Inspection Reports for Valley of Golden Ages
2680 Margaret Dr, Reno, NV 89506, NV, 89506
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Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 25
May 19, 2025
Visit Reason
This inspection was a State Licensure annual grading survey conducted to assess compliance with Nevada Administrative Code Chapter 449 for a Residential Facility for Groups.
Findings
The facility received a grade of D with multiple deficiencies identified including failure to provide adequate oversight, incomplete employee training, expired food items, medication administration errors, incomplete resident assessments, and failure to maintain current licenses and documentation.
Severity Breakdown
Level 1: 1
Level 2: 24
Deficiencies (25)
| Description | Severity |
|---|---|
| Administrator failed to provide oversight and direction to ensure residents received needed services and protective supervision. | Level 2 |
| One employee failed to receive eight hours of annual caregiver training. | Level 2 |
| Two employees failed to complete annual elder abuse training. | Level 2 |
| One employee did not initiate background check within required timeframe. | Level 2 |
| Two employees lacked current CPR retraining. | Level 2 |
| Facility exterior and landscaping were not clean or well maintained. | Level 2 |
| Two windows lacked insect screens. | Level 2 |
| Expired food items were found in kitchen and pantry. | Level 2 |
| One employee failed to complete CPR training within 30 days of hire. | Level 2 |
| Facility license was expired and not posted in a conspicuous place. | Level 1 |
| Failed to annually review person-centered service plans for 2 residents. | Level 2 |
| Failed to ensure recent initial physical exams before admission for 2 residents and timely annual physical exam for 1 resident. | Level 2 |
| Failed to ensure medication review by qualified professional every six months for 2 residents. | Level 2 |
| Failed to administer medications as prescribed for 2 residents and lacked medication on site for 1 resident. | Level 2 |
| Medication Administration Record (MAR) inaccurate for 2 residents. | Level 2 |
| Administrator failed to complete annual medication management training. | Level 2 |
| Medication administration errors including incorrect MAR entries and discontinued medications not removed. | Level 2 |
| Medications improperly stored in refrigerator when room temperature required for 2 residents. | Level 2 |
| Over-the-counter medications not labeled with prescriber's name for 1 resident. | Level 2 |
| Failed to complete annual Activities of Daily Living (ADL) assessments for 2 residents and initial ADL assessment timely for 1 resident. | Level 2 |
| Failed to maintain current hospice Plan of Care for 1 hospice resident. | Level 2 |
| Facility lacked mental illness endorsement to care for 2 residents with mental illness diagnoses. | Level 2 |
| Failed to ensure dementia training within 40 hours of hire for 1 employee. | Level 2 |
| Failed to document residents' preferred pronouns, gender identity or expression, and sexual orientation for all residents. | Level 2 |
| Failed to complete placement assessment prior to admission for 1 resident. | Level 2 |
Report Facts
Facility licensed beds: 6
Current census: 5
Inspection date: May 19, 2025
Survey grade: D
Number of employee files reviewed: 3
Number of resident files reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ernesto Beltejar Jr. | Administrator | Named in multiple findings related to oversight, training, and corrective actions |
| Employee 1 | Caregiver | Named in findings related to background check, dementia training, CPR training, and medication management |
| Employee 2 | Medication Technician/Manager | Named in findings related to elder abuse training, CPR training, medication administration, and record keeping |
| Employee 3 | Administrator | Named in findings related to training deficiencies and corrective actions |
| Employee 4 | Named as backup for monitoring files and facility environment |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Oct 24, 2024
Visit Reason
This inspection was conducted as a complaint investigation survey triggered by two complaints alleging failure to maintain a clean and safe environment, proper temperature control, resident safety, and employee compliance with background checks and training requirements.
Findings
The investigation included observations, interviews, and document reviews. Both complaints could not be substantiated due to lack of sufficient evidence. No regulatory deficiencies were identified and no further action was necessary.
Complaint Details
Two complaints were investigated: Complaint #NV00071906 alleged failure to provide a clean and working environment, improper temperature control, and unsafe environment due to lighting and temperature; Complaint #NV00070921 alleged failure to maintain a safe environment resulting in resident elopement and failure to report, as well as failure to ensure employees were up to date on background checks and cultural competency trainings. Both complaints were unsubstantiated.
Report Facts
Number of complaints investigated: 2
Inspection Report
Annual Inspection
Census: 3
Capacity: 6
Deficiencies: 29
Aug 1, 2023
Visit Reason
This annual grading survey was conducted by the Division of Public and Behavioral Health in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
The facility received a grade of D with multiple deficiencies identified including failure to provide adequate oversight, staffing issues, missing or incomplete documentation for residents and employees, medication administration errors, lack of posted menus and activities, and safety concerns in an Alzheimer's endorsed facility.
Severity Breakdown
Level 1: 5
Level 2: 23
Deficiencies (29)
| Description | Severity |
|---|---|
| Administrator failed to provide oversight and direction for employees to provide necessary services and protective supervision to residents. | Level 2 |
| Administrator failed to designate in writing employees to oversee the facility during absence. | Level 1 |
| Failed to schedule sufficient number of caregivers for residents requiring two-person assistance. | Level 2 |
| Failed to maintain monthly written staff schedule for at least six months. | Level 1 |
| Failed to ensure tuberculosis screening was completed for 1 of 5 employees. | Level 2 |
| Failed to ensure background checks were completed for 2 of 5 employees. | Level 2 |
| Failed to post current menu for residents and maintain archived menus. | Level 1 |
| Failed to ensure first aid kit was readily available and fully stocked. | Level 2 |
| Failed to provide activities that stimulate residents' interests and skills, and failed to provide written activity programs and sufficient activity hours. | Level 2 |
| Failed to post activities calendar for residents. | Level 1 |
| Failed to post facility license in a conspicuous place. | Level 1 |
| Failed to ensure general physical examination was completed upon admission or annually for 1 of 3 residents. | Level 2 |
| Failed to complete required medication management training for administrator. | Level 2 |
| Failed to ensure ultimate user agreement was completed for 1 of 3 residents. | Level 2 |
| Medication Administration Record (MAR) was inaccurate and incomplete for 3 residents. | Level 2 |
| Failed to secure medications properly in locked storage areas. | Level 2 |
| Failed to maintain separate locked resident files with timely tuberculosis testing for 2 residents. | Level 2 |
| Failed to complete initial Activities of Daily Living (ADL) assessment at or prior to admission for 1 resident. | Level 2 |
| Failed to develop program of activities for residents with Alzheimer's disease. | Level 2 |
| Failed to ensure at least one staff member was awake and on duty at all times in Alzheimer's endorsed facility. | Level 2 |
| Failed to secure sharp objects in kitchen from residents in Alzheimer's endorsed facility. | Level 2 |
| Failed to secure toxic substances from residents in Alzheimer's endorsed facility. | Level 2 |
| Failed to ensure annual caregiver training for elderly/disabled was completed for 2 employees. | Level 2 |
| Failed to ensure initial chronic illness training within 60 days for 1 employee. | Level 2 |
| Failed to ensure dementia training within 40 hours for 2 employees. | Level 2 |
| Failed to ensure dementia training within 90 days for 1 employee. | Level 2 |
| Failed to ensure annual Alzheimer's training for 2 employees. | Level 2 |
| Failed to maintain proof of annual Alzheimer's training for 2 employees. | Level 2 |
| Failed to maintain Physician Placement Determination Statement for 3 residents. | Level 2 |
Report Facts
Facility licensed beds: 6
Resident census: 3
Survey date: Aug 1, 2023
Grade: D
Resurvey fee: 600
Number of resident files reviewed: 3
Number of employee files reviewed: 5
Number of deficiencies with Level 1 severity: 5
Number of deficiencies with Level 2 severity: 23
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ernesto Beltejar Jr | Administrator | Named in multiple findings including oversight failure, medication training, and monitoring responsibilities |
| Employee 1 | Subjected to reorientation seminar on adult groupcare operations and medication management | |
| Employee 2 | Designated as designee in Administrator's absence and involved in monitoring schedules and resident needs | |
| Employee 3 | Designated as designee and involved in monitoring schedules, activities, and resident needs | |
| Employee 4 | Resigned August 4, 2023; lacked background check and training documentation | |
| Employee 5 | New designee replacing Employee 4; pending background check clearance |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Oct 17, 2022
Visit Reason
This inspection was conducted as a State Licensure annual grading survey of the facility in accordance with Nevada Administrative Code Chapter 449 for Residential Facility for Groups.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A and no further action was necessary.
Inspection Report
Annual Inspection
Census: 3
Capacity: 6
Deficiencies: 0
Nov 29, 2021
Visit Reason
This inspection was conducted as a State Licensure annual grading survey of the facility.
Findings
The facility received a grade of A with no regulatory deficiencies identified. Three resident and three employee files were reviewed.
Inspection Report
Follow-Up
Census: 6
Capacity: 6
Deficiencies: 0
Sep 16, 2020
Visit Reason
This follow-up State Licensure COVID-19 Infection Control and Prevention Plan Survey was conducted to assess the facility's compliance with infection control measures related to COVID-19.
Findings
The facility maintained adequate personal protective equipment supplies, implemented proper screening and quarantine procedures, provided staff training on infection prevention, and had no positive or presumptive COVID-19 cases at the time of the survey. No regulatory deficiencies were identified.
Report Facts
Staff Fit Testing Date: Aug 28, 2020
Quarantine Duration (days): 15
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 1
Aug 26, 2020
Visit Reason
This inspection was a State Licensure annual grading survey conducted to assess compliance with NAC 449 for Residential Facility for Groups.
Findings
The facility received a grade of A; however, deficiencies were identified related to medication management training where four employees administered medications with expired training credentials. The facility corrected this by obtaining valid medication management certification for all affected employees on August 24, 2020.
Severity Breakdown
Severity: 2: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure 4 of 4 employees who administered medications were trained by a trainer with valid credentials; medication management training was conducted by an instructor with expired credentials. | Severity: 2 |
Report Facts
Resident census: 6
Total licensed capacity: 6
Employees with expired medication training: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ernesto Beltejar Jr | Administrator | Named as the Owner/Administrator involved in the medication training deficiency and corrective actions |
| Employee 1 | Administered medications with expired training credentials; became Owner/Administrator on 09/19/19 | |
| Employee 2 | Administered medications with expired training credentials; hired as Owner/Manager on 03/27/20 | |
| Employee 3 | Administered medications with expired training credentials; hired as Caregiver on 06/08/20 | |
| Employee 4 | Administered medications with expired training credentials; hired as Caregiver on 06/12/20 |
Inspection Report
Routine
Census: 6
Capacity: 6
Deficiencies: 0
Aug 26, 2020
Visit Reason
The inspection was conducted as a State Licensure COVID-19 Infection Control and Prevention Plan Survey to assess the facility's compliance with infection control requirements during the COVID-19 pandemic.
Findings
The facility maintained adequate infection control practices including screening, PPE supply, staff training, and social distancing. No regulatory deficiencies were identified during the survey.
Report Facts
Licensed beds: 6
Census: 6
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Jan 31, 2020
Visit Reason
This inspection was conducted as an initial State Licensure survey for licensure of six Residential Facility for Group beds for elderly and disabled persons, and/or persons with chronic illness, and/or persons with Alzheimer's disease, Category II residents.
Findings
The survey found deficiencies which were identified and corrected at the time of the survey. No further action was necessary.
Report Facts
Licensed capacity: 6
Census: 0
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