Inspection Reports for Bonnevie Residence And Care

Licensing Program Analyst Manuel Monter conducted a Plan of Correction (POC) case management visit to clear deficiencies cited on August 13, 2025, during an annual inspection visit and to amend the previous report with additional information and an additional deficiency.

No deficiencies were cited during the visit. The previously cited Type A deficiency related to Personal Rights of Residents was cleared following receipt and approval of the plan of correction by the due date.

Licensing Program Analyst Manuel Monter conducted a Plan of Correction (POC) case management visit to clear deficiencies cited on August 8, 2025, during an annual inspection visit and to amend the previous report with an additional deficiency.

The facility was cited for a new deficiency involving a metal latch on the living room exit door that posed an immediate health, safety, and personal rights risk to residents. The latch was removed during the visit. Previous deficiencies cited on August 8, 2025, were cleared based on submitted plans of correction.

The inspection was an unannounced annual inspection visit conducted to evaluate compliance with licensing requirements for Bonnevie Residence and Care Facility.

The inspection found a Type A deficiency related to an unsafe metal latch on an exit door posing an immediate risk, and two Type B deficiencies related to incomplete emergency drill documentation and incomplete centrally stored medication records for residents.

The inspection was an unannounced complaint investigation visit triggered by an allegation of financial abuse of a resident by staff at Bonnevie Residence and Care Facility.

The investigation substantiated that a resident loaned money to a staff member without a written agreement outlining repayment terms, which is prohibited. The staff member accepted the loan and repaid it the next day. The facility lacked a written agreement regarding handling resident finances and loaning money, posing health, safety, and personal rights risks.

The complaint alleged financial abuse of a resident who gave $500 cash to a staff member to gamble at a casino. The investigation found the money was a loan repaid the next day. The resident felt pressured to give money and was told to buy food for others. The allegation was substantiated based on evidence including interviews and financial transaction reviews.

The visit was an unannounced case management inspection conducted to amend a previously created report that was issued in error on 04/09/2025.

No deficiencies were cited during the visit based on California Code of Regulation (CCR) Title 22. The Licensing Program Analyst explained the correction to the Licensee/Administrator and conducted additional interviews with staff and residents.

An unannounced case management visit was conducted to follow up on Type A and Type B deficiencies cited on 10/31/2024 and to verify compliance with the fire clearance.

No deficiencies were cited during this visit. The facility was found to be in compliance with regulations including fire clearance, resident and staff records, and safety standards.

Unannounced case management visit to follow up on previously cited Type A and Type B deficiencies from 10/31/2024.

No deficiencies were cited during this visit. Observations included secure storage of sharps, chemicals, and medications, appropriate hot water temperature, clean windows and screens, and adequate food supply. Fire clearance is still pending further review.

The inspection was an unannounced required 1-year visit to evaluate compliance with licensing regulations and facility conditions.

The inspection identified multiple deficiencies including excessively high hot water temperatures, unlocked storage of toxic materials and medications, lack of resident appraisal and service plans, inadequate medication logs, insufficient food supplies, facility maintenance issues such as loose floorboards and unclean appliances, and improper destruction of medications for former residents. The facility was advised to submit plans of correction by specified due dates.

Unannounced case management visit was conducted due to an incident involving the reported unknown death of a resident on 09/17/2024.

The investigation revealed that the reported death was a mistake and not a coroner's report. The case management remains open for further investigation due to lack of information.

Investigation was triggered by a complaint regarding an unknown death of a resident. The death report was found to be mistaken and not confirmed by the coroner's office.

The visit was an unannounced case management deficiency inspection conducted to address issues related to staff fingerprint/criminal background clearance and training compliance at the facility.

The inspection found that one staff member (S1) was residing and providing care at the facility without the required fingerprint and criminal background clearance, and that this staff member had not received the required training for care and supervision of residents. A civil penalty of $500 was assessed for these deficiencies.

The visit was complaint-related, focusing on the lack of fingerprint/criminal record clearance and training for staff member S1. The deficiency was substantiated and a civil penalty was assessed.

An unannounced case management deficiency visit was conducted to assess compliance with staff fingerprint and criminal background clearance requirements.

The facility was found to have a staff member residing on-site without the required fingerprint and criminal background clearance, and this staff member had not received required training for care and supervision of residents. A civil penalty was assessed for this violation.

The inspection was an unannounced required 1-year visit to evaluate the facility's compliance with regulations.

The Licensing Program Analyst toured the facility and observed compliance with hygiene, food supply, and PPE requirements. No deficiencies were cited during this inspection.

An unannounced complaint investigation visit was conducted in response to an allegation that the facility was overcharging a resident.

Based on interviews with residents, staff, and review of facility records, the allegation was found to be unsubstantiated. No deficiencies were cited during the visit.

The complaint alleged that the facility was overcharging a resident. Interviews with three residents and staff indicated that charges were consistent and damages were paid at a reduced rate. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

An unannounced annual required 1-year visit was conducted to evaluate the facility's compliance with licensing requirements.

No deficiencies were cited during the visit; however, an advisory note was issued recommending documentation of staff temperature checks and screening questions.

The inspection visit was conducted as a complaint investigation regarding an allegation that the facility was not operating at a comfortable temperature.

The investigation found that the facility's temperature was within the acceptable range, portable heaters were available, and the heater had been repaired. The allegation was determined to be unfounded.

The complaint alleged that the facility was not operating at a comfortable temperature. The investigation included interviews with residents and staff, observation of the thermostat set at 75 degrees Fahrenheit, and confirmation that the heater was repaired. The allegation was found to be unfounded.