Routine inspection·April 8, 2025

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Casa Francesca. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the home and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents, of which one may be bedridden. Facility has an approved hospice waiver for 3 residents and the home currently has 5 residents with 1 on hospice care. Administrator Mariza Oliva has a current administrator certificate expiring on 05/24/2026. LPA Lyman along with Administrator toured the facility at 9:35 AM. LPA toured the physical plant, checked food service, reviewed records and the first aid kit. Facility appears to be clean, safe, and sanitary. The home consists of four resident bedrooms, one resident restroom, common restroom, one staff room, living room, dining room, and kitchen. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 113.1 and 114.2 degrees F in all facility restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked in a kitchen drawer. Smoke detectors and Carbon Monoxide detectors are hardwired and tested operational during today's visit. Fire extinguishers are fully charged. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample shaded seating for residents. Exit gates are unlocked and self latching. LPA observed ample emergency food and water supply. LPA reviewed the emergency disaster plan during the visit. Plan is thorough and complete. Facility provided documentation of last fire drill conducted on 03/15/2025. Facility provides activities in the form of exercise and games. CONT ON LIC809-C DATED 04/08/2025 At 10:00 AM, LPA reviewed five resident files and four staff files. Resident files contained required documents including admission agreements, current physician reports and resident appraisals. Resident 5 does not have a medical assessment or pre-appraisal in the file. Resident 2's physician report states resident is bedridden but is residing in a room not designated by OC Fire as a bedridden room. Staff files did not contain proof of all required training. Staff 3 does not have a file present at the facility. At 10:30 AM, LPA reviewed medication storage and administration. Medications are stored in a locked closet and are audited bi-weekly. LPA observed facility is not documenting PRN usage. Medications are being administered per physician order. Based on the observations made during today's visit, the following violations are being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report as well as appeal rights were discussed and provided with facility representative.