Britta Care

Licensing Program Analyst (LPA) Jessica Cho arrived unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver Joel Castillo and explained the reason for the visit. Administrator (Admin) Frank Mangisi arrived on premise to assist with the inspection. The administrator's certificate for Frank Mangisi is expired and is pending completion of course work for 2025. Admin completed 28 out of 40 hours for this year and indciated that all course work will be completed by November 30, 2025. The following was observed during the inspection: This is a single story residential home comprised of six private resident bedrooms and three shared and one private resident bathrooms. There is an additional bedroom occupied by two live-in staff. Facility operates within the conditions and limitations specified on the license. LPA observed six residents in care and two caregivers on duty during the visit. All common areas were inspected which includes the attached two car garage which also serves as a storage and laundry area. LPA inspected all bedrooms. The resident bedrooms' were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. All bathrooms were found be in compliance, clean, and operational. Slip resistant mats were provided. The hot water temperature in the resident bathrooms measured at 116.6, 107.6, 111.7, and 106.5 degrees Fahrenheit. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food in the kitchen. LPA tested and observed all four burners lighted unassisted. The toxins, disinfects, sharps, and medications were secured and inaccessible. LPA observed the interior/exterior kitchen appliances and pantry needed a deep cleaning as well as replacing one light fixture in the hallway. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction. The two exit gates on each side of the property was functional, and there were sufficient seating and shading in the patio area. The fireplace was appropriately screened. The two fire extinguishers were purchased on today's date per proof of receipt. The smoke/carbon monoxide detectors and all auditory devices tested operational except one smoke detector in the hallway. LPA observed emergency food/water in the garage. The first aid kit had all necessary elements. Facility is not conducting quarterly emergency drills. Admin stated that the drill will be conducted per shift next month. LPA reviewed two personnel files in which discrepancies were found. LPA confirmed per review of the Licensing Information System (LIS) Facility Personnel Report Summary and Guardian Background Check System that two out of the three staff were not fingerprint cleared, Staff #2 (S2) and Staff #3 (S3). Per file review, personnel records were incomplete and not maintained on file. LPA was unable to verify the initial 40 hour training records for S2 and S3, no health screening (which includes Tuberculosis (TB) test results) for S3 was maintained, and CPR/First Aid certificates for S2 to Staff #4 (S4) were missing. LPA reviewed six resident files and discrepancies were found as complete resident records were not maintained on file for all residents, reappraisals were not conducted for all residents, no medical assessments including TB tests were not completed for three out of six residents (Resident #2 (R2), Resident #4 (R4), and Resident #5 (R5). LPA found no medication errors in review of two out of six residents'. The following was addressed during the visit: to ensure complete resident/personnel records are maintained on file and readily available for review, obtain medical assessments/TB testing for R2, R4, and R5, to complete reappraisals and care plans for all residents, to provide proof of fingerprint clearance receipts tomorrow for S2 and S3, to obtain health screening and TB test result for S3, ensure both staff receives 40 hour training and documentation of training is maintained, to conduct quarterly emergency drills per shift effective November 2025, to deep clean the kitchen appliances and pantry, to repair one smoke detector and one light fixture, and to submit proof of liability insurance. Based on the observations made during today's visit, deficiencies are being cited and an immediate civil penalty is being assessed. Advisory Notes are also being issued. An exit interview was conducted with Administrator Frank Mangisi, and a copy of this report including the LIC858/859, and appeal rights were provided at exit.

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Caregiver Norkisa Baladec. Administrator (AD) Frank Mangisi arrived shortly after. For today’s visit, LPA observed a total of six residents in care and two staff members on duty. LPA Ramirez toured the interior and exterior portions of the facility with caregiver Baladec. The facility is a single level structure and is licensed for two ambulatory residents and four non-ambulatory residents, of which six may be on hospice and zero bedridden. There are a total of seven bedrooms, of which six are resident bedrooms, and one private bedroom for staff. During the tour LPA did not observe the 20"x26" complaint poster (PUB 475).LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of four restrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 105.2-107.4 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged and located by the living room. CONTINUED ON LIC809-C... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA observed the emergency disaster and evacuation plan which is located by the entryway. Facility had back-up emergency food. Licensee was reminded to have additional emergency water supply. LPA observed that First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. For the exterior portion, LPA Ramirez observed a shaded area, patio furniture, and the grounds were free of any hazards. There are two gates in the backyard, which both are self-closing and self-latching. No bodies of water were observed. During today's visit LPA observed residents watching television shows. LPA reviewed six resident files and two staff files. LPA observed that two of six resident records did not have a pre-admission appraisal and/or the pre-admission appraisal was blank; a Deficiency was issued today. LPA observed that two of two staff have an expired cardiopulmonary resuscitation (CPR) card; a Deficiency was issued today. LPA interviewed residents and staff present. For today's visit deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Mangisi. A copy of this report was provided at the time of exit.

On 08/24/2022, Licensing Program Analyst (LPA) Jessica Cho conducted an unannounced visit to Britta Care. The purpose of today's visit was to conduct a Required 1 Year focusing primarily on the Infection Control. At 11:47am, LPA Cho was allowed entry into the facility and met with Caregiver Brenda Baladec after completing the Coronavirus 2019 (COVID-19) screening procedure. Facility utilized a digital thermometer in lieu of a contactless thermometer. Admin was advised to obtain a contactless thermometer which was purchased during the visit. Caregiver Saturnina Santander was also present at this time. LPA verified with Staff 1 (S1) and then the Administrator (Admin) Frank Mangisi who both acknowledged that Staff 2 (S2) was employed as a reliever effective 08/21/2022. At 12:10pm, Admin also confirmed and acknowledged that S2 was not associated to the facility on Guardian. LPA also verified the information via the Licensing Information System (LIS) Personnel Report Summary. Admin agreed to having S2 return to the facility once a transfer of records and association have been finalized. Admin arrived at the facility at 12:13pm. As of today, there are no active COVID-19 cases in the facility. Facility screens visitors on a sign in sheet. LPA observed the required COVID-19 precautionary signs posted on the front door and throughout the facility. LPA observed the Complaint Poster was not in the correct size, and LPA advised Admin to obtain one in the correct size of 20" by 26". The facility is licensed for two ambulatory and four non-ambulatory residents and has a hospice waiver for six. There are currently six residents living in the facility of which three are receiving hospice care. At 12:15pm, LPA Cho conducted a tour of the physical plant along with Administrator Frank Mangisi. The single story home consists of six resident bedrooms with four resident bathrooms. There is one staff bedroom. The facility also has a living room, dining area, office area, kitchen, and an attached two car garage. The resident bedrooms had the required furnishings, bed linens, and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly except in Bathroom #1. Bathroom #1 had a left faucet handle cover that was half-broken which exposed the inner metal bar. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Grab bars were secure, showers was free of mold/mildew, and non-skid mats were in place. Resident bath towels and personal hygiene supplies were adequately stocked including paper towels and hand soaps. LPA observed hand washing signs in all bathrooms. LPA Cho tested the hot water temperature in the resident bathrooms and the temperature measured at 114.4 degrees Fahrenheit in the Bathroom #1, 116.6 degrees Fahrenheit in Bathroom #2, 110.6 degrees Fahrenheit in Bathroom #3, and 117.8 degrees Fahrenheit in Bathroom #4. LPA Cho inspected the kitchen along with Admin. Perishable and non-perishable food supplies were checked and adequately stocked at the time of the visit. The fire extinguisher was fully charged but serviced on 03/04/2021. Admin scheduled an appointment during the visit and confirmed the appointment day to be on or before 08/26/2022. At 3:27pm, the smoke and carbon monoxide detectors were tested and operational. Sharps were locked and inaccessible, but resident medications, caregiver medications, and toxins were unlocked and accessible to the residents in care. At 12:23pm, LPA observed Robafen Congestion Formula, two spray cans of Raid, and thirteen unpackaged supplement pills as well as six residents' pill plastic organizers in the caregiver's room due to the caregiver's bedroom being unlocked. The locking mechanism was installed and completed during the visit at 3:07pm. Around 12:06pm, LPA observed five bottles of cleaning solutions in an unlocked cabinet underneath the sink. Caregiver Baladec locked the cabinet immediately during the visit. The auditory alarms throughout the facility were not in operating condition as the alarms in Bedrooms #2, #4, and #5 required a new battery. Both sliding door and the exit door located in the living room did not have an auditory alarm. LPA requested Admin to obtain and install an auditory alarm on each door. The auditory devices were installed and corrected during the visit. LPA Cho toured the outside grounds. There were no bodies of water present. There was shading and sufficient seating for residents. Walkways around the home were clear of hazards, and the exit gates were self-closing and self-latching. There were no security bars or weapons on the premises. LPA Cho reviewed the Emergency and Disaster Plan for Residential Care Facilities for the Elderly (LIC610E). Admin was advised to update the LIC610E form per Assembly Bill (AB) 3098 released on 12/13/2018 and as required per the Provider Information Notice (PIN 18-18-ASC). Facility has back-up emergency food and water supply. The First Aid Kit met all the required components except a first aid manual, and the facility had sufficient PPEs. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Resident files for (R1, R2, and R3) were reviewed. Staff files were not reviewed at the time of this visit. LPA reviewed the COVID-19 mitigation plan of the facility as well as Assembly Bill (AB) 665. This bill would require residential facilities serving adults, residential care facilities for persons with chronic life-threatening illness, and residential care facilities for the elderly with existing internet service to provide at least one internet access device that can support real-time interactive applications, is equipped with video conferencing technology, and is dedicated for client or resident use. The facility does have an existing internet service and provides the residents a smart phone upon request. LPA provided the following guidance: to update the LIC610E using the current form, to obtain a first aid manual and the PUB475 in the correct size of 20"x26," to ensure all medications, toxins, and cleaning solutions are locked and inaccessible to the residents, to ensure the facility is in good repair at all times, to annually service the fire extinguisher, and to ensure S2 is associated prior to employment. In addition, LPA reminded Administrator Mangisi the importance of staying abreast with CCLD's COVID-19 guidance by reviewing and printing the Provider Information Notices (PINs) as well as by attending the CCLD Informational Calls. The PINs can be accessed at: www.ccld.ca.gov . Based on the observations made during today's visit, deficiencies are cited in this review as per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Administrator Frank Mangisi, and a copy of this report (including LIC809, LIC809C, LIC809D, Civil Penalty Assessment LIC421, LIC9102s, and the appeal rights) were provided.