Inspection Reports for Paradise Valley Estates

2600 Estates Dr, Fairfield, CA 94533, United States, CA, 94533

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Deficiencies per Year

4 3 2 1 0
2021
2022
2023
2024
2025
Severe High Moderate Low Unclassified

Census Over Time

0 200 400 600 800 Sep '21 Dec '22 Oct '23 Oct '24 Nov '24 Jul '25
Census Capacity
Inspection Report Complaint Investigation Census: 525 Capacity: 743 Deficiencies: 0 Jul 11, 2025
Visit Reason
The visit was an unannounced case management inspection regarding a Report of Suspected Dependent Adult/Elder Abuse (SOC341) submitted on 2025-07-07 concerning possible financial abuse of a resident.
Findings
The investigation confirmed unapproved charges of approximately $352 on the resident's credit card and missing items from their apartment. The resident has capacity to make financial decisions without facility assistance. Law enforcement initiated an investigation with case number 2507070163. No citations were issued during the visit.
Complaint Details
The complaint involved suspected financial abuse of a resident by an individual, confirmed by unapproved credit card charges and missing personal items. The resident's fiduciary confirmed the charges. The facility conducted internal investigations and notified appropriate parties. Law enforcement is investigating.
Report Facts
Unapproved credit card charges: 352 Facility census: 525 Facility capacity: 743
Employees Mentioned
NameTitleContext
Kevin HoganHealth Care AdministratorMet during inspection and involved in case management visit
Sonja DuerstClinical Services DirectorMet during inspection and involved in case management visit
Star StevensonLicensing Program AnalystConducted the case management visit
Inspection Report Complaint Investigation Census: 68 Capacity: 743 Deficiencies: 1 Dec 5, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident was not given a prescribed medication for nine days, resulting in the resident's death.
Findings
The investigation found that the medication was not administered for nine days due to an intake error, substantiating the allegation of staff mismanagement of medication. However, medical review concluded that the resident's death could not be definitively linked to the medication error, resulting in the death allegation being unsubstantiated.
Complaint Details
The complaint alleged that Resident 1 was not given a medication for nine days resulting in Resident 1's death. The allegation of medication mismanagement was substantiated, but the death was unsubstantiated based on medical evidence and death certificate review.
Severity Breakdown
Type A: 1
Deficiencies (1)
DescriptionSeverity
Licensee failed to ensure that all of Resident 1's medications were properly documented upon intake, leading to one medication not being given for nine days.Type A
Report Facts
Medication not administered days: 9 Facility census: 68 Facility capacity: 743
Employees Mentioned
NameTitleContext
Julie FlorioLicensing Program AnalystConducted the complaint investigation and delivered findings.
Kelly YeeAdministrator/Assisted Living ManagerMet with during inspection and involved in exit interview.
Bethany MoellersLicensing Program ManagerOversaw licensing program and signed report.
Inspection Report Annual Inspection Census: 69 Capacity: 743 Deficiencies: 4 Nov 15, 2024
Visit Reason
The inspection was an unannounced required 1-year annual inspection of Paradise Valley Estates, a Continuing Care Retirement Community, to assess compliance with licensing regulations.
Findings
The inspection found several deficiencies including water temperature issues in 4 of 16 resident bathrooms, missing signatures on Needs and Services Plans in 7 of 10 resident files, and incomplete staff training documentation in multiple staff files. The facility was advised to correct these deficiencies and submit required documentation within specified timeframes.
Severity Breakdown
Type A: 1 Type B: 3
Deficiencies (4)
DescriptionSeverity
Water temperature in 4 of 16 residents' bathrooms measured outside the allowable range of 105 to 120 degrees F.Type A
7 out of 10 resident files reviewed did not have the Needs and Services Plan signed and dated by the resident and/or their responsible party.Type B
4 out of 10 staff files reviewed were missing some of the specific annual training hours required.Type B
7 out of 10 staff files reviewed were missing the required first aid training.Type B
Report Facts
Residents with water temperature issues: 4 Resident files missing signed Needs and Services Plan: 7 Staff files missing required first aid training: 7 Staff files missing specific annual training hours: 4 Total residents present: 69 Total licensed capacity: 743
Employees Mentioned
NameTitleContext
Kelly YeeAdministratorMet with Licensing Program Analyst during inspection and named in findings
Julie FlorioLicensing Program AnalystConducted the inspection and authored the report
Bethany MoellersLicensing Program ManagerSupervisor overseeing the inspection
Inspection Report Annual Inspection Census: 72 Capacity: 743 Deficiencies: 0 Nov 8, 2024
Visit Reason
The inspection was an unannounced required 1-year annual inspection of the Continuing Care Retirement Community.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst experienced technical difficulties with staff and resident rosters, but all staff were verified as background screened and cleared.
Report Facts
Hospice waiver residents: 6 Non-ambulatory residents capacity: 223
Employees Mentioned
NameTitleContext
Kelly YeeAdministratorMet with Licensing Program Analyst during inspection.
Julie FlorioLicensing Program AnalystConducted the inspection visit.
Bethany MoellersLicensing Program ManagerNamed as Licensing Program Manager on the report.
Inspection Report Complaint Investigation Census: 53 Capacity: 743 Deficiencies: 0 Oct 31, 2024
Visit Reason
The visit was an unannounced Case Management - Incident inspection regarding a Report of Suspected Dependent Adult/Elder Abuse received on 2024-10-17 involving a resident (R1) and staff (S1).
Findings
The investigation found no bruises on the resident and conflicting statements from the resident about the incident. The resident declined police contact and had no concerns to report. Staff (S1) was out of work with COVID and could not be interviewed. No deficiencies were cited during the visit.
Complaint Details
The complaint involved an allegation that Staff 1 grabbed Resident 1 causing a bruise. The resident was unable to specify when the incident occurred. The responsible parties including local law enforcement and the Ombudsman were notified. The resident refused photos of alleged injuries and provided conflicting statements. The staff was instructed not to be alone with the resident. The complaint was not substantiated as no deficiencies were cited.
Report Facts
Capacity: 743 Census: 53
Employees Mentioned
NameTitleContext
Kelly YeeAdministratorMet with Licensing Program Analyst during inspection and provided information
Julie FlorioLicensing Program AnalystConducted the inspection and investigation
Bethany MoellersLicensing Program ManagerNamed in report signature and oversight
Inspection Report Complaint Investigation Capacity: 743 Deficiencies: 0 Sep 17, 2024
Visit Reason
The visit was an unannounced 24-hour Case Management - Incident inspection triggered by an Unusual Incident Report received on 2024-09-12 regarding a resident who did not receive Warfarin for nine days, became unresponsive, was hospitalized, and subsequently passed away.
Findings
The Licensing Program Analyst met with the Assisted Living Manager, reviewed relevant documents, and found no deficiencies during the visit. The cause of death was unknown at the time of the inspection.
Complaint Details
The complaint involved a resident who missed Warfarin medication for nine days, became unresponsive, was sent to the ER, transferred to UC Davis Medical Center, and passed away on 2024-09-15. The facility was still awaiting medical records and death certificate.
Report Facts
Days medication missed: 9 Facility capacity: 743
Employees Mentioned
NameTitleContext
Kelly YeeAssisted Living ManagerMet with Licensing Program Analyst during investigation
Julie FlorioLicensing Program AnalystConducted the inspection and investigation
Kevin HoganHealth Care AdministratorArrived during visit and expressed interest in investigation
Inspection Report Complaint Investigation Capacity: 743 Deficiencies: 0 May 23, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that the facility failed to meet residents' incontinent care needs.
Findings
Based on record review, interviews, and observations, the allegation was found to be unfounded, meaning the complaint was false or without reasonable basis. No deficiencies were cited during the visit.
Complaint Details
The complaint alleged failure to meet residents' incontinent care needs. The investigation found the allegation to be unfounded as the resident involved no longer resided in the skilled nursing facility and the facility was not under jurisdiction for this allegation.
Report Facts
Facility capacity: 743
Employees Mentioned
NameTitleContext
Kevin J. HoganHealth Care AdministratorMet with Licensing Program Analyst during the investigation
Julie FlorioLicensing Program AnalystConducted the complaint investigation
Bethany MoellersLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Annual Inspection Census: 66 Capacity: 743 Deficiencies: 0 Nov 2, 2023
Visit Reason
The inspection was an unannounced Case Management Annual Continuation visit conducted to evaluate the facility's compliance with licensing requirements.
Findings
No deficiencies were cited during this required one-year inspection. The Licensing Program Analyst interviewed staff and residents and conducted an exit interview with the Administrator.
Employees Mentioned
NameTitleContext
Kelly YeeAdministratorMet with Licensing Program Analyst during the inspection.
Carol FowlerLicensing Program AnalystConducted the inspection and interviews.
Kimberley MotaLicensing Program ManagerNamed in the report header.
Inspection Report Annual Inspection Census: 70 Capacity: 743 Deficiencies: 0 Oct 26, 2023
Visit Reason
The inspection was conducted as a Required 1-Year Case Management Annual Continuation visit to evaluate compliance with licensing requirements.
Findings
No deficiencies were cited during the inspection. The Licensing Program Analyst reviewed staff and resident files, confirming required certifications and updated medical assessments.
Report Facts
Resident records reviewed: 10 Staff files reviewed: 10 Copies requested submission deadline: Nov 3, 2023
Employees Mentioned
NameTitleContext
Carol FowlerLicensing Program AnalystConducted the inspection and file reviews
Elvira GabionzaMDS CoordinatorMet with Licensing Program Analyst during inspection
Agatha Narvaez-OkudaLVN Memory Care SupervisorMet with Licensing Program Analyst during inspection
Kelly YeeAdministratorFacility administrator
Kimberley MotaLicensing Program ManagerNamed in report header
Inspection Report Annual Inspection Census: 70 Capacity: 743 Deficiencies: 0 Oct 24, 2023
Visit Reason
The inspection was an unannounced 1-year annual inspection conducted by the Licensing Program Analyst to review compliance with regulations in various areas including administration, care, medication, food service, and physical plant.
Findings
The facility was found to be clean, safe, and in compliance with regulations. No deficiencies or citations were found during the inspection. The building, grounds, fire safety systems, medication storage, and resident accommodations met regulatory standards.
Report Facts
Number of hospice patients: 3 Fire extinguisher service date: Feb 22, 2023 Water temperature range: Water temperature tested and found within regulation between 105 and 120 degrees F. Facility temperature: 76
Employees Mentioned
NameTitleContext
Elvira GabionzaMDS CoordinatorMet with Licensing Program Analyst during inspection.
Agatha Narvaez-OkudaMemory Care SupervisorMet with Licensing Program Analyst during inspection.
Inspection Report Annual Inspection Census: 511 Capacity: 743 Deficiencies: 0 Dec 19, 2022
Visit Reason
The inspection was an unannounced Annual Required - 1 Year inspection focused on Infection Control procedures and practices at the Residential Care Facility for the Elderly - Continuing Care Retirement Community (RCFE-CCRC).
Findings
The facility was found to be clean, with unobstructed exits, properly serviced fire extinguishers, ample PPE supply, and compliance with COVID-19 precautions. No deficiencies were cited during this inspection.
Employees Mentioned
NameTitleContext
Kelly YeeAdministratorMet with Licensing Program Analyst during inspection and participated in exit interview.
Karina CanelaLicensing Program AnalystConducted the Annual Required - 1 Year inspection.
Hope DeBenedettiLicensing Program ManagerNamed in report header.
Inspection Report Annual Inspection Census: 474 Capacity: 743 Deficiencies: 0 Dec 27, 2021
Visit Reason
The inspection was an unannounced Annual Required - 1 Year inspection focused on Infection Control procedures and practices at the Residential Care Facility for the Elderly - Continuing Care Retirement Community (RCFE-CCRC).
Findings
The facility was found to be in compliance with COVID-19 infection control protocols, including staff training, PPE availability, visitor screening, and resident monitoring. No deficiencies were cited during this inspection.
Report Facts
Capacity: 743 Census: 474
Employees Mentioned
NameTitleContext
Karina CanelaLicensing Program AnalystConducted the inspection
Kelly YeeAssisted Living ManagerMet with Licensing Program Analyst during inspection and exit interview
Agatha OkudaDeer Creek (Memory Care) SupervisorMet with Licensing Program Analyst during inspection
Peggy HustonAdministratorFacility Administrator
Inspection Report Census: 491 Capacity: 603 Deficiencies: 0 Sep 17, 2021
Visit Reason
The inspection was an on-site case management visit regarding a request for an increase in facility capacity submitted to Community Care Licensing.
Findings
The facility requested an increase in total capacity from 603 to 743, which was approved effective 09/17/2021. The inspection found no deficiencies, and the facility was observed to be in compliance with safety and operational standards during the visit.
Report Facts
Capacity increase: 140 Fire clearance approval: 223 Units in new development: 78 Independent living units: 70 Hot water temperature range: 105 Hot water temperature range: 120
Employees Mentioned
NameTitleContext
Peggy HustonChief Operating Officer and RCFE AdministratorMet during inspection and exit interview
Karina CanelaLicensing Program AnalystConducted the inspection
Terry TumpaneVice President of Healthcare OperationsMet during inspection
Roger BreedingCapital Construction DirectorMet during inspection

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