Routine inspection·May 6, 2026

At approximately 8:40 AM, Licensing Program Analyst (LPA) Robert arrived unannounced to conduct a 1-Year Required Visit. Administrator Edward Alicdan, arrived at approximately 9:15 AM. Licensee Luningning Alicdan arrived at 11:25 AM. Betsy's II RCFE is Licensed as a Residential Care Facility for the Elderly (RCFE). The facility is a large single story ranch house. The facility has a plan of operation for dementia care and programming on file. The facility has an approved fire clearance and total capacity for thirteen (13) residents of which eleven (11) residents may be non-ambulatory, and two (2) residents may be bedridden. Facility has an approved hospice waiver for three (3) residents. Facility has approval to have a locked perimeter. Upon arrival, LPA was informed that there were eight (8) Residents in care. LPA reviewed the Facility's Staff Roster and observed that staff member S1 was not associated to the facility in the Guardian Background Check system as required per regulations. The facility will be cited for this deficiency and a Civil Penalty of $500 will assessed for this violation. All other staff members were observed to be background cleared and associated to the facility per regulation. At approximately 9:10 AM, LPA toured the facility. All exits were clear and unobstructed. Facility fire extinguishers were last serviced and tagged in June, 2025. The automatic sprinkler system was serviced in 11/2025. The facility's fire alarm system was inspected and tagged in 5/2026. The facility was sufficiently lighted. LPA inspected eight (8) 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. Facility has an infection control plan as required. The facility has a required emergency disaster plan. The facility is conducting fire and emergency drills quarterly. The last disaster drill was conducted on 3/31/2026. Continued on 809-C... ...Continued from 809 Hot water temperatures for all sinks in facility were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility smoke detectors and carbon monoxide detectors were tested and observed to be operational. During todays inspection of the physical plant LPA Frank made the following observations: In the storage room in the common area, LPA observed that there was a can of paint and paint remover accessible to residents as the storage room was unlocked. In the sink to the immediate left of the storage room LPA observed unsecured cleaning products. Additionally, in the facility's office area a can of spray paint was observed to be unsecured. This deficiency will be cited. As this same deficiency was previously cited within the past year (10/24/2025 & 1/13/2026) a Civil Penalty of $250 will be issued. In the same storage room noted above, LPA observed an unsecured prescription medication. This deficiency will be cited in the facility's Non-Compliance Inspection Report which is being completed today, 5/6/2026. In the kitchen cabinets to the left of the stove top, LPA observed the area to have a build up of grease and to be extremely dirty. The facility will be cited for this deficiency. Room number one (1) was observed to have a strong odor of urine. The resident of room one (1) is using incontinence products. The odor was observed to be strongest near the residents bed. At approximately 11:45 AM, LPA reviewed five (5) resident files. Two (2) of five (5) resident files (for residents R1 & R2) were observed not to have signed Personal Rights documents. One (1) of five (5) resident files (for residents R2) was observed not to have a Pre-Placement Appraisal. LPA reviewed five (5) staff files. One (1) of five (5) staff files (for staff member S2) was observed not to have proof of the required twenty (20) hours of annual training. One (1) of five (5) staff files (for staff member S2) was observed not to have a Medical Assessment or proof of a negative Tuberculosis (TB) test. The resident records and staff file deficiencies will be cited in the facility's Non-Compliance Inspection Report which is being completed today, 5/6/2026. Continued on 809C2... ...Continued from 809-C LPA unable to complete Annual Inspection. Annual Continuation Visit to be conducted at a later date. 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 811 Confidential Names, LIC 9098 Self Certification, LIC 421FC, LIC 421BG and Appeal Rights discussed and provided to Licensee Alicdan. Signature on form confirms receipt of documents.