Inspection Reports for
Buena Vista Assisted Living

The visit was complaint-related, investigating Complaint Control No. 18-AS-20250109153636. Deficiencies were cited based on observations, record review, and interviews.

The facility failed to report a power outage that occurred on 2025-01-08 at 12:30 PM to the licensing department, which is a violation of reporting requirements under Title 22 Division 6 of the California Code of Regulations.

The complaint investigation was substantiated for allegations that staff did not ensure residents' records were properly maintained, residents were left in soiled adult briefs for extended periods, and discontinued medications were not properly discarded. The allegation that staff were not providing medications as prescribed was unsubstantiated.

The investigation substantiated that staff did not properly maintain resident records, residents were left in soiled adult briefs for extended periods especially during shift changes, and discontinued medications were not properly discarded. One allegation regarding staff not providing medications as prescribed was found unsubstantiated.

The complaint investigation was substantiated for the allegation that staff did not provide medications as prescribed, with evidence that Resident #1 did not receive their 2:00am medication on time because staff took medication room keys home. The allegation that staff did not respond to call lights in a timely manner was unsubstantiated.

The allegation that staff did not provide medications as prescribed was substantiated due to staff taking medication room keys home, causing delayed medication administration to Resident #1. The allegation that staff did not respond timely to call lights was unsubstantiated based on observations and interviews, including that the call light cord was not fully pulled by the resident, preventing staff notification.

The complaint was substantiated based on evidence that staff did not follow COVID-19 safety protocols and the facility did not maintain pest-free conditions. The preponderance of evidence standard was met.

The investigation substantiated both allegations: the facility failed to obtain a negative COVID-19 test prior to a resident's admission, contributing to a COVID-19 outbreak, and the facility had an ongoing ant infestation in a resident's room.

The facility was found to be successfully incorporating several COVID-19 infection control best practices, but lacked a current Mitigation Plan or Infection Control Plan. Technical Advisory Notes were issued for the absence of an Infection Control Plan and for staff not being fit tested for N95 masks. Deficiencies were cited for failure to properly report a COVID-19 outbreak and for past due licensing fees.

The facility was found to be successfully incorporating numerous aspects of its COVID-19 Mitigation Plan, including availability of hand sanitizer, stocked bathrooms, and posted infection control signage. Staff have not been fit tested for N95 masks, but no deficiency was issued due to no current COVID-19 positive residents and other precautions in place.