Inspection Reports for Walnut Valley Senior Living

19850 Colima Rd, Walnut, CA 91789, United States, CA, 91789

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Inspection Report Complaint Investigation Census: 93 Capacity: 120 Deficiencies: 0 Apr 11, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2025-02-12 regarding staff mismanaging resident's medication, misplacing medication, and billing for medication not administered.
Findings
The investigation found no corroborating evidence to support the allegations. Staff and resident interviews indicated that medications were managed and administered as prescribed, no medications were misplaced, and billing was handled by the pharmacy, not the facility. Therefore, the allegations were unsubstantiated.
Complaint Details
The complaint involved allegations of staff mismanaging resident's medication, misplacing medication, and billing resident for medication not administered. After investigation including staff and resident interviews, the allegations were found to be unsubstantiated due to lack of evidence.
Report Facts
Capacity: 120 Census: 93
Employees Mentioned
NameTitleContext
Christina MatsumotoAdministratorMet with during investigation and named in report
Elizabeth IrraLicensing Program AnalystConducted the complaint investigation
Tony VasalloLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Complaint Investigation Census: 89 Capacity: 120 Deficiencies: 0 Mar 25, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2025-01-21 regarding staff administering felony drugs to a resident and a resident sustaining an unexplained head injury.
Findings
The investigation found no evidence that facility staff administered felony drugs to the resident despite positive drug tests. The resident's head injury was confirmed from a fall, but there was no sufficient evidence of lack of care or supervision. Both allegations were unsubstantiated.
Complaint Details
The complaint involved allegations that staff administered felony drugs to a resident who tested positive for cocaine and PCP, and that a resident sustained an unexplained head injury. After interviews and document reviews, the allegations were found unsubstantiated due to lack of evidence.
Report Facts
Capacity: 120 Census: 89 Date complaint received: Jan 21, 2025
Employees Mentioned
NameTitleContext
Christina MatsumotoAdministratorInterviewed regarding allegations and participated in exit interview
Cynthia D ChanLicensing Program AnalystConducted the complaint investigation visit and interviews
Tony VasalloLicensing Program ManagerNamed as Licensing Program Manager on report
Inspection Report Complaint Investigation Census: 88 Capacity: 120 Deficiencies: 0 Feb 6, 2025
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations received on 2025-01-31 regarding staff discrimination against a resident and failure to safeguard residents' belongings.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff and residents reported fair treatment and reasonable accommodations, and while some residents reported missing belongings, there was no conclusive proof of violations. The allegations were therefore unsubstantiated.
Complaint Details
The complaint involved allegations that staff were discriminating against a resident and not safeguarding residents' belongings. The investigation included interviews with staff, residents, and review of records. Despite some residents reporting missing belongings, the evidence was insufficient to substantiate the claims.
Report Facts
Capacity: 120 Census: 88 Residents interviewed: 9 Staff interviewed: 4
Employees Mentioned
NameTitleContext
Christina MatsumotoExecutive DirectorMet with Licensing Program Analyst during complaint investigation and provided statements regarding allegations
Cynthia D ChanLicensing Program AnalystConducted the complaint investigation
Tony VasalloLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Inspection Report Annual Inspection Census: 79 Capacity: 120 Deficiencies: 0 Nov 8, 2024
Visit Reason
The inspection was a required unannounced annual inspection conducted to evaluate compliance with licensing regulations for the facility.
Findings
The facility was found to be in compliance with all regulatory requirements with no deficiencies issued. The inspection included review of resident rooms, safety measures, staff training, medication storage, and emergency preparedness.
Report Facts
Residents inspected: 8 Resident files reviewed: 8 Medications checked: 6 Liability insurance coverage: 1000000 Liability insurance coverage: 3000000
Employees Mentioned
NameTitleContext
Christina MatsumotoAdministratorMet with Licensing Program Analyst during inspection and named in report
Cynthia D ChanLicensing EvaluatorConducted the inspection and signed the report
Tony VasalloSupervisorNamed as supervisor in the report
Inspection Report Annual Inspection Census: 57 Capacity: 120 Deficiencies: 0 Nov 30, 2023
Visit Reason
The inspection visit was conducted as a subsequent visit to finish the annual inspection of the Walnut Valley Senior Living Community Facility.
Findings
The inspection found that the facility has sufficient staffing, proper personnel training, appropriate resident records, respect for residents' rights, and proper medication administration. No deficiencies were issued, only a technical violation was noted.
Report Facts
Staff files reviewed: 5 Resident files reviewed: 5 Residents' medication records reviewed: 5 Approved delayed egress gates: 3
Employees Mentioned
NameTitleContext
Christinia MatsumotoAdministratorMet during inspection; certificate expiration noted; named in staffing and training review
Cynthia ChanLicensing Program AnalystConducted the inspection visit
Inspection Report Annual Inspection Census: 59 Capacity: 120 Deficiencies: 0 Nov 28, 2023
Visit Reason
The inspection was a required annual unannounced visit to evaluate compliance with licensing regulations for Walnut Valley Senior Living Community Facility.
Findings
The inspection found no deficiencies. The facility demonstrated compliance in infection control, operational requirements, physical plant and environment safety, planned activities, food service, and disaster preparedness.
Report Facts
Licensed capacity: 120 Current census: 59 Bedridden capacity: 10 Hospice waiver capacity: 20 Number of rooms inspected: 8 Hot water temperature range: 105 Hot water temperature range: 120 Food supply duration - perishable: 2 Food supply duration - non-perishable: 7 Number of relocation sites: 2
Employees Mentioned
NameTitleContext
Christinia MatsumotoAdministratorMet with Licensing Program Analysts during the inspection
Inspection Report Annual Inspection Census: 60 Capacity: 120 Deficiencies: 0 Jan 17, 2023
Visit Reason
Licensing Program Analyst Kruz Long conducted an unannounced visit to the facility to conduct an Annual Inspection.
Findings
The facility was found to be in compliance with all applicable regulations, including fire safety, staffing, food storage, and resident accommodations. No deficiencies were observed during the visit.
Report Facts
Capacity: 120 Census: 60
Employees Mentioned
NameTitleContext
Christina MatsumotoExecutive DirectorMet with Licensing Program Analyst during inspection and received report copy
Kruz LongLicensing Program AnalystConducted the annual inspection
Fernando FierrosSupervisorSupervisor overseeing the licensing evaluation
Inspection Report Original Licensing Census: 60 Capacity: 120 Deficiencies: 7 Oct 27, 2021
Visit Reason
The visit was an announced pre-licensing inspection conducted due to an application submitted for a change in ownership request for a Residential Care Facility for the Elderly (RCFE) serving residents ages 60 and up, with a requested capacity of 120 non-ambulatory residents.
Findings
The facility was generally compliant with required furniture, safety equipment, and supplies, though some deficiencies were noted including missing furniture in two rooms, eleven beds lacking mattress protectors, water temperature below normal limits in several rooms, and areas of disrepair such as toilets and a light bulb. Several issues were corrected during the visit, and remaining corrections were scheduled for virtual verification.
Deficiencies (7)
Description
Room 109 missing a night stand
Room 251 missing a dresser
Eleven beds did not have mattress protectors
Water temperature in rooms 101-110 and 201-214 below normal limits (94.5-104.7°F)
Toilets in rooms 107 and 249 in disrepair
Light bulb in room 218 needed replacement
Emergency pull cords in room 106 and memory care unit rooms not working (fixed during visit)
Report Facts
Facility capacity: 120 Current census: 60 Beds missing mattress protectors: 11 Water temperature range: 94.5 Water temperature range: 104.7 Correction verification date: Nov 1, 2021
Employees Mentioned
NameTitleContext
Christina MatsumotoAdministratorMet with Licensing Program Analysts during pre-licensing inspection
Nicole SpencerLicensing Program AnalystConducted the pre-licensing inspection
Elizabeth IrraLicensing Program AnalystConducted the pre-licensing inspection
Nina GalarzaLicensing Program AnalystConducted the pre-licensing inspection
Christine YeeSupervisorSupervisor overseeing the inspection
LaJean Nicole SpencerLicensing EvaluatorLicensing evaluator who signed the report
Inspection Report Census: 60 Capacity: 120 Deficiencies: 0 Sep 9, 2021
Visit Reason
The visit was conducted as part of a Change of Ownership application process for the Walnut Valley Senior Living Community Facility.
Findings
The applicant/administrator participated in a COMP II telephone interview to verify understanding of California Code Title 22 Regulations and confirm readiness for licensing. The CAB analyst confirmed the applicant's understanding of facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and pre-licensing readiness.
Employees Mentioned
NameTitleContext
Christinia MatsumotoAdministratorApplicant/administrator participating in COMP II interview and confirmed understanding of regulations.

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