Routine inspection·April 21, 2026

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 2 on hospice care. Administrator Mariza Oliva has a current administrator certificate expiring on 05/24/2026. LPA Lyman along with Caregiver Balana toured the facility at 8:29 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. LPA observed one resident with full rails. LPA observed the screen door in Resident 1's (R1) room has a hole in it. 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 105.1 and 113.1 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 as well as a first aid manual. 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. CONT ON LIC809-C DATED 04/21/2026 Plan is thorough and complete. Facility provided documentation of last fire drill conducted on 03/03/2026. Facility provides activities in the form of exercise and games. At 9:00 AM, LPA reviewed five resident files and three staff files. Resident files contained required documents including admission agreements, current physician reports and resident appraisals. Staff files did not contain proof of all required training. Two out of three staff are missing four hours of required annual Dementia training. At 10:00 AM, LPA reviewed medication storage and administration. Medications are stored in a locked closet. LPA observed R5 has a bottle of Mirtazapine 7.5 mg with an altered label to change the 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.