Routine inspection·October 2, 2025

At approximately 12:45 PM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Required 1 Year visit and was greeted by Caregiver (CG) Sombito. Administrator Art Villegas arrived at 1:15 PM. Casa Isabella II is Licensed as a Residential Care Facility for the Elderly (RCFE). The facility is a single story ranch house. The facility has an approved fire clearance for six (6) non-ambulatory residents. The facility has a Hospice Waiver for three (3) residents. Upon arrival, LPA was informed that there were four (4) residents in care and two (2) staff members on-site. LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 1:05 PM, LPA toured the facility. All exits were clear and unobstructed. The facilities one (1) fire extinguisher was last serviced and tagged in 12/2024. LPA observed that there were no functioning lights in the bathroom attached to the semi-private room at the rear of the facility. This deficiency will be cited. The remainder of the facility was observed to be sufficiently lighted. LPA inspected five (5) resident bedrooms and found all to have sufficient lighting and furnishings as required per Title 22 Regulations. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. LPA observed an unsecured bottle of "Gorilla Glue" in the bathroom attached to the semi-private room at the rear of the facility. This deficiency will be cited. All other toxins were observed to be stored inaccessible to residents. Facility has an infection control plan as required. The facility has a required emergency disaster plan. The facility does have emergency food and supplies to meet the "72 hour shelter in place" requirements. Hot water temperatures for a sample of sinks in facility were observed to exceed the Title 22 regulations of 105 to 120 degrees Fahrenheit. Sample of sinks tested were at 142.7, 126 and 140.1 degrees Fahrenheit. This deficiency will be cited. Facility smoke detectors and carbon monoxide detectors were tested and observed to be operational. Continued on 809-C... ...Continued from 809 Administrator Villegas stated the facility is conducting fire and emergency drills monthly. However, LPA observed that the required Emergency Disaster Drill log was not at the facility; however LPA was able to view a picture of the Disaster Drill Log. A Technical Violation will be issued for this deficiency. At approximately 1:55 PM, LPA reviewed two (2) resident files. One (1) of two (2) resident files for Resident 1 (R1) were observed to not have a current LIC 625 Appraisal/Needs and Service Plan. LPA further observed that R1 did not have an LIC 603 Pre-Admission Appraisal form. These deficiencies will be cited. All other required documentation was observed to be present in the resident's files. LPA reviewed two (2) staff files. All staff files were observed with all required documentation including First Aid and CPR certification and proper training documentation. During the facility inspection LPA observed unsecured medications in a night stand in the walk in closet located off the bathroom attached to the semi-private room at the rear of the facility. This deficiency will be cited. LPA spot checked Medication for two (2) residents. With the exception of the unsecured medications previously mentioned, LPA observed all medications to be centrally stored, secure and with proper documentation. The facility does not handle resident’s monies for personal and incidental items. Art Villegas’s Administrator Certification 7019452740 is current with an expiration date of 6/9/2027. LPA requested the following documents be submitted to Community Care Licensing by 11/2/2025: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Proof of Liability Insurance Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC-809Ds, Plan of Corrections, LIC 9102, 811 Confidential Names and Appeal Rights discussed and provided to Administrator. Signature on form confirms receipt of documents.