Inspection Reports for Paradise Valley Estates
2600 Estates Dr, Fairfield, CA 94533, United States, CA, 94533
Back to Facility ProfileInspection Report Summary
Most inspections of this facility were clean, including the most recent report on July 11, 2025, which found no deficiencies but confirmed unapproved charges on a resident’s credit card and missing personal items, leading to a law enforcement investigation. Earlier reports showed some deficiencies, primarily related to medication management errors and documentation issues, such as a substantiated medication intake error in December 2024 and missing signatures and training records in November 2024. Several complaint investigations, including allegations of resident abuse and unmet care needs, were unsubstantiated. There were no fines, license suspensions, or severe enforcement actions listed in the available reports. The facility’s record shows improvement over time, with the latest inspections free of cited deficiencies.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
75% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
71% occupied
Based on a July 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
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
| Name | Title | Context |
|---|---|---|
| Kevin Hogan | Health Care Administrator | Met during inspection and involved in case management visit |
| Sonja Duerst | Clinical Services Director | Met during inspection and involved in case management visit |
| Star Stevenson | Licensing Program Analyst | Conducted 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)
| Description | Severity |
|---|---|
| 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
| Name | Title | Context |
|---|---|---|
| Julie Florio | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Kelly Yee | Administrator/Assisted Living Manager | Met with during inspection and involved in exit interview. |
| Bethany Moellers | Licensing Program Manager | Oversaw 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)
| Description | Severity |
|---|---|
| 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
| Name | Title | Context |
|---|---|---|
| Kelly Yee | Administrator | Met with Licensing Program Analyst during inspection and named in findings |
| Julie Florio | Licensing Program Analyst | Conducted the inspection and authored the report |
| Bethany Moellers | Licensing Program Manager | Supervisor 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
| Name | Title | Context |
|---|---|---|
| Kelly Yee | Administrator | Met with Licensing Program Analyst during inspection. |
| Julie Florio | Licensing Program Analyst | Conducted the inspection visit. |
| Bethany Moellers | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Kelly Yee | Administrator | Met with Licensing Program Analyst during inspection and provided information |
| Julie Florio | Licensing Program Analyst | Conducted the inspection and investigation |
| Bethany Moellers | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Kelly Yee | Assisted Living Manager | Met with Licensing Program Analyst during investigation |
| Julie Florio | Licensing Program Analyst | Conducted the inspection and investigation |
| Kevin Hogan | Health Care Administrator | Arrived 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
| Name | Title | Context |
|---|---|---|
| Kevin J. Hogan | Health Care Administrator | Met with Licensing Program Analyst during the investigation |
| Julie Florio | Licensing Program Analyst | Conducted the complaint investigation |
| Bethany Moellers | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Kelly Yee | Administrator | Met with Licensing Program Analyst during the inspection. |
| Carol Fowler | Licensing Program Analyst | Conducted the inspection and interviews. |
| Kimberley Mota | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Carol Fowler | Licensing Program Analyst | Conducted the inspection and file reviews |
| Elvira Gabionza | MDS Coordinator | Met with Licensing Program Analyst during inspection |
| Agatha Narvaez-Okuda | LVN Memory Care Supervisor | Met with Licensing Program Analyst during inspection |
| Kelly Yee | Administrator | Facility administrator |
| Kimberley Mota | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Elvira Gabionza | MDS Coordinator | Met with Licensing Program Analyst during inspection. |
| Agatha Narvaez-Okuda | Memory Care Supervisor | Met 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
| Name | Title | Context |
|---|---|---|
| Kelly Yee | Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview. |
| Karina Canela | Licensing Program Analyst | Conducted the Annual Required - 1 Year inspection. |
| Hope DeBenedetti | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Karina Canela | Licensing Program Analyst | Conducted the inspection |
| Kelly Yee | Assisted Living Manager | Met with Licensing Program Analyst during inspection and exit interview |
| Agatha Okuda | Deer Creek (Memory Care) Supervisor | Met with Licensing Program Analyst during inspection |
| Peggy Huston | Administrator | Facility 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
| Name | Title | Context |
|---|---|---|
| Peggy Huston | Chief Operating Officer and RCFE Administrator | Met during inspection and exit interview |
| Karina Canela | Licensing Program Analyst | Conducted the inspection |
| Terry Tumpane | Vice President of Healthcare Operations | Met during inspection |
| Roger Breeding | Capital Construction Director | Met during inspection |
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