Inspection Reports for Buena Vista Assisted Living

An unannounced case management visit was conducted due to a capacity increase request submitted by the Licensee.

The facility was found ready for the capacity increase with sufficient livable space and no health or safety issues observed. A fire clearance was granted for the increased capacity.

The inspection was an unannounced annual required visit conducted to evaluate compliance with licensing requirements at the assisted living facility.

The facility was found to be clean, well-maintained, and in good repair with no deficiencies cited. Emergency preparedness and safety equipment were in place and functional, and staff and resident files were complete and up to date.

The inspection was conducted as a case management deficiencies visit to issue citations for deficiencies observed during the investigation into Complaint Control No. 18-AS-20250109153636.

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

An unannounced annual required visit was conducted to evaluate compliance with licensing requirements at the assisted living facility.

The facility was found to be clean, well-maintained, and in compliance with safety and health regulations. Staff files and resident records were complete and up to date. No deficiencies were cited during the inspection.

An unannounced complaint investigation visit was conducted following complaints received on 07/28/2023 regarding improper maintenance of resident records, residents being left in soiled adult briefs for extended periods, and improper disposal of discontinued medications.

The investigation substantiated that staff failed to properly maintain resident records, residents were left in soiled adult briefs especially during shift changes, and discontinued medications were not properly discarded. One allegation regarding failure to provide medications as prescribed was unsubstantiated.

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 inspection was an unannounced complaint investigation visit conducted in response to allegations that staff were not providing medications as prescribed to residents and that staff did not respond to residents' calls for assistance in a timely manner.

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 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.

An unannounced case management deficiencies visit was conducted to investigate fingerprint clearance compliance of staff and administrator at the facility.

The Licensing Program Analyst observed that the administrator, Bernadette Lynch-Best, was not associated with the facility due to inactive fingerprints, and Staff 1 was working without fingerprint clearance, posing an immediate risk to residents. A deficiency was issued and a civil penalty of $500 was assessed.

The visit was complaint-related due to concerns about fingerprint clearance. The deficiency was substantiated with evidence that staff and the administrator lacked proper fingerprint clearance.

Unannounced visit/investigation of a complaint received on 07/25/2022 regarding allegations of resident mistreatment and care concerns at Buena Vista Assisted Living Facility.

All allegations including resident molestation, unmet care needs, rough handling by staff, and residents being locked in rooms were investigated and found to be unsubstantiated due to lack of evidence or information.

The complaint involved multiple allegations: resident molestation by another resident, staff not meeting care needs, rough handling of residents by staff, and residents being locked in their rooms. After interviews with residents, staff, family members, and review of incident reports and physical inspection, all allegations were found unsubstantiated.

The visit was an unannounced case management health and safety visit in reference to repopulating the facility after evacuation.

No imminent health or safety concerns were observed. The facility was found to have sufficient staff, utilities, food, and medication supplies. No deficiencies were cited during the visit.

An unannounced complaint investigation was conducted in response to allegations that staff did not follow Covid-19 safety protocols and that the facility did not ensure it was free from pests.

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 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 inspection visit was conducted as an unannounced investigation of complaint #18-AS-20220725131214 at the facility.

The Licensing Program Analyst observed that the facility had working utilities, adequate staffing, and sufficient food supplies. No immediate health and safety concerns were noted during the inspection.

Investigation of complaint #18-AS-20220725131214; no immediate health and safety concerns were found.

The inspection was an unannounced annual inspection limited to infection control practices at the assisted living facility.

The facility was found to be generally compliant with COVID-19 infection control best practices, including availability of hand sanitizer and PPE supplies. However, the facility lacked a current Infection Control Plan and staff had not been fit tested for N95 masks. Additionally, deficiencies were cited for failure to properly report a COVID-19 outbreak and for past due licensing fees.

The inspection visit was an unannounced annual inspection limited to infection control, conducted to assess the facility's compliance with COVID-19 best practices and mitigation measures.

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.