Inspection Report Summary
Most inspections found no deficiencies, including the most recent annual inspection on July 22, 2025, which was clean and showed the facility in good repair and compliant with licensing requirements. Earlier reports included a substantiated complaint from March 4, 2025, where staff failed to meet a resident’s needs on one occasion, resulting in the resident being found on the floor and soiled; corrective actions were taken. Other isolated issues involved inadequate staffing in a memory care unit in 2019, a safety concern over outdated fire extinguisher servicing in 2022, and a $500 fine in 2021 for a staff member lacking required criminal clearance. Several complaint investigations were unsubstantiated, including one about improper fees. The facility’s record shows improvement over time, with recent inspections consistently free of deficiencies.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 201
Capacity: 266
Deficiencies: 0
Jul 22, 2025
Visit Reason
An unannounced required Annual Inspection was conducted to assess compliance with licensing requirements at the facility.
Findings
The facility was found to be in good repair, clean, and compliant with licensing requirements. No deficiencies were noted during the inspection.
Report Facts
Residents on hospice: 7
Residents bedridden: 0
Fire inspection current as of: Apr 17, 2025
Perishables supply: 2
Non-perishables supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Douglas Tucker | Administrator | Participated in the inspection |
| Amy Ross | Director of Resident Services | Greeted Licensing Program Analyst upon arrival |
| Kristin Kontilis | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 207
Capacity: 266
Deficiencies: 1
Mar 4, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate the allegation that facility staff did not meet the resident's needs.
Findings
The investigation found that on one occasion over a holiday weekend, a resident was found on the floor in their pajamas, had not had breakfast, and was soiled due to a registry staff not being aware of the resident's typical schedule. The allegation was substantiated, and corrective actions including staff reminders and care plan updates were implemented.
Complaint Details
The complaint was substantiated based on the investigation of the allegation that facility staff did not meet the resident's needs. The resident slid out of bed without alerting staff, and corrective measures were taken including staff reminders and care plan updates.
Deficiencies (1)
| Description |
|---|
| Facility staff did not meet the resident's needs resulting in a resident found on the floor, soiled and without breakfast. |
Report Facts
Capacity: 266
Census: 207
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Douglas Tucker | Administrator | Met with during the complaint investigation |
| Kelly Burley | Licensing Program Manager | Conducted the complaint investigation and signed the report |
| Garrett Haner-Tomasko | Licensing Program Analyst | Conducted the complaint investigation and signed the report |
Inspection Report
Annual Inspection
Census: 208
Capacity: 266
Deficiencies: 0
Jul 29, 2024
Visit Reason
The visit was an unannounced required annual site inspection conducted to ensure the facility's compliance with Title 22 Regulations and to assess health and safety conditions.
Findings
The facility was found to be in compliance with regulations, with clean and sanitary kitchen and common areas, appropriate safety measures in place, and adequate infection control protocols. A COVID-19 outbreak was reported with four residents testing positive, and appropriate measures were observed. No deficiencies were cited during the inspection.
Report Facts
Residents testing positive for COVID-19: 4
Licensed capacity: 266
Current census: 208
Dementia and Hospice Waiver residents: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Douglas Tucker | Administrator | Met with Licensing Program Analyst during inspection |
| Brian Phillips | Licensing Program Analyst | Conducted the inspection |
| Kelly Burley | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 215
Capacity: 266
Deficiencies: 0
May 29, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff charged a resident a fee not listed in the admission agreement.
Findings
The investigation found that the facility waived all late fees including late charge and interest fees, which are listed in the admission agreement. There was insufficient evidence to prove the allegation, and it was deemed unsubstantiated.
Complaint Details
The complaint alleged that a resident was charged a late fee and interest fee not listed in the admission agreement due to erroneous billing dates. The facility waived these fees and no additional fees were charged. The allegation was unsubstantiated.
Report Facts
Capacity: 266
Census: 215
Late fee amount: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melisa Rankin | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Douglas Tucker | Administrator | Facility administrator met during the investigation |
| Brian Phillips | Licensing Program Analyst | Conducted the initial complaint investigation site visit |
| Kelly Burley | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Census: 216
Capacity: 266
Deficiencies: 0
Feb 15, 2024
Visit Reason
The visit was an unannounced Case Management site visit conducted to follow up on an immediate exclusion served to Staff #1 (S1) via certified mail and to confirm removal of the staff member from the facility.
Findings
The Administrator confirmed that Staff #1 has not worked at the facility since July 2, 2022, and provided a current personnel report verifying the staff member's removal. No citations were issued during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Douglas Tucker | Administrator | Met with Licensing Program Analyst during the visit and provided personnel report verifying staff removal. |
| Monica Leon | Director of Human Resources | Met with Licensing Program Analyst during the visit for Confirmation of Removal. |
| Brian Phillips | Licensing Program Analyst | Conducted the unannounced Case Management site visit. |
| Kelly Burley | Licensing Program Manager | Named in the report header. |
Inspection Report
Annual Inspection
Census: 206
Capacity: 266
Deficiencies: 0
Jul 27, 2023
Visit Reason
The inspection was a required 1-Year Annual facility site inspection visit conducted at Vista Del Monte to ensure compliance with Title 22 Regulations and assess the facility's health and safety conditions.
Findings
The facility was found to be in compliance with regulations, with clean and sanitary kitchen and common areas, appropriate safety measures in place, and adequate infection control protocols. No deficiencies were cited during this inspection.
Report Facts
Residents non-ambulatory: 147
Residents ambulatory: 91
Residents bedridden: 28
Dementia Waiver and Hospice Waiver residents: 20
Facility buildings: 8
Inspection start time: 930
Inspection end time: 1600
Fire extinguisher last serviced year: 2023
Food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Douglas Tucker | Administrator | Greeted the Licensing Program Analyst and was informed of the reason for the visit |
| Brian Phillips | Licensing Program Analyst | Conducted the inspection visit |
| Kelly Burley | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 197
Capacity: 266
Deficiencies: 1
Jul 20, 2022
Visit Reason
The inspection was a required 1-year unannounced infection control annual visit to assess compliance with infection control protocols and related regulations.
Findings
The facility was found to be compliant with infection control protocols, including screening, PPE use, social distancing, and cleaning procedures. However, multiple fire extinguishers were noted to have last been serviced in 2020 and 2021, which posed a potential health and safety risk.
Deficiencies (1)
| Description |
|---|
| Multiple fire extinguishers were last serviced in 2020 and 2021, posing a potential health, safety, or personal rights risk to persons in care. |
Report Facts
PPE supply: 30
Deficiency due date: Jul 29, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Douglas Tucker | Administrator | Met with Licensing Program Analyst during inspection. |
| Ali Reynoso | Director of Health Services | In charge of infection control and provides training and education. |
| Jeannette Olson | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Kelly Burley | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
Complaint Investigation
Census: 190
Capacity: 266
Deficiencies: 1
Jul 13, 2021
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations received on 2019-10-29 regarding insufficient staffing and failure to meet residents' needs in the Summer House Memory Care portion of the facility.
Findings
The investigation substantiated that in October 2019, the facility staff failed to meet the needs of residents due to insufficient staffing in the Summer House Memory Care, posing a potential health and safety risk. Staff interviews and document reviews confirmed times when residents were left unattended and staffing levels were inadequate.
Complaint Details
The complaint was substantiated. Allegations included insufficient staff to meet residents' needs and failure of staff to meet residents' needs in the Summer House Memory Care. The investigation found sufficient evidence to support these allegations.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility personnel shall at all times be sufficient in numbers and competent to provide the services necessary to meet resident needs. The licensee failed to ensure adequate staffing in Summer House Memory Care in October 2019. | Type B |
Report Facts
Census: 190
Total Capacity: 266
Residents in Summer House Memory Care: 18
Staff on shift: 2
Plan of Correction Due Date: Jul 19, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Douglas Tucker | Executive Director | Met with during investigation and named in findings |
| Toan Luong | Licensing Program Analyst | Conducted complaint investigation |
| Kelly Burley | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Census: 192
Capacity: 266
Deficiencies: 1
Jun 28, 2021
Visit Reason
The visit was a Case Management - Deficiencies inspection conducted to evaluate compliance, specifically an Infection Control Inspection conducted on 2021-06-23.
Findings
The inspection found that Staff 1 (S1) did not have a criminal record clearance, which poses an immediate health and safety risk to residents. An immediate civil penalty of $500 was assessed.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to obtain a California clearance or criminal record exemption for Staff 1 (S1), posing an immediate health and safety risk to residents. | Type A |
Report Facts
Civil penalty amount: 500
Deficiency count: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Douglas Tucker | Administrator | Met with during inspection and recipient of report. |
| Kelly Burley | Licensing Program Manager | Named as supervisor and involved in deficiency citation. |
| Kristin Kontilis | Licensing Program Analyst | Conducted inspection and licensing evaluator. |
| Darlene Chavez | Conducted Infection Control Inspection. |
Inspection Report
Annual Inspection
Census: 172
Capacity: 266
Deficiencies: 0
Jun 23, 2021
Visit Reason
The inspection was a required one-year unannounced infection control annual visit to the facility.
Findings
The facility was toured and evaluated for infection control practices including symptom screening, temperature checks, and mitigation plans. No citations were issued during the exit interview.
Report Facts
Resident rooms in assisted living unit: 34
Resident rooms in memory care unit: 24
Independent living units: 138
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Douglas Tucker | Administrator | Met with Licensing Program Analysts during the inspection |
| Ali Reynoso | Director of Health Services | Met with Licensing Program Analysts during the inspection |
| Darlene Chavez | Licensing Program Analyst | Conducted the inspection |
| Kristin Kontilis | Licensing Program Analyst | Conducted the inspection |
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