Inspection Reports for Mountain View Assisted Living & Memory Care

The visit was an unannounced case management inspection to conduct interviews and review documents regarding three incidents reported by the facility.

No citations or deficiencies were issued during this visit after review and interviews conducted by the Licensing Program Analyst.

An unannounced case management visit was conducted to gather documents regarding former employees and to review records.

No citations or deficiencies were issued during this visit. The Licensing Program Analyst reviewed documents and plans to return for additional interviews.

The visit was an unannounced case management inspection to investigate the reduction in the number of Unusual Incident Reports (SIRs) submitted by the facility.

The facility generally submitted 8-10 SIRs per month until May 2025, when the number dropped to 3-4. The Licensing Program Analyst found at least 4 incidents requiring emergency personnel that were not reported to the licensing agency. Additionally, a recent resident elopement was reported and addressed with updated care plans and staff training guidance.

The visit was an unannounced case management inspection conducted in response to two SOC 341 forms submitted by the facility regarding a former staff member's verbal altercations with residents.

The Licensing Program Analyst reviewed staff witness statements and the internal investigation related to the incidents. No citations were issued during this visit.

The inspection was an unannounced case management visit to obtain additional information regarding five self-reported incidents involving staff interactions with residents.

The inspection found that an internal investigation was conducted, resulting in the termination of three staff members. All incidents were properly reported to required parties and the Ukiah Police Department. No deficiencies were cited during the inspection.

An unannounced case management visit was conducted regarding several SOC341 forms submitted to the department.

The Licensing Program Analyst met with the Executive Director, reviewed documents, and no citations were issued during the visit.

The inspection was an unannounced Required-1 Year annual inspection to review staff and resident records, continuing from a prior visit on 04/22/2025.

The inspection found that resident files contained required documentation and physician visit records, but staff files lacked evidence of completed annual training. Medication storage was secure. Updated facility documents were requested for submission within 30 days.

The inspection was an unannounced Required-1 Year inspection conducted to evaluate the health and safety compliance of the Mountain View Assisted Living Facility.

The facility was found to be in compliance with health and safety standards during the tour, with no immediate violations observed. Areas including resident rooms, common areas, kitchen, and safety equipment were all in good condition. Due to time constraints, staff and resident records review was deferred to a later date.

An unannounced complaint investigation was conducted based on allegations received on 2025-03-04 regarding inadequate staffing to meet residents' needs and failure to provide activities to residents.

The investigation found that the facility regularly lacked adequate staffing to meet resident needs, including insufficient staff in the memory care area, resulting in extended resident wait times and staff being occupied with meal service. Additionally, activities advertised for memory care residents were routinely cancelled or not conducted as scheduled.

The complaint was substantiated based on the preponderance of evidence standard after interviews, observations, and records review confirmed inadequate staffing and failure to provide scheduled activities.

The inspection was an unannounced required 1-year annual inspection conducted by Licensing Program Analyst Graham Gunby to evaluate compliance with licensing requirements.

The facility was found to be clean, safe, sanitary, and in good condition with all required documents present in resident and staff files. No deficiencies were cited during the inspection.

The inspection was an unannounced complaint investigation triggered by a management change at the facility that was not reported to the Department within the required timeframe.

The Licensee failed to notify the Department of a management change within the required timeframe as mandated by Health and Safety Code 1569.15, posing a potential risk to health, safety, or personal rights of persons in care.

The visit was complaint-related due to failure to notify the Department of a management change within the required timeframe. The complaint investigation was unannounced and conducted by Licensing Program Analyst Chris Arnhold.

The inspection visit was a required annual and post licensing visit conducted to evaluate the Mountain View Assisted Living Facility's compliance with licensing requirements.

No deficiencies were cited during the post licensing visit, indicating compliance with applicable licensing standards.

The visit was an unannounced case management inspection conducted in response to a Report of suspected elderly/dependent adult abuse, an elopement report, and a medication error report.

The inspection found that a staff member refused to assist a resident, resulting in suspension and retraining; a resident eloped but was found safe and unharmed; and a medication error occurred where a resident received the wrong dose but had no adverse effects. Deficiencies were cited related to medication administration, resident safety, and staff assistance.

The visit was complaint-related, triggered by a Report of suspected elderly/dependent adult abuse (SOC341), an elopement incident, and a medication error. The complaint regarding staff refusal to assist a resident was substantiated, resulting in suspension and retraining of the staff member.

An unannounced investigation was conducted in response to a complaint alleging that the facility administration was not providing written responses to the Resident Council.

The investigation found that the facility has been providing written responses to the Resident Council, although the responses were brief and not as detailed as they could be. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that facility administration was not providing written responses to the Resident Council. The allegation was found to be unsubstantiated.

The visit was an unannounced case management inspection conducted in response to a report of alleged theft in the building.

The investigation found no staff witnessed the alleged theft, and the facility followed its theft policy and reported the incident as required. No citations were issued during the visit.

The complaint involved a resident reporting money stolen from their room on 11/13/2024. An investigation was conducted, staff were interviewed, and law enforcement was contacted but the resident declined to speak with them. Two other similar incidents were noted in the past 12 months with no findings.

The inspection visit was an unannounced continuation of the annual required inspection to evaluate compliance with licensing regulations and facility operations.

The facility was found to have resident records containing all required documents, but some care plans did not address current ongoing issues. Staff training documentation was incomplete, specifically annual training records were missing, though First Aid and CPR certifications were current. Guidance was provided regarding activity program staffing and regulatory compliance.

An unannounced complaint investigation was conducted in response to an allegation that staff were not providing adequate care and supervision at Mountain View Assisted Living Facility.

The Licensing Program Analyst found no evidence to support the allegation. Resident care plans were current, shower sheets were completed, call logs showed no long delays, and residents reported satisfaction with care. The allegation was determined to be unsubstantiated.

The complaint alleged inadequate care and supervision by staff. The investigation was unannounced and included interviews and record reviews. The allegation was unsubstantiated due to lack of evidence.

The visit was an unannounced Required-1 Year inspection conducted to evaluate the health and safety conditions of the Mountain View Assisted Living Facility.

The inspection found no immediate health, safety, or personal rights violations. The facility was clean, well-maintained, and properly equipped with required safety devices and supplies. Food storage and preparation appeared appropriate, and disaster drills were regularly conducted.

The inspection was conducted as a complaint visit to follow up on an Unusual Incident Report regarding a resident who was observed leaving the facility without assistance on 04/05/2024.

The facility followed regulations by updating the resident's care plan and placing the resident on frequent checks after the incident. No citations were issued as a result of this incident.

The complaint involved a resident (R1) who was seen walking to an activity and later found outside the facility. The facility's initial assessment did not list wandering behaviors, but after the incident, the care plan was updated. The complaint was not substantiated as no citations were issued.

An unannounced complaint investigation was conducted based on allegations received on 03/18/2024 regarding staff not safeguarding residents' personal belongings, not meeting dietary needs, not keeping the facility free from pests, and not being prepared for an emergency disaster.

The investigation found no supporting evidence to substantiate the allegations. The facility has policies and procedures in place for theft prevention, dietary needs, pest control, and emergency preparedness, and no violations were observed during the visit. Therefore, the allegations were determined to be unsubstantiated.

The complaint investigation was unsubstantiated as there was no preponderance of evidence to prove the alleged violations occurred.

An unannounced prelicensing visit was conducted due to a change of ownership with residents in care.

The facility was found to be in substantial compliance with all required paperwork, fire clearance, and safety measures, and appears ready for licensure pending final approval.

The visit was conducted as part of the initial licensing process (CHOW application) for Mountain View Assisted Living Facility, including verification of applicant and administrator understanding of licensing laws and facility operation.

The applicant and administrator participated in a virtual interview confirming their understanding of community care facility licensing laws, admission policies, staffing requirements, emergency preparedness, complaints reporting, and pre-licensing readiness. No deficiencies or violations were noted in the report.

The visit was an unannounced case management inspection conducted in response to an incident report submitted on 2023-11-07 regarding a resident reporting missing money.

The investigation, including interviews with staff, residents, and law enforcement notification, found no evidence that the money was taken as the resident's recall changed during the investigation. The facility followed regulations to ensure resident needs were met and no citations were issued.

The complaint involved a resident reporting missing money. The investigation did not substantiate the allegation as no evidence was found.

The visit was an unannounced case management visit conducted by the Licensing Program Analyst to meet with the new Executive Director and discuss areas of concern and possible solutions following a previous complaint visit.

No citations were issued during this visit. The Licensing Program Analyst informed the new Executive Director about the previous complaint visit and requested documentation appointing her as the new Director.

An unannounced complaint investigation was conducted due to an allegation that the administrator was not providing written responses to the Resident Council.

The investigation found that the administrator failed to respond in writing to the Resident Council's written concerns or recommendations, which is a second violation of the same regulation within a 12-month period. An immediate civil penalty of $250 was issued, and a plan of correction was requested.

The complaint was substantiated. The allegation was that the administrator did not provide written responses to the Resident Council. The investigation confirmed this failure based on review of resident council minutes and interviews.

An unannounced complaint investigation was conducted in response to allegations that staff did not respond to residents' call buttons in a timely manner and that the facility lacked adequate staffing to meet residents' needs.

The investigation found substantiated evidence that several residents experienced call response times longer than 20 minutes, particularly during meal times when staff were serving meals. Staffing levels in the memory care section were insufficient to meet resident needs, though staffing has increased since mid-April.

The complaint investigation was substantiated based on the preponderance of evidence standard. The allegations included untimely response to call buttons and inadequate staffing. The report was reviewed with the facility representative and appeal rights were given.

The visit was an unannounced annual case management inspection to conduct remaining file reviews and observe facility operations as part of the required 1-year inspection started on 2023-05-08.

The inspection found deficiencies in personnel records where 5 of 5 staff files lacked documentation of current annual training or initial orientation. Additionally, there were insufficient food service personnel to meet resident needs, as only one person was observed preparing meals and only 9 of 20 residents had received their meal at the time of observation.

An unannounced annual required inspection of the licensed senior care facility was conducted to evaluate compliance with licensing regulations.

The facility was found to be clean and in good repair with unobstructed walkways and exits. All required notices were posted visibly. Safety measures including secure toxins, appropriate water temperature, charged fire extinguishers, working smoke detectors, fire sprinklers, and carbon monoxide detectors were verified. Medication storage was secure and resident records reviewed were complete with current admission agreements and physician orders. No citations were issued during this visit.

Unannounced visit/investigation of a complaint received on 2023-01-06 regarding the licensee and/or administrator not responding to the resident council per regulations.

The Executive Director did not provide written responses to the resident council as required by regulation; responses were only given verbally at a town hall meeting. Facility policy did not address how to respond to the resident council. The allegation was substantiated based on the preponderance of evidence.

Complaint was substantiated. The allegation that the licensee and/or administrator is not responding to the resident council per regulations was found to be true based on investigation.

The visit was an unannounced case management inspection conducted in response to an incident report submitted on 12/28/2022 regarding a resident's un-witnessed fall.

The resident had an un-witnessed fall in their bedroom, complained of head pain, was taken to the hospital, and returned with no new instructions. No citations were issued.

The visit was triggered by an incident report concerning a resident's fall. No citations or deficiencies were issued, indicating no substantiated violations.

The visit was an unannounced case management inspection conducted in response to an incident report submitted regarding a resident's fall on 11/14/2022.

The resident fell while removing hearing aides, resulting in a fractured pelvis and subsequent hospitalization. Facility staff responded promptly and followed regulations to meet the resident's needs. No citations were issued.

The visit was triggered by an incident report concerning Resident 1's fall and injury. The complaint was investigated and found to be managed appropriately with no citations issued.

The visit was an unannounced case management inspection conducted in response to an incident report regarding the unexpected death of a resident submitted on 10/20/2022.

The Licensing Program Analyst reviewed resident records and interviewed staff, confirming that the facility followed proper protocol and regulations related to the incident. No citations were issued during this visit.

The visit was triggered by a complaint/incident report concerning an unexpected resident death. The complaint was investigated and found to be unsubstantiated as the facility followed proper protocol.

Unannounced case management visit to follow up on areas of concern from previous visits.

The Licensing Program Analyst toured the facility, observed resident activities, and discussed courtyard use with the administrator. No citations were issued during the visit.

The visit was an unannounced case management inspection conducted in response to an incident report submitted regarding an unexpected resident death.

The Licensing Program Analyst reviewed resident records and interviewed the Director, finding that the facility followed the resident care plan and regulations. Infection control procedures and visitation protocols were reviewed, and no citations were issued.

Unannounced case management visit conducted in response to several incident reports submitted to Community Care Licensing.

The facility addressed incidents involving a resident's aggressive behavior and falls by consulting the physician, notifying responsible parties, scheduling additional staff, and updating care plans. A reported suspected elder abuse incident was investigated with law enforcement involvement, but the resident did not confirm the report or seek hospital care. No citations were issued.

An unannounced annual required infection control inspection was conducted to evaluate the Infection Control procedures and practices of the Mountain View Assisted Living Facility.

The facility was found to be clean, with proper infection control measures in place including PPE supplies, a Covid Mitigation plan, and secure medication storage. No deficiencies or citations were found during the inspection.

Unannounced complaint investigation visit conducted in response to multiple allegations including inadequate staffing, resident urinary tract infections, unmet toileting and showering needs, residents left in soiled clothing, and delayed response to call buttons.

The investigation substantiated that the facility did not have adequate staffing to meet resident needs, resulting in delayed assistance with toileting, bathing, and call button responses, causing some residents to sustain urinary tract infections and be left in soiled clothing for extended periods. One allegation regarding medication mismanagement was found unsubstantiated due to lack of evidence.

The complaint investigation was substantiated for allegations of inadequate staffing, unmet resident needs including toileting, bathing, and call button response delays, and residents left in soiled clothing. The allegation of medication mismanagement was unsubstantiated due to insufficient evidence.

Unannounced complaint investigation visit conducted in response to a complaint received on 2022-03-22 regarding personal rights violations, lack of supervision, facility disrepair, lack of personal accommodations and services, and failure to report incidents.

The investigation substantiated multiple allegations including violations of residents' personal rights such as placing continent residents in adult diapers instead of prompting toileting, lack of supervision resulting in a resident being left on a toilet for an extended period, facility disrepair with worn furniture and mold presence, lack of disposable towels in shared restrooms, and failure to report several resident falls resulting in emergency visits.

Complaint investigation was substantiated based on preponderance of evidence. Allegations included personal rights violations, lack of supervision, facility disrepair, lack of personal accommodations and services, and failure to report incidents.

The visit was conducted as a complaint investigation to review hospice documentation and assess compliance with care plans and activity schedules.

The Licensing Program Analyst observed violations including failure to follow a hospice care plan requiring two staff during bathing assistance and lack of scheduled activities due to staffing shortages. Deficiencies were cited related to hospice care and planned activities.

The visit was complaint-related, with violations observed during the investigation. Substantiation status is not explicitly stated.

The visit was an unannounced case management visit to review a concern regarding the facility raising care service rates concurrently with the annual rate increase.

The Licensing Program Analyst reviewed the notices sent to residents and families and found they met the required 60-day timeline for rate increases. No citations were issued during this visit.

The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations including falsifying logs, inadequate activities, failure to follow resident care plans, multiple resident falls, unexplained injuries, medication errors, COVID-19 screening failures, unsanitary kitchen practices, untimely meal service, and unsafe buildings and grounds.

The investigation substantiated deficiencies related to inadequate activities and failure to ensure medical care was provided as ordered, posing health and personal rights risks to residents. Other allegations such as falsifying logs, resident falls, medication administration, COVID-19 screening, kitchen sanitation, meal timeliness, and building safety were found unsubstantiated or unfounded.

The complaint investigation was substantiated for allegations regarding inadequate activities and failure to follow resident care plans, specifically related to medical care and activity participation. Other allegations including falsifying logs, resident falls, medication errors, COVID-19 screening, kitchen sanitation, meal service, and building safety were unsubstantiated or unfounded.

An unannounced complaint investigation visit was conducted in response to an allegation that staff yelled at a resident in care.

The investigation found no supporting evidence that staff yelled at a resident. Interviews with staff and residents, and review of records, did not substantiate the allegation, which was therefore deemed unsubstantiated.

The allegation that staff yelled at a resident was investigated and found unsubstantiated due to lack of preponderance of evidence.

The visit was an unannounced case management inspection conducted due to a medication error that occurred on 2021-08-26, where a staff member administered the wrong medication to a resident.

The investigation confirmed that a resident was given medication prescribed to a different resident, posing an immediate health risk. The staff member involved received additional training, and the facility requested further training for all medication staff through the pharmacy.

The visit was complaint-related due to a medication error. Notifications were made to the licensing agency, physician, and family. An internal investigation was completed and provided to the licensing analyst.

The inspection was an unannounced Annual Required infection control inspection focusing on the Infection Control procedures and practices of the Mountain View Assisted Living Facility.

The facility was found to be clean, with all exits free from obstruction, and proper storage of toxins and medications. PPE supplies and COVID mitigation plans were in place, and no deficiencies or citations were found during the inspection.