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Inspection visit

Routine inspection

BLOSSOM HAVEN, INC.License 1072088824 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On 12/16/2025 Licensing Program Analysts (LPAs) B. Miranda and J. Duarte arrived at the facility unannounced to conduct an annual inspection. LPAs were greeted by staff Ahli Vang and allowed entrance into the facility. Administrator Ly was contacted and arrived shortly after. Facility is licensed for a capacity of 6 and has a current census of 4. Upon arrival LPA observed residents siting in the living room waiting to go to day program. Fire extinguisher was last serviced 12/18/2025 and still holds charge. Smoke detectors & carbon monoxide detectors were tested and are in working order. LPAs observed knives and medication to be locked and inaccessible to residents in care. LPAs observed resident rooms which are properly furnished with adequate lighting. Exits are accessible and free from obstruction. During the tour LPA observed the dishware in the kitchen needing to be cleaned due to buildup at the bottom of the dishware. LPA observed tools accessible to residents in the garage and outside in the cabinets/drawers. LPA observed an outside cooking area needing to be cleaned to prevent pests. Administrator verified there is no current infection control plan in place or completed. LPAs tested water in different areas which did not meet the requirement of 105 degrees. LPAs reviewed resident files which are current and up to date. A sample of staff files were reviewed and are current and up to date. Exit interview was conducted. A copy of this report LIC809, LIC809D, and appeal rights were provided to Administrator Ly Sy Jalao.

Citations

4 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed buildup in dishwasher, outside area used for cooking at times needs to be cleaned to prevent actracting pests, Outside refridgerator and freezer needs to be cleaned due to spillage.

  • 87303(e)(2)Type A

    Provide resident hot water for personal care

    Based on observation & interview, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPA observed the water in the hall bathroom to read at 68.5 degrees Farhenhiet, master bathroom sink 96.4, and master shower to read at 79.8.

  • 87309(a)Type A

    Ensure hazardous items are locked and not unattended

    Based on observation & interview, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPA observed cleaning supllies, pruning sheers, and small sheers outside in an unlocked drawer/cabinet. LPA observed tools in the garage which are accessible to residents.

  • 87470(c)Type B

    Infection control plan required in operations plan

    Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Licnesee does not have an infection control plan completed.

FAQ · About this visit

Common questions about this visit

What happened during the December 16, 2025 inspection of BLOSSOM HAVEN, INC.?

This was an inspection of BLOSSOM HAVEN, INC. on December 16, 2025. 4 citations were issued: 2 Type A (serious) and 2 Type B.

Were any citations issued to BLOSSOM HAVEN, INC. on December 16, 2025?

Yes, 4 citations were issued (2 Type A, 2 Type B). The first citation was for: "Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/p..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.