Inspection visit

Routine inspectionNovember 12, 2024

BRILLIANT SENIOR CARE FACILITYLicense 19760970034 citations on this visit

34 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an annual required visit and inspection of the facility. LPA met with staff Alice Keshishian and was explained the reason for the visit. At 1:11 PM Anna Davtyan who is the administrator met with LPA, explained the reason for the visit. At 1:10 PM, with the assistance of staff and administrator, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are operational that are located each bedroom, the hallway and kitchen. There are carbon monoxide detectors that functions properly. The fire extinguisher is in the kitchen. The charge date is 10/31/2024. During the visit the facility is at 75 degrees Fahrenheit. The facility is fire cleared for six (06) non-ambulatory residents; one (1) bedridden. Facility has five (5) hospice waiver. Facility has no issue with fire clearance. Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked cabinet in the kitchen. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and locked away in the kitchen . Bedrooms: There were five (5) bedrooms designated for residents' use. Bedroom #1, bedroom #2, bedroom #3, and bedroom #5 are all private, Bedroom #4 is shared. All of the bedrooms are used by residents were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Continue to LIC 809-C Bathrooms: There are two (2) bathroom designated for residents' use. The bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 105.8 degrees Fahrenheit for bathroom #1 located in the hallway across bedroom #3. Bathroom #2 is inside bedroom #5. Hot water temperature was measured at 106.8 degrees Fahrenheit. There was enough clean linen available in the cabinets in the hallway. Common Areas: LPA toured all common areas of the facility. These included the living room and dining area for residents. The common areas were properly furnished. Residents dining table fits enough for six (6). LPA observed common areas to be very clean and tidy. LPA observed the floors to be in very good condition. No obstructions and or tripping hazards throughout the facility. Furniture in common area was observed to be in good repair. Infection control : Facility mitigation plan to make sure licensee was following current infection control recommendations. LPA obtain a copy and reviewed the infection control plan during this visit. Surrounding Grounds : Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The facility does not have a swimming pool or body of water. There is no garage in the facility, only car ports. Laundry service: There is enough linen available to change weekly or more if need. Cleaning supplies are being stored in a locked cabinet in the kitchen area and is located in between the dining room and kitchen. Staff Files : LPA also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. Office space is beside the dining area. Records were checked for expired or missing certificates and clearances: LPA conducted a file review of staff for criminal record clearances and current First Aid. The administrator file was reviewed for current first aid, fingerprint clearance, administrator certificate, and HIV/AIDS and TB training. Staff #3 (S3) is missing training, deficiency will be cited on LIC 809-D. Continue to LIC 809-C Medications are in a centrally stored and locked place, including over-the-counter medicines; medications are properly labeled and checked for expiration dates. Each centrally stored prescription and PRN medication has been logged in the medications log with proper documentation from the clients’ doctor. Proper medication dispensing instruction are followed and checked for contamination. First-aid has all proper items and is current. Resident records were reviewed for requirements and legibility: LPA reviewed client’s files for current appraisals. Liability insurance copy was handed to LPA. Planned activities are offered. R2, R4 and R5 is missing TB test, deficiency will be cited on LIC 809-D. Facility is within CA code of Regulations Title 22 or Health and Safety Code. No deficiencies were found, exit interview conducted, copy of report has been issued and discussed.

Citations

34 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.

1569.625(c)(1)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.625(c)(2)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.625(c)(3)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.625(c)(4)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.69(a)(4)(C)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.69(a)(4)(D)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.69(a)(4)(E)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.69(b)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.696(a)(2)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
87406(a)(1)(A)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
87406(a)(1)(B)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
87406(a)(1)(C)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
87411(c)(1)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
87411(d)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
87412(c)(2)(B)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
87412(c)(2)(C)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
87412(c)(2)(D)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
87412(c)(2)(D)1Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.625(c)(5)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.69(a)(4)(B)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
87412(c)(2)(D)2Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
87458(b)(1)Type B
Based on record review, the licensee did not comply with the section cited above in 3 out of 5 residents does not have TB test (R2, R4 and R5) which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.625(b)(2)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.625(c)(6)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.625(c)(9)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.626(a)(1)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.626(a)(2)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.69(d)(4)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
87411(c)(6)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
87412(c)(2)(D)3Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
87613(a)(2)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
87613(a)(2)(B)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.69(a)(4)(A)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.
87412(c)(2)(A)Type B
Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 12, 2024 inspection of BRILLIANT SENIOR CARE FACILITY?

This was a inspection inspection of BRILLIANT SENIOR CARE FACILITY on November 12, 2024. 34 citations were issued: 34 Type B.

Were any citations issued to BRILLIANT SENIOR CARE FACILITY on November 12, 2024?

Yes, 34 citations were issued (0 Type A, 34 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in 1 out of 1 S3 which poses/posed a po..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

Routine inspection·November 12, 2024