Routine inspection·June 9, 2025

On 6/9/25 at 8:48am Licensing Program Analyst(LPA) Noel Wolf Petersen and Licensing Program Manager(LPM) Liza King arrived to the facility unannounced met the administrator Jean Cherryl Briones and conducted an annual inspection. Briones Family Homecare is a 6 person facility with a current census of 5. Approved to accommodate 6 non ambulatory persons of which 3 may be bedridden. Hospice waiver approved for 6. Physical plant was inspected including but not limited to the bedrooms, bathrooms, hallways, storage, exteriors and evacuation routes. The traffic areas are unobstructed. Required furniture is present, infection control encasements for the mattress is missing in 1 of 5 beds. The facility is sanitary, night lighting is absent in the bathrooms and hallways. Sharps and Medications are locked away, toxics were locked with the exception of some hand soap. No bodies of water were observed. resident use water temp was taken at 109*F, Fire extinguisher was checked on 10-7-24. Fire drills are conducted quarterly. Smoke and CO detectors are functional. Required posters for Client Rights were not present.Technical Advisories are issued for the Physical Plant (Personal rights poster, bed bug encasements, non-toxic soap, and night lights), while no resident is at risk for these issues currently, future nonambulatory clients and ambulatory clients may be. 2 Client interviews were conducted. 5 client files were reviewed. MAR's for the clients are incomplete, missing elements like reasons and effects for PRN medications. The 602's and Needs and Appraisals forms need to be updated on a yearly basis. Residents with restricted conditions are accepted and retained without applying for exceptions (catheter use, contractures, and total care). The Licensee did inquire about a exception for cathether use to her LPA in January 2025. Continued on C page 2 Staff interviews were conducted. 2 staff records were reviewed for finger printing, background check clearances, required training's, and for first aid. Records are present and up to date. The administrator records were reviewed including a Plan of Op, Liability insurance, and Admission agreement. Guardian facility profile needs to be updated. Plan of Op was prepared by a consultant, Administrator should review it, Administrator is not reporting unusual incidents as outlined in the Plan of Op. Dues are up to date. Citations were issued on following D-pages. Exit interview was conducted, the report was read and given to the administrator. Appeal rights were provided.