Alta Vista Gardens

Allegation investigated: Staff mismanaged resident's funds.

On 4/20/26, at 10:00 am, Licensing Program Manager (LPM) Naira Margaryan and Licensing Program Analyst, Raymond Comer, arrived to conduct an intial 10-day visit regarding the allegations listed above. LPM/LPA met with the Assistant Administrator, presented official CDSS badge identification, and reason for the visit was disclosed. To investigate this allegation, LPM/LPA received resident and staff roster. At 10:00 am, LPM and LPA spoke with the Administrator over the phone. At 10:20 am, LPM/LPA spoke with the Assistant administrator, and Staff1 (S1). At 10:50 am, LPM/LPA interviewed four (4) out of twenty (20) residents recieving Person and Incidental (P&I) funds. Between 11:00 am, and 11:40 am, LPA's recieved and reviewed Resident#1's (R1's) Physician's report, Admission agreement, and Client personal property and valuables inventory log. [LIC 9099C]-Continued Substantiatedthe state’s words, verbatim · CDSS document, Apr 20, 2026 · control 31-AS-20260410145838

Allegation investigated: Staff do not ensure that client's hygiene needs are met. Staff do not ensure resident's medications are taken as prescribed.

On 2/14/26, at 8:00 am, Licensing Program Analyst, (LPA) Raymond Comer, arrived to conduct a subsequent visit regarding the allegations listed above. LPA met with the Assistant Administrator, presented official CDSS badge identification, and reason for the visit was disclosed. At 8:15 am, A physical plant tour of the facility was conducted by LPA; No health or safety issues observed. All residents observed during facility inspection appeared to be clean, groomed, with acceptable hygiene. To investigate this allegation, on 06/19/25, at 9:45 am, LPA Comer conducted initial visit, at which time a physical plant tour was conducted; no health and safety issues were observed. Between 10:10 am, and 11:15 am, LPA received resident and staff roster, and reviewed files relevant to the investigation which included, but were not limited to, Resident#1's (R1) Physician's report, Appraisal, MARs, and Admission's Agreement. Between 11:30 am and 1:45 pm, LPA interviewed Administrator, staff and residethe state’s words, verbatim · CDSS document, Feb 14, 2026 · control 31-AS-20250613113042

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not seek medical attention for resident in care. Staff did not prevent resident from harming another resident in care.

On 7/26/2025 at approximately 9:40 AM, Licensing Program Analyst (LPA) Angelica Segovia conducted an unannounced subsequent complaint visit to the facility. LPA was greeted by staff and stated the reason for their visit was to conduct interviews, review documentation and deliver the findings of the complaint. The Administrator, Staci Marmershteyn was unavailable to attend today’s visit and designated lead staff, Debra Dapson as the facility’s designee. At 09:45 AM, LPA requested census, resident and staff roster. At approximately 10:00 AM, LPA conducted a physical plant tour, to ensure the health and safety of the residents. At 11:00 AM, LPA requested pertinent documentation pertaining to the investigation such as but not limited to: Physicians Report, Admission Agreement and the Centrally Stored/Destruction Medication (CSDMR). In between 11:15 AM – 1:00 PM, LPA attempted interviews with eight (8) residents (R1-R8), two (2) staff members (S1-S2) and conducted record review. (Continue tthe state’s words, verbatim · CDSS document, Jul 26, 2025 · control 31-AS-20250127093808

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not provide proper care to resident in care

Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced complaint visit to the facility to render the findings of the above noted allegation. LPA met with blank and explained the reason for the visit. It was alleged that Resident #1 (R1)'s overall health condition was changed, and facility staff did not provide required assistance to meet R1's needs. The complaint investigation was initiated by LPA Evelyn Rios on 07/26/23 and completed by the investigatior Philippe Miles from the Community Care Licensing Investigation Branch. During the investigation on 09/09/2023, Investigator Miles reviewed R1's facility file and hospital records previously requested and received on 08/29/2023. On 10/05/23, Investigator Miles conducted interviews with three (03) facility staff who were assisting R1 and a witness who was involved in R1's care. Staff revealed that due to changes in R1's health condition, R1 was transferred from assisted living to the memory care unit. Staff assistinthe state’s words, verbatim · CDSS document, May 28, 2024 · control 31-AS-20230725132639

Allegation investigated: Resident sustained an unexplained fracture while in care Resident became malnourished while in care Facility retains a resident with a higher level of care needs

On 03/20/24, at 8:50am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, subsequent complaint visit and was greeted by Medical Technician, Deborah Dapson. LPA disclosed the purpose of the visit. LPA explained the purpose of this visit was to gather additional information, conduct more interviews, and deliver findings for this complaint. On 12/12/2023, LPA Gina Saucedo initiated the complaint investigation. The complaint was referred to Investigations Branch (IB) on 12/12/23 and accepted one (1) out of the three (3) allegations mentioned above. The investigator was John Canto. On 03/20/24, at 8:50AM, LPA asked for census, staff, and resident roster. At 9:20AM, LPA conducted the physical tour with facility Administrator, Staci Marmershteyn. LIC 9099C-continued Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 20, 2024 · control 31-AS-20231211162011

Allegation investigated: Staff are not providing a comfortable environment for resident Staff did not prevent resident from threatening another resident

At 12:00 p.m. on 10/26/2023, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with the administrator and disclosed the reason for the visit. To investigate the allegations above, LPA toured the facility at 12:15 p.m., reviewed pertinent records at 12:30 p.m. including but not limited to medical assessments, functional capabilities assessments, preplacement appraisals, reappraisals, face sheets, admission agreements, government identifications, and needs and service plans, and interviewed three (03) facility staff members, two (02) case managers, and ten percent (10%) of residents, which equated to seven (07) out of seventy (70) residents, between 12:00 p.m. and 2:30 p.m. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 26, 2023 · control 31-AS-20231017140458