Britannia Place.

On 2/4/2026, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Mark Williams, Administrator and explained the purpose of the visit. Delphine Williams, Licensee arrived later during the visit. LPA toured the physical plant. This is a 1-story building with 5 bedrooms (4 for residents and 1 for staff), 2 bathrooms, a dining room, kitchen, living room, front and backyards, etc. No accessible bodies of water or hazards were observed in hallways or the front or back yards. The facility's fire alarms and Carbon Monoxide detector were observed to be in working order. The facility's first aid kit was observed to have all required items. The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit. The facility's hot water was measured between the required 105-120 degrees Fahrenheit. All sharp objects, soap, detergents, and poisons were observed to be locked and in-accessible. A review of Centrally Stored Medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. LPA requested a copy of the facility's updated Plan of Operation by 2/13/2026. While at the facility, LPA collected the facility's transportation policy, Administrator certificate, and Liability Insurance. No deficiencies cited during today's visit. An exit interview was conducted. A copy of this report was provided to the facility representative.

On 8/19/2025, LPA Calandra arrived at the facility to conduct a Case Management visit quarterly check-in regards to an Non-Compliance conference held on 12/11/2024. LPA Calandra was greeted by Delphine Williams, Licensee and explained the purpose of a visit. The NCC meeting on 12/11/2024 was called to discuss a serious violation that occurred on 09/04/2024 in which a resident was able to elope from the facility. During today's quarterly check-in, LPA observed adequate staffing and that all trainings discussed in the Plan of Correction have been completed. LPA requested a copy of the facility's LIC 500-Personnel report be sent to the Department by 8/22/2025. LPA received copy of the facility roster at the facility. No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with Delphine Williams, Licensee and a copy of the report left at the facility.

On 4/24/2025, LPA Calandra arrived at the facility to conduct a Case Management visit quarterly check-in regards to an Non-Compliance conference held on 12/11/2024. LPA Calandra was greeted by Mark Williams, Administrator and explained the purpose of a visit. The NCC meeting on 12/11/2024 was called to discuss a serious violation that occurred on 09/04/2024 in which a resident was able to elope from the facility. During today's quarterly check-in, LPA observed adequate staffing and that all trainings discussed in the Plan of Correction have been completed. LPA obtained a copy of the sign-in sheet for the trainings during the visit. No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with Mark Williams, Administrator and a copy of the report left at the facility.

On February 14, 2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to deliver an Amended report from 2/7/2025. LPA Calandra was greeted by Delphine Williams, Licensee and explained the purpose of the visit.

***************************************THIS IS AN AMENDED REPORT************************************************** On 2/7/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Dionisio Rigor, Caregiver and explained the purpose of the visit. Delphine Williams, Administrator/Licensee arrived later during the visit. LPA toured the physical plant. This is a 1-story building with 5 bedrooms (4 for residents and 1 for staff), 2 bathrooms, a dining room, kitchen, living room, front and backyards, etc. No accessible bodies of water or hazards were observed in hallways or the front or back yards. The facility's fire alarms and Carbon Monoxide detector were observed to be in working order. The facility's first aid kit was observed to have all required items. The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit. The facility's hot water was measured between the required 105-120 degrees Fahrenheit. All sharp objects, poisons, and detergents were observed to be locked and in-accessible to persons in care. LPA reviewed 3 resident records and 3 staff files. All were observed to be complete. A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. An exit interview was conducted. This report was reviewed with Mark Williams, Administrator and a copy of the report left at the facility.

On September 27, 2024, Licensing Program Analyst (LPA) John Calandra arrived at the facility to conduct an unannounced Case Management visit to follow up on an incident report sent by the facility to the department on September 5, 2024, in which R1 left the facility unassisted. LPA Calandra was greeted by Dionisio Rigor, Caretaker and explained the purpose of the visit. Delphine Williams, Administrator/Licensee and Mark Williams, Administrator arrived later during the visit. Based upon review of R1’s records, LPA Calandra found that R1 has a primary diagnosis of Alzheimer’s and is not cleared to leave the facility unassisted by the physician. Thus, R1 should not have been able to wander away from the facility. LPA and Administrator discussed several items including staff training plans, and other preventative measures in order to prevent further incidents of wandering from occurring. A Type A violation was provided for not ensuring the facility’s plan of operations addresses safety measures to address behaviors such as wandering and aggressive behaviors. The deficiencies are cited under the California Code of Regulations, Title 22. Failure to correct the deficiencies by the due date may result in civil penalties. An exit interview was conducted. This report was reviewed with Delphine Williams, Administrator/Licensee and Mark Williams, Administrator, and a copy of the report along with Appeal Rights left at the facility.

On September 19, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Case Management visit in regards to an incident that occurred on September 4, 2024 in which a client was able to leave the facility unassisted. LPA Calandra was greeted by Licensee/Administrator, Delfine Williams and explained the purpose of the visit. Mark Williams, Administrator arrived later during the visit. LPA Calandra requested the following documents: -Current resident files -LIC 602 for resident -Needs and Services Plan for resident -Updated LIC 500 During the visit, LPA Calandra observed 1 resident in the living room watching tv, 2 residents sleeping in their bedrooms, and 1 resident in their bedroom sitting in their chair visiting with their relative. Based on LPA's review of documents including LIC 602-Physician's reports for all current residents and R1, Needs and Services plan for R1, facility's program description, interview with staff, etc., it was determined that the facility did not violate Title 22 or the Health and Safety code. No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with Mark Williams, Administrator and Delfine Williams, Administrator/Licensee and a copy of the report left at the facility.

On 02/15/2024 Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced 1 year annual inspection visit. LPA met with administrator Mark Williams and explained the purpose of today's visit. LPA toured the facility inside and outside. Emergency exit routes are free and clear of obstructions. The facility's ambient temperature is comfortable and warm. Water is tested in two bathrooms as being 110F. Residents have an adequate amount of linens and incontinence supplies, incidental supplies, as well as PPE as needed. Linens are stored in a resident bathroom located at the rear of the facility. One fire extinguisher is observed at the end of the hallway centralized to resident rooms and laundry nook. Extinguisher is observed as being inspected 11/27/2023. Carbon monoxide detectors and smoke detectors are present through out the facility. Resident bathrooms are observed to be in working order with clean shower curtains and non-skid surfacing and strips are in place. Some residents bring their own toiletries to the bathrooms and some are stored and provided by staff upon request. 7 day non-perishable food supply and 2 day fresh food supply is observed as in place. Kitchen is observed as operable and clean. Appliances are in good working order. Knives are stored and locked in hallway cabinet along with cleaning solutions. Medications are stored and inaccessible in a locked medication cabinet in the kitchen. Medications are reviewed to be in place and accurately marked in bubble packs and medication bottles. Centrally stored medication log is observed as current. First aid kit is complete and stored in hallway closet. On site laundry is available and functioning per observations made in at the end of the hallway central to two resident rooms Continue on next page... 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 Page 2 - LIC809C 3 staff records are reviewed. All staff has criminal record clearance and are associated with the facility. Based on record reviews, TB tests, training, CPR/First Aid cards, and personnel files are current. 2 client records are checked and both are complete and updated. Disaster drills are current and vary per month. Last conducted in 12/24/2023. According to administrator each drill is different and varies for each drill conducted. Administrator certificate is observed is observed as current expiring 05/19/2024. Facility does not handle resident money. The following updated items are requested to be sent to the Department by 02/22/2024 : • LIC610D Emergency Disaster Plan • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report • Updated administrator certificate • LIC9020 Client Roster • Certificate of Liability Insurance • Proof of control of property • Surety bond with expiration date Report is reviewed with administrator. No citations issued.