Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating that many concerns raised were not supported by evidence. The facility had some isolated issues primarily related to maintenance and personal rights, including a substantiated lack of hot water in a restroom faucet corrected during the visit, and problems with admission agreement language and appliance repairs. A medication error was cited in September 2023, but no resident was harmed, and reporting violations were addressed. The most recent report from August 19, 2025, had no deficiencies and involved a complaint investigation that was unsubstantiated. Overall, the facility appears to have improved over time, with recent inspections showing no violations after earlier maintenance and documentation issues.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
47% occupied
Based on a August 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 102
Capacity: 219
Deficiencies: 0
Aug 19, 2025
Visit Reason
An unannounced Case Management visit was conducted to address an existing complaint and a records request.
Findings
The Licensing Program Analyst conducted an interview with a resident regarding the complaint and discussed the visit purpose with the Executive Director. An exit interview was conducted and a copy of the report and License Rights were provided to the Executive Director.
Complaint Details
The visit was triggered by an existing complaint involving Resident 1 (R1).
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Adrian Guillen | Executive Director | Met with during the visit and involved in the exit interview. |
| Debbie Correia | Licensing Program Analyst | Conducted the unannounced Case Management visit and interview. |
Inspection Report
Census: 104
Capacity: 219
Deficiencies: 0
Jul 23, 2025
Visit Reason
The visit was an unannounced Case Management visit conducted to obtain signatures on amended complaints and discuss the purpose of the visit with the Executive Director.
Findings
The Licensing Program Analyst conducted the visit, met with the Executive Director, and obtained signatures on amended complaints. An exit interview was conducted and a copy of the report and Licensee/Appeal Rights were provided.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Adrian Guillen | Executive Director | Met during the visit and involved in exit interview and discussion of visit purpose. |
| Debbie Correia | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 219
Deficiencies: 0
Jul 15, 2025
Visit Reason
An unannounced complaint investigation was conducted regarding allegations that the facility was not following proper COVID-19 infection control protocols.
Findings
The investigation included staff and resident interviews, records review, and a facility tour. The allegation was determined to be unsubstantiated based on evidence including interviews and records, as the evidence did not meet the preponderance of the evidence standard.
Complaint Details
The complaint alleged failure to follow proper COVID-19 infection control protocols. Interviews revealed conflicting information about COVID-19 testing and infection control measures. Resident R1 had COVID-19 like symptoms and self-administered a test with inconclusive results. Staff disclosed isolation and PCR testing with negative results. The complaint was unsubstantiated.
Report Facts
Capacity: 219
Census: 103
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Debbie Correia | Licensing Program Analyst | Conducted the complaint investigation visit |
| Adrian Guillen | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Paul Markovich | Administrator | Facility administrator listed in report |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 219
Deficiencies: 0
Jul 15, 2025
Visit Reason
The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 2025-04-23 alleging that facility staff changed a resident's level of care without a physician's reassessment.
Findings
The investigation included staff and outside source interviews and a resident record review. The allegation was determined to be unsubstantiated as evidence did not support that the violation occurred.
Complaint Details
The complaint alleged that staff changed Resident 1's level of care without a physician's reassessment. The investigation found that Resident 1 was reassessed by a physician on 2025-04-01, which supported the increased level of care. Subsequent reassessments and interviews showed conflicting information about the resident's ability to self-medicate, but overall the allegation was unsubstantiated.
Report Facts
Complaint Control Number: 08-AS-20250423125647
Capacity: 219
Census: 103
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Debbie Correia | Licensing Program Analyst | Conducted the complaint investigation |
| Adrian Guillen | Executive Director | Facility representative met during investigation |
| Robyn Clark | Licensing Program Manager | Named in report signature section |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 219
Deficiencies: 0
Jul 14, 2025
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that the facility did not prevent financial abuse of a resident by their roommate.
Findings
The investigation included staff interviews, facility and resident records reviews, and a facility tour. The allegation was determined to be unsubstantiated as there was no preponderance of evidence to prove the violation occurred.
Complaint Details
The complaint alleged that Resident1 (R1) was financially abused by Resident2 (R2), who was allegedly R1's roommate, by feeding R1 sweets that were harmful due to R1's Diabetes. The investigation found that R1 had severe mental health issues, never had a roommate, and had a private room. The allegation was unsubstantiated.
Report Facts
Complaint Control Number: 08-AS-20250210162803
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Debbie Correia | Licensing Program Analyst | Conducted the unannounced complaint investigation visit. |
| Adrian Guillen | Executive Director | Met with the Licensing Program Analyst during the investigation. |
| Robyn Clark | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 219
Deficiencies: 0
Jul 11, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the licensee changed a resident's room without their consent and did not allow the resident to use their own transportation provider.
Findings
The investigation included staff and resident interviews and record reviews. It was found that the resident had given verbal agreement to the room change while in a Skilled Nursing Facility, and the facility's contract allowed room substitution under certain conditions. The allegation regarding transportation was found to be false. The complaint was determined to be unsubstantiated due to lack of evidence.
Complaint Details
The complaint alleged that the licensee changed a resident's room without consent and required the resident to use the facility's transportation service. The investigation found no preponderance of evidence to prove the violations occurred, resulting in an unsubstantiated finding.
Report Facts
Capacity: 219
Census: 103
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Debbie Correia | Licensing Program Analyst | Conducted the complaint investigation visit |
| Adrian Guillen | Executive Director | Met with Licensing Program Analyst during investigation and provided information |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 219
Deficiencies: 0
Jul 2, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were not assisting a resident with obtaining necessary medical care.
Findings
The investigation found that the allegation was unsubstantiated. The facility had a longstanding 10-mile transportation policy, which was reinstated without exception due to increased demand. Observations, interviews, and records confirmed staff continued to assist the resident within policy guidelines.
Complaint Details
The complaint alleged that staff were not assisting Resident 1 with obtaining medical care. After investigation including interviews, observations, and records review, the allegation was found unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 219
Census: 103
Complaint Control Number: 08-AS-20250225144112
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Renita Hall | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Adrian Guillen | Administrator | Facility administrator interviewed during investigation |
| Sabel Martinez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 219
Deficiencies: 0
Jun 19, 2025
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the facility did not provide a higher level of care for a resident.
Findings
The investigation included staff and outside source interviews and record reviews. The allegation was determined to be unsubstantiated as evidence did not support that the facility failed to provide the appropriate level of care for the resident.
Complaint Details
The complaint alleged the facility did not provide a higher level of care for Resident1. The investigation found that Resident1 had a fall resulting in a traumatic subdural hematoma and was receiving outside agency services. Facility management was actively working with the resident's responsible parties and primary care physician to ensure proper care. The allegation was unsubstantiated.
Report Facts
Complaint Control Number: 08-AS-20250612162956
Capacity: 219
Census: 103
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Debbie Correia | Licensing Program Analyst | Conducted the complaint investigation |
| Adrian Guillen | Executive Director | Met with Licensing Program Analyst during investigation |
| Monica Maldonado | Resident Service Director | Met with Licensing Program Analyst during investigation |
| Jennifer Lott | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 219
Deficiencies: 1
Mar 12, 2025
Visit Reason
The inspection was conducted in response to a complaint received on 09/06/2024 alleging that the faucets in the women's restroom sinks in the facility's auditorium were not supplying hot water, among other allegations including contaminated food, unrepaired bathroom toilet, and unsanitary conditions.
Findings
The complaint regarding the lack of hot water in the women's restroom faucets was substantiated and corrected during the visit. Other allegations about contaminated food, unrepaired bathroom toilet, and unsanitary conditions were found to be unsubstantiated based on interviews, observations, and facility tour.
Complaint Details
The complaint investigation was substantiated for the allegation that the facility did not ensure delivery of hot water to the women's restroom faucets in the auditorium. The issue was due to the hot water valve being turned off, likely by construction workers, and was fixed during the visit. Other allegations about contaminated food, unrepaired bathroom toilet, and unsanitary conditions were unsubstantiated.
Deficiencies (1)
| Description |
|---|
| The facilities faucet used for hand washing were not providing hot water, posing a potential health risk to residents in care. |
Report Facts
Capacity: 219
Census: 111
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Adrian Guillen | Executive Director | Met with Licensing Program Analyst during the investigation and involved in findings |
| Debbie Correia | Licensing Program Analyst | Conducted the complaint investigation visit |
| Jennifer Lott | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 219
Deficiencies: 3
Mar 10, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility was not maintained in good repair, not maintained at a comfortable temperature for residents, and not maintained sanitary.
Findings
The investigation substantiated that the facility had multiple maintenance issues including non-working toilets, malfunctioning electric sliding doors, leaks in the ceiling, lack of hot water, and uncomfortable cold temperatures in common areas. Sanitary conditions were poor with brown water, dirt, and food crumbs observed. One allegation regarding malodorous conditions was unsubstantiated.
Complaint Details
The complaint investigation was substantiated for allegations that the facility was not maintained in good repair, not maintained at a comfortable temperature, and not maintained sanitary. One allegation regarding malodorous conditions was unsubstantiated.
Severity Breakdown
Type B: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility ceiling, bathrooms, and sliding doors were not maintained in good repair, posing a potential risk to residents. | Type B |
| Facility common areas were not heated to a minimum of 68 degrees F, posing a potential health risk to residents. | Type B |
| Facility floors in bath, laundry, kitchen, dining, and auditorium areas were not maintained in a clean, sanitary, and odorless condition, posing a potential safety risk to residents. | Type B |
Report Facts
Residents in care: 111
Total capacity: 219
Estimated Days of Completion: 30
Plan of Correction Due Date: Mar 31, 2025
Temperature observed: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Adrian Guillen | Administrator / Director | Met with Licensing Program Analyst during inspection and discussed findings |
| Kathryn Hubbard | Concierge | Participated in exit interviews and signed documents |
| Juliana Barfield | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Lizzette Tellez | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 114
Capacity: 219
Deficiencies: 0
Feb 18, 2025
Visit Reason
The visit was an unannounced case management annual continuation inspection to continue the annual inspection commenced on January 25, 2025.
Findings
No deficiencies were cited during this continuation of the inspection. An exit interview was conducted and the report was discussed with the Executive Director.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Adrian Guillen | Executive Director | Met with during the inspection and discussed the report findings. |
| Debbie Correia | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Jennifer Lott | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 113
Capacity: 219
Deficiencies: 0
Feb 13, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility wrongfully evicted a resident, did not provide a refund, and staff did not report an injury to a resident's responsible party.
Findings
The investigation found insufficient evidence to substantiate the allegations. The resident was moved due to increased care needs and fee changes, not wrongful eviction. A refund was provided but the amount was disputed and unsubstantiated. Staff followed protocol regarding injury reporting, and there was no evidence the responsible party was not notified of a bruise.
Complaint Details
The complaint investigation was unsubstantiated for all allegations: wrongful eviction, failure to provide a refund, and failure to report an injury to the resident's responsible party.
Report Facts
Capacity: 219
Census: 113
Refund amount: 1687
Monthly fee: 4500
Late fee: 250
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sabel Martinez | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Adrian Guillen | Executive Director | Facility Executive Director interviewed during investigation |
Inspection Report
Annual Inspection
Census: 117
Capacity: 219
Deficiencies: 0
Jan 31, 2025
Visit Reason
An unannounced required One-Year Inspection was conducted to ensure substantial compliance with Title 22 regulations.
Findings
The Licensing Program Analyst conducted a review of resident, staff, and facility records and found all records to be complete and compliant. The Executive Director Certification and facility liability policy were current. Due to time constraints, the annual inspection will be completed at a later date.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Adrian Guillen | Executive Director | Met during inspection and involved in exit interview. |
| Debbie Correia | Licensing Program Analyst | Conducted the unannounced inspection visit. |
Inspection Report
Follow-Up
Census: 114
Capacity: 219
Deficiencies: 1
Oct 10, 2024
Visit Reason
An unannounced Case Management Visit was conducted to cite a deficiency identified during a separate complaint investigation regarding the facility's admissions agreement.
Findings
The admissions agreement contained language waiving facility responsibility for safety and healthful equipment and accommodations, which posed a Personal Rights risk to residents. One deficiency was cited related to this issue.
Complaint Details
The visit was a follow-up to a complaint investigation where the admissions agreement was found to contain problematic language. The deficiency was substantiated and cited.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Admission Agreements - The admission agreement shall not contain written agreements to waive facility responsibility or liability for the health, safety, or personal property of residents, or the provision of safe and healthful facilities, equipment and accommodations. | Type B |
Report Facts
Residents in care: 115
Deficiencies cited: 1
Plan of Correction Due Date: Nov 7, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Program Analyst | Conducted the inspection and cited the deficiency |
| Adrian Guillen | Executive Director | Met with Licensing Program Analyst during the visit |
| Simon Jacob | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 114
Capacity: 219
Deficiencies: 1
Oct 10, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by complaints received on 2024-09-12 alleging that the licensee did not ensure the facility grounds were free of pests and that staff spoke to a resident in an inappropriate manner, as well as a complaint that the licensee did not keep appliances in good repair.
Findings
The pest control and staff conduct allegations were unsubstantiated due to lack of evidence and inconsistent statements. However, the allegation regarding failure to keep appliances in good repair was substantiated, with evidence that 12 resident units had malfunctioning appliances posing a potential safety and personal rights risk.
Complaint Details
The complaint investigation was conducted following allegations received on 2024-09-12. The allegations included pest infestation and inappropriate staff conduct, both of which were unsubstantiated. The complaint regarding appliances not being kept in good repair was substantiated. The investigation included interviews with residents, staff, and facility management, as well as review of records and observations.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Maintenance and Operation (a) the facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provisions of maintenance services and procedures for the safety and well-being of residents, employees and visitors. | Type B |
Report Facts
Resident units with malfunctioning appliances: 12
Residents served: 115
Total licensed capacity: 219
Current census: 114
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Adrian Guillen | Executive Director | Met with during the investigation and exit interview; involved in discussions regarding findings. |
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 219
Deficiencies: 1
May 6, 2024
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the licensee did not comply with the admission agreement, specifically regarding laundry services.
Findings
The investigation found that the facility changed its admission agreement between 2021 and 2022 to include charges for personal laundry services, but did not have a monetary charge listed in the 2023 rate list. A written notice was sent to residents about charging for personal laundry starting March 1, 2024, but the notice lacked a resident signature section or language amending the admission agreement. The allegation was substantiated based on interviews and records review.
Complaint Details
The complaint was substantiated. The allegation was that the licensee did not comply with the admission agreement regarding laundry services. The investigation included interviews, records review, and a facility tour. The evidence supported the allegation.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee did not ensure that residents were provided with personal clothing laundry as part of the basic services, posing a potential personal rights risk to all 115 residents in care. | Type B |
Report Facts
Census: 115
Total Capacity: 219
Deficiency Count: 1
Plan of Correction Due Date: May 17, 2024
Laundry Charge: 100
Laundry Charge: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Adrian Guillen | Executive Director | Met during the investigation and named in findings regarding laundry service deficiency |
| Rebecca A Ruiz | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Lott | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 117
Capacity: 219
Deficiencies: 0
Mar 15, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations including unlawful eviction, failure to provide medical attention, and failure to treat a resident with dignity.
Findings
The investigation found that the allegations were unfounded based on facility records and interviews. The resident had sustained a fall and staff called 911 and transferred the resident to the hospital. The resident was resistant to medical care and prior attempts to assist were documented. The unlawful eviction allegation was previously investigated and dismissed.
Complaint Details
The complaint was investigated and determined to be unfounded, meaning the allegations were false, could not have happened, or lacked reasonable basis. The complaint was dismissed.
Report Facts
Complaint Control Number: 08-AS-20240308160149
Facility Capacity: 219
Census: 117
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Debbie Correia | Licensing Program Analyst | Conducted the complaint investigation |
| Adrian Guillen | Executive Director | Facility representative met during investigation |
Inspection Report
Complaint Investigation
Census: 119
Capacity: 219
Deficiencies: 0
Feb 9, 2024
Visit Reason
An unannounced complaint investigation was conducted following allegations of unlawful eviction and staff not providing assistance resulting in multiple falls at Monte Vista Village Senior Living Facility.
Findings
The investigation found that the allegations of unlawful eviction and failure to provide assistance were unsubstantiated based on interviews, record reviews, and observations. Resident 1 was verbally informed of eviction but no 30-day notice was given; however, evidence showed non-compliance with facility policies and a change in condition. Staff and residents confirmed assistance was provided when needed.
Complaint Details
The complaint investigation was triggered by allegations of unlawful eviction and staff not providing assistance resulting in multiple falls. The allegations were found unsubstantiated as the preponderance of evidence standard was not met.
Report Facts
Capacity: 219
Census: 119
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mark Mandel | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Monica Maldonado | Resident Services Director | Met with Licensing Program Analyst during investigation and received report |
| Adrian Guillen | Administrator | Facility administrator named in report header |
Inspection Report
Annual Inspection
Census: 121
Capacity: 219
Deficiencies: 0
Jan 12, 2024
Visit Reason
The inspection was an unannounced required one-year inspection conducted by Licensing Program Analyst Amy Rodgers to evaluate compliance with licensing requirements at Monte Vista Village Senior Living Facility.
Findings
The facility was found to be in compliance with no deficiencies issued, though advisory notes were given. The inspection included a tour of the facility, review of resident and staff records, and verification of safety and sanitation measures. Residents were observed to be treated with dignity and there were sufficient staff on duty.
Report Facts
Hospice Waiver residents: 8
Non-ambulatory residents: 33
Bedridden residents: 8
Food supply duration (perishable): 2
Food supply duration (nonperishable): 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Adrian Guillen | Executive Director | Facility representative who accompanied the Licensing Program Analyst during the inspection and acknowledged receipt of the report |
| Amy Rodgers | Licensing Program Analyst | Conducted the unannounced one-year inspection and authored the report |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 120
Capacity: 219
Deficiencies: 0
Dec 26, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations received on 03/09/2023 regarding medication administration, supervision, resident care, and staff behavior at Monte Vista Village Senior Living Facility.
Findings
The investigation found no substantiated evidence to support the allegations. Interviews, record reviews, and observations indicated that medication administration, resident supervision, incontinence care, basic needs assistance, and staff treatment of residents were appropriate and met regulatory standards.
Complaint Details
The complaint included allegations of unqualified staff dispensing medication, staff pre-pouring medications, failure to assist with medication as prescribed, lack of supervision resulting in resident AWOL, unmet incontinence and basic needs, and staff not treating residents with dignity. The investigation concluded these allegations were unsubstantiated.
Report Facts
Capacity: 219
Census: 120
Allegations: 7
Estimated Days of Completion: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Monica Maldonado | Resident Services Director | Facility representative met during the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 124
Capacity: 219
Deficiencies: 1
Sep 8, 2023
Visit Reason
The visit was conducted in response to an LIC624 Incident Report regarding a medication error where a resident received medications not prescribed to them.
Findings
The investigation found that a staff member did not use the required labeled medication containers, resulting in a resident receiving another resident's medications. The affected resident did not suffer injury or serious illness. One deficiency was cited, and two technical violations were issued related to reporting requirements.
Complaint Details
The visit was complaint-related, triggered by a medication error incident reported by the licensee. The incident was substantiated with evidence showing the staff did not administer medications as prescribed. No injury or serious illness resulted.
Deficiencies (1)
| Description |
|---|
| The licensee did not assist 1 of 124 residents with self-administered medications as needed, posing a potential health risk. |
Report Facts
Residents present: 124
Total licensed capacity: 219
Deficiencies cited: 1
Technical Violations issued: 2
Plan of Correction due date: Oct 8, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Adrian Gullien | Executive Director | Met during the visit and involved in exit interview |
| Monica Maldonado | Resident Services Director | Met during the visit |
| Dang Nguyen | Licensing Program Analyst | Conducted the inspection and authored the report |
| Lizzette Tellez | Licensing Program Manager | Supervisor of the Licensing Program Analyst |
Inspection Report
Complaint Investigation
Census: 128
Capacity: 219
Deficiencies: 0
Jun 20, 2023
Visit Reason
An unannounced complaint investigation visit was conducted regarding allegations that the facility violated eviction procedures and a resident's personal rights related to notification of rate increases.
Findings
The investigation found sufficient evidence that the facility served the resident with a 30-day eviction notice and level of care increase notice, both appropriate and in accordance with Title 22 Regulations and the resident's Admission Agreement. The allegations were determined to be unsubstantiated.
Complaint Details
The complaint was unsubstantiated based on evidence obtained, including interviews and record reviews. The allegations did not meet the preponderance of the evidence standard.
Report Facts
Capacity: 219
Census: 128
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Pena | Licensing Program Analyst | Conducted the complaint investigation visit |
| Adrian Guillen | Executive Director | Met with Licensing Program Analyst during the investigation |
| Paul Markovich | Administrator | Facility administrator named in the report header |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Census: 117
Capacity: 219
Deficiencies: 0
Feb 7, 2023
Visit Reason
An unannounced Case Management visit was conducted to provide technical assistance and education on updating the facility administrator's name on record with the Community Care Licensing Division.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst conducted a brief tour and observed staff and residents in care, providing technical assistance.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Jackie Comardo | Sales Director | Met with the Licensing Program Analyst to discuss the purpose of the visit and participated in the exit interview. |
Inspection Report
Original Licensing
Capacity: 219
Deficiencies: 0
Aug 11, 2022
Visit Reason
The visit was conducted as part of a change of ownership application process and involved a telephone interview to verify the applicant/administrator's identification and understanding of California Code Title 22 Regulations.
Findings
The applicant and administrator demonstrated understanding of facility operation, admission policies, staffing requirements, restricted health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness during the COMP II telephone interview.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Susan Zanca-Brown | Administrator | Named as facility administrator in relation to the licensing evaluation |
| Paul Markovich | Participant in COMP II telephone interview | |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager |
| Bethany Hunter | Licensing Program Analyst | Named as Licensing Program Analyst who conducted the evaluation |
Inspection Report
Original Licensing
Census: 110
Capacity: 219
Deficiencies: 0
Jan 13, 2022
Visit Reason
An announced pre-licensing visit was conducted to observe the facility's compliance with Title 22, Division 6 regulations and the California health and safety code.
Findings
The facility was found to have proper furnishings, adequate linens, operational fire safety equipment, secured hazardous materials, and sufficient space for activities. The Resident Services Director's certificate had expired and was awaiting renewal.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maricor Laus | Resident Services Director | Met with Licensing Program Analyst during the pre-licensing visit; certificate expired and awaiting renewal. |
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