Inspection Reports for Park View Estates Assisted Living & Memory Care

This unannounced Case Management – Other inspection was conducted for the purpose of additional investigation related to two complaint control numbers: 22-AS-20250829102755 and 22-AS-20250919161621.

During the inspection, the Licensing Program Analyst interviewed the administrator and staff, and reviewed resident records. The facility representative was advised that further investigation is required at this time.

Inspection was triggered by complaints under control numbers 22-AS-20250829102755 and 22-AS-20250919161621. Further investigation is required.

The visit was an unannounced Case Management visit to amend a previously issued complaint report under complaint number #22-AS-20220131170149.

The amended complaint report was reviewed and signed by the Executive Director along with the Case Management report. No new deficiencies or findings are detailed in this report.

The visit was related to amending a previously issued complaint report under complaint number #22-AS-20220131170149.

The inspection was an unannounced complaint investigation visit triggered by an allegation that staff represented themselves as the resident to authorize the bank to issue a check to the facility.

The investigation included interviews, a tour of the facility, and document reviews. The allegation was found to be unsubstantiated due to insufficient evidence to prove or refute the claim.

The complaint alleged that staff represented themselves as the resident to authorize the bank to issue a check to the facility. The allegation was unsubstantiated after investigation.

An unannounced case management visit was conducted to monitor compliance assurance following a Non-Compliance Conference held on 2025-05-28.

The facility was found to be in compliance with all reviewed areas from the Non-Compliance Conference plan agreement. No health or safety issues were observed, staff training and audits were in order, and all records were within agreed conditions. No deficiencies were cited during this inspection.

The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not provide authorized representatives with a 30 day eviction notice.

The investigation found the complaint to be unfounded after reviewing documentation, interviewing the resident and witnesses, and confirming that the eviction notice was served and understood. The eviction date was extended to June 10, 2025.

The complaint alleged that staff did not provide authorized representatives with a 30 day eviction notice. The investigation found the allegation to be false and without reasonable basis.

The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2023-09-05 regarding multiple allegations including resident fractures due to staff neglect, multiple falls, unlawful eviction, failure to provide itemization of fee increase, and facility internet disrepair.

The investigation included interviews with residents, staff, and former directors, and review of documents. All allegations were found to be unsubstantiated due to lack of evidence to corroborate neglect or violations. The resident's fractures and falls were not proven to be caused by staff neglect, the eviction notice was deemed lawful, fee increase notifications were properly provided, and the facility internet was found to be working.

The complaint included allegations of resident sustaining fractures due to staff neglect, multiple falls due to staff neglect, unlawful eviction, failure to provide itemization of fee increase to resident's authorized representative, and facility internet disrepair. All allegations were investigated and found unsubstantiated.

An unannounced visit was conducted to investigate a complaint alleging that the resident call system was not operational.

The investigation found that the resident call system was operational, with motion detectors and pendants working properly. The allegation was unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that the resident call system was not operational. After investigation including interviews and testing of pendants, the allegation was found unsubstantiated.

An unannounced complaint investigation visit was conducted to investigate allegations that facility staff do not respond to the call system in a timely manner.

The investigation found that pendant call response times were often delayed, sometimes exceeding two hours, posing an immediate health and safety risk. However, recent pendant logs showed improvement with most calls answered within twenty minutes. The allegation was substantiated and a deficiency was cited.

The complaint was substantiated based on observations, record review, and interviews. The allegation that facility staff do not respond to the call system in a timely manner was confirmed.

An unannounced visit was conducted to investigate complaints alleging that staff did not meet a resident's catheter needs, incontinence needs, and medical needs while in care.

The investigation substantiated the allegation that staff did not meet a resident's catheter needs, citing insufficient catheter care that posed a potential risk to the resident's health and safety. The allegations regarding unmet incontinence and medical needs were found to be unsubstantiated due to insufficient evidence.

The complaint investigation was triggered by allegations that staff did not meet a resident's catheter needs, incontinence needs, and medical needs. The catheter care allegation was substantiated, while the others were unsubstantiated. The investigation included resident record reviews, staff and resident interviews, and witness statements.

An unannounced complaint investigation was conducted following a complaint received on 2025-04-03 regarding staff not ensuring residents took their medication as prescribed.

The investigation included interviews with residents and staff and review of medication administration records. The allegation was determined to be unsubstantiated as evidence showed residents received medications as prescribed and staff followed proper procedures.

The complaint alleged that staff did not ensure residents took their medication as prescribed. The investigation found no preponderance of evidence to prove the allegation, resulting in an unsubstantiated finding.

An unannounced complaint investigation visit was conducted in response to allegations received on 12/05/2022 regarding staff hitting, pushing residents, and not treating residents with dignity and respect.

After interviews with staff, residents, and review of records, there was insufficient evidence to substantiate the allegations. The employee in question no longer works at the facility. The complaint was determined to be unsubstantiated.

The complaint involved allegations that staff hit and pushed residents and did not treat residents with dignity and respect. Eight staff interviews were conducted, with seven denying and one confirming the allegations. Resident interviews also denied the allegations. The employee had no disciplinary actions and left the facility in 2023. The complaint was unsubstantiated due to lack of preponderance of evidence.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-12-28 alleging that facility staff violated residents' rights, restrained residents, and that the facility lacked PPE.

The investigation found the complaints to be unfounded after interviews with residents and staff, and observations confirmed that PPE was available and residents were not coerced or restrained regarding COVID-19 vaccination.

The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, or lacked reasonable basis.

The visit was an unannounced complaint investigation triggered by a complaint received on December 28, 2021, alleging that the facility lacked appropriate staffing.

The investigation included interviews with residents and staff, all of whom denied the staffing issues alleged. The facility was unable to provide staffing schedules from November 2021 through January 2022 due to a software change, resulting in a technical violation. The allegation of staffing shortages was unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that the facility lacked appropriate staffing, that staff were required to work while sick and seven days a week to avoid using an outside staffing agency. The complaint was found unsubstantiated.

The visit was an unannounced annual required inspection conducted to evaluate compliance with regulatory standards for the facility.

The inspection found no deficiencies in the areas inspected, including resident care, facility safety, medication storage and administration, and physical plant conditions. All required documentation was present and the facility was observed to be clean and well-maintained.

An unannounced complaint investigation visit was conducted in response to a complaint received on 05/25/2022 alleging that facility staff did not provide adequate supervision to a resident in care.

The investigation included staff interviews, resident file review, and medical record subpoena. It was determined that the resident was able to follow instructions and self-feed, and staff were nearby and contacted emergency personnel immediately. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged inadequate supervision of a resident who spilled hot tea on themselves resulting in third degree burns. The investigation found no sufficient evidence to substantiate the allegation.

Unannounced complaint investigation visit conducted due to an allegation that staff failed to provide supervision resulting in not meeting residents' needs.

The investigation found no preponderance of evidence to substantiate the allegation. Staff interviews and review of records indicated no current staffing issues, and the alleged failure of supervision was unsubstantiated. A technical violation was cited for missing staffing schedules from November and December 2022, but it did not pose an immediate or potential health risk.

The complaint alleged staff failed to provide supervision resulting in unmet resident needs. Interviews with staff and witnesses did not support the allegation. Staff member S1 resigned in 2023 and had no disciplinary actions. The allegation was unsubstantiated.

The visit was an unannounced case management visit to deliver amended reports from August 15, 2024.

Licensing Program Analysts met with the Executive Director and provided an exit interview along with copies of the amended reports. No deficiencies or violations were noted in the report.

Unannounced complaint investigation visit conducted in response to allegations received on 09/13/2022 regarding staff training on emergency disaster response and adequacy of staffing to meet residents' needs.

The investigation found that all staff interviewed stated they were trained on emergency response and fire/disaster drills were conducted regularly. Staffing levels were adequate at the time of the visit, with no current staffing issues. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that facility staff were not trained to conduct proper emergency disaster response and that the facility failed to provide adequate staffing to meet residents' needs. The investigation found no evidence to substantiate these allegations.

The visit was an unannounced follow-up to clear the deficiency cited during the 10-day complaint investigation conducted on September 25, 2024.

The facility complied with the terms of the plan of correction related to maintenance and operation, specifically resolving the elevator malfunction issue. The deficiency is now cleared.

The visit was conducted to clear deficiencies cited during a complaint investigation on September 25, 2024.

The inspection was an unannounced 10-day complaint investigation triggered by an allegation that staff did not ensure the elevator was working properly.

The investigation found that one of the two elevators was malfunctioning due to a power issue with the Program Logic Control (PLC) Board. Despite previous repair attempts, the elevator remained non-functional at the time of the visit, posing a potential health, safety, or personal rights risk to residents. The allegation was substantiated.

The complaint was substantiated based on observations, interviews, and record review. The elevator was not working properly due to unresolved electrical issues beyond the scope of the initial repair technician. Poor communication and misunderstanding of the repair contract delayed the elevator repair.

The inspection was a subsequent Annual Required visit following a prior 10-day complaint visit, conducted to evaluate compliance with licensing regulations.

The facility was found to be in compliance with no citations issued. Observations included proper food supply storage, clean and operational cooking and bathing facilities, secure medication storage, unobstructed emergency exits, and compliant resident and personnel files.

This was a subsequent unannounced visit following a 10-day visit related to complaint control #22-AS-20240411095716 to assess compliance with previously identified deficiencies.

The inspection found that the facility failed to maintain a comfortable temperature in the activity room, with temperatures observed between 80 and 82 degrees Fahrenheit, which was not controlled locally. This deficiency was cited under Title 22, Division 6 of the California Code of Regulations.

The visit was complaint-related, following complaint control #22-AS-20240411095716. The deficiency regarding temperature control was substantiated and cited.

This unannounced Case Management – Incident inspection was conducted for a health and safety check and to follow up on a self-reported incident involving Staff 1 received by the Orange County Regional Office on 03/05/2024.

The inspection found no imminent health and safety concerns. The facility was clean and organized, with proper supplies and storage of medications, sharps, and toxins. No deficiencies were cited during this inspection.

The visit was conducted as a follow-up on a self-reported incident regarding resident R1 that occurred on September 06, 2023.

The Licensing Program Analyst found no immediate or safety risks in or out of the facility during the visit. The resident involved in the incident was assessed and sent to the hospital for observation and remains there.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-06-12 regarding insufficient incontinence supplies, failure to provide call buttons to residents, and inadequate staffing to meet residents' needs.

The investigation found that the facility had ample incontinence supplies and call buttons were available as needed. Staffing levels were verified and found consistent with the administrator's statements, though some staff reported staffing issues while others denied them. Due to conflicting information, the allegations were deemed unsubstantiated and ultimately determined to be unfounded with no deficiencies cited.

The complaint investigation was unannounced and conducted by Licensing Program Analyst Kimberly Lyman. Allegations included insufficient incontinence supplies, failure to provide call buttons, and inadequate staffing. The investigation included facility tours, interviews with staff, residents, and witnesses, and review of documentation. The allegations were found unsubstantiated and ultimately unfounded.

The inspection visit was conducted as a 10-day inspection regarding complaint control #22-AS-20230717085332 to follow up on previous complaint investigations #22-AS-20220525095746 and #22-AS-20221207111938.

During the inspection, the Licensing Program Analyst and Ombudsman Representative toured the Assisted Living and Memory Care Unit, conducted interviews, and made facility observations. An exit interview was conducted with the Executive Director and a copy of the report was provided.

The visit was a follow-up complaint investigation related to complaint control numbers 22-AS-20220525095746 and 22-AS-20221207111938. No substantiation status was stated.

An unannounced complaint investigation was conducted in response to an allegation that a resident was being illegally evicted from the facility.

The investigation found that the allegation of illegal eviction was unfounded. Documentation and interviews revealed that no eviction notice was sent to any current resident and the eviction process follows a 30-day notice as per regulation 87224.

The complaint alleging illegal eviction of a resident was investigated and determined to be unfounded based on record reviews and interviews.

Unannounced case management health and safety check visit conducted in conjunction with complaint 22-AS-20230410115728.

No hazards or safety concerns posing a threat to residents were observed. No deficiencies or citations were issued during this visit.

Visit was conducted in conjunction with complaint 22-AS-20230410115728. No deficiencies or citations were issued, indicating no substantiated violations.

The visit was an unannounced case management inspection conducted to investigate complaints identified by Complaint Control Numbers 22-AS-20221205140654 and 22-AS-20221207111938.

A citation was issued for failure to ensure private interviews with staff, as the Chief Executive Officer admitted to listening to a private interview with a staff member. The licensee was reminded of the importance of private interview settings and issued a citation under Title 22 Division 6, Section 87755(b).

The visit was complaint-related, investigating two complaint control numbers. The citation was issued based on the CEO admitting to listening to a private interview, violating interview privacy requirements.

Subsequent visit following an unannounced visit addressing a complaint related to COVID-19 positive cases at the facility.

The visit addressed 14 COVID-19 positive cases reported between 7/25/2022 and 8/9/2022. The facility was cited for failure to report epidemic outbreaks within 24 hours as required by regulations.

Visit was complaint-related addressing Complaint control #22-AS-20220913154817. The complaint involved 14 COVID-19 positive cases reported on 8/9/2022.

The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident sustained multiple falls resulting in consequential rib fractures.

The investigation found that Resident 1, diagnosed with Alzheimer's and Dementia, experienced multiple falls between 1/21/2022 and 1/24/2022, resulting in fractured ribs and other injuries. The facility failed to provide timely medical treatment and adequate supervision. However, the allegation was ultimately deemed unsubstantiated due to insufficient preponderance of evidence.

The complaint alleged that a resident sustained multiple falls with consequential rib fractures. The investigation was unsubstantiated, meaning there was not enough evidence to prove the alleged violation did or did not occur.

An unannounced complaint investigation visit was conducted in response to an allegation that a resident sustained multiple falls resulting in consequential rib fractures.

The investigation found that Resident 1, diagnosed with Alzheimer's and Dementia, experienced three documented falls between 1/21/22 and 1/24/22, resulting in fractured ribs and other injuries. However, the allegation was deemed unsubstantiated due to insufficient preponderance of evidence to prove the violation occurred.

The complaint alleged that a resident sustained multiple falls with consequential rib fractures. The investigation was unannounced and involved interviews, document reviews, and observations. The allegation was ultimately unsubstantiated due to lack of sufficient evidence.

An unannounced complaint investigation visit was conducted following a complaint received on 2021-10-05 regarding a resident sustaining injury due to a fall or improper care.

The investigation substantiated that Resident #1 suffered an unwitnessed fall and subsequent injury. Video evidence showed staff member S1 roughly handling the resident, resulting in a pelvic fracture. S1 was untruthful during interviews and was not properly associated with the facility. The facility failed to ensure the resident's personal rights and safety, posing immediate health and safety risks.

The complaint alleging that a resident sustained injury due to a fall or improper care was substantiated based on video evidence, interviews, and medical documentation. The resident was diagnosed with a pelvic fracture after staff mishandling. The staff member involved was hired through a temp agency and lacked required training and paperwork.

report_18_306005798_inx17_2023-04-04.pdf