Venus Bravo which expires on August 04, 2024. LPA Ramirez toured the interior and exterior portions of the facility with AD Bravo. The facility is a single level structure and is licensed for six non-ambulatory residents, of which six may be on hospice and zero bedridden. There are a total of five bedrooms of which four are for residents and one for staff. 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 105.3-106.2 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 mounted, charged and located by the dining room. During today's visit LPA observed as residents participated in singing while listening to the guitar being played. CONTINUED ON LIC809-C.. LPA Ramirez observed the emergency disaster and evacuation plan, which is located by main entrance. Facility had back-up emergency food and 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 is one gate in the backyard, which is self-closing and self-latching. No bodies of water were observed. LPA reviewed five resident files and two staff files. LPA interviewed residents and staff present. For today's visit one deficiency was issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Bravo. A copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, Jul 25, 2024