Routine inspection·December 29, 2023

Licensing Program Analyst (LPA), Stephanie Martinez, conducted a required annual inspection at Bianca's Home Care 2. The LPA was allowed entrance into the facility by staff member, Norqueza Pabalan, and later met with Administrator, Brevet Dao. The LPA informed the Administrator of the purpose for the visit. The facility currently has an approved Hospice Waiver for six (6) residents. The inspection included the following: interior/exterior inspection and a review of records. Physical Plant: The facility consists of four (4) resident bedrooms, one staff bedroom, two dinning areas, two living spaces, an open kitchen, a laundry room, two garage spaces, and a covered patio with sufficient seating and space for activities. There are no bodies of water located on the property. According to Administrator Dao, no weapons are stored in the home. The facility is being maintained at a comfortable temperature. All outdoor and indoor passageways are kept free of obstruction and are free of debris and other trash. There are grab bars for each toilet, bathtub and shower used by residents. Resident showers have non-skid mats or strips present. The carbon monoxide and smoke detectors were tested by facility staff and were observed to be in operating condition. The LPA observed multiple chemicals accessible to unauthorized individuals throughout the facility; one large bottle of Fabuloso in a storage box under the backyard patio, all purpose cleaner beside the toilet in bathroom #1, Comet, Lysol, Clorox, Ajax, and other cleaners underneath a sink in the laundry room (NOTE: the laundry room was accessible to unauthorized individuals as the door was propped open throughout the LPA's visit). The LPA observed a broken mirror in bathroom #1. The LPA also observed one torn window screen in the back yard near the exit gate, a bent window screen to the right of the backyard patio, and one damaged baseboard near bedroom four. The facility was operating beyond the conditions on the license. Resident Two (R2), whose Physician's Report for Residential Care Facilities for Elderly designates the individual as bedridden. R2 was not residing in a bedridden approved bedroom. In addition, the LPA observed there to be three total residents, who are designated as bedridden on their Physician's Report, to be in care. Resident three (R3) was also not residing in a bedridden approved bedroom. The facility has an approved fire clearance for only two bedridden residents. Additional violations were observed during the inspection, including, resident records, staff training, and accessibility of medications. Due to insufficient time, a continuation visit will be conducted by the LPA at a later time and violations will cited appropriately. Immediate concerns were addressed with the Administrator during today's inspection. An exit interview was conducted; this report was reviewed with Administrator Dao and a copy was provided along with the LIC 811 and instructions on appeal rights.