Mountain View Terrace

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required-1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA was met by Administrator Linda McIntosh and House Manager, Brittney McIntosh and explained the purpose of the visit. The facility is licensed to serve six (6) elderly residents ages 60 and above, approved for (6) non-ambulatory residents and hospice waiver for (5) residents. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were maintained. The facility has an Infection Control Plan in place. Bathroom has hygiene items such as hand soap and toilet paper. LPA observed cleaning supplies (50/50 bleach spray bottle) in bathroom #1 downstairs were stored in a locked cabinet by a staff immediately. Operational Requirements: LPA reviewed the Infection Control Plan in place. A fire clearance is in place. Last Fire Drill was conducted in August 2026 and training conducted on a quarterly basis. The facility accepts and retains residents with dementia. Liability Insurance in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is in place and expires 10/14/2026. Facility does not handle cash resources for the residents. The facility has working signal systems in exit points, which LPA along with the Administrator tested during the visit. Physical Plant/Environment Safety: The facility is a 2 story home located in a residential neighborhood, 1st floor consists of (4) resident bedrooms, (3) bathrooms, living room with screened fireplace, common room with screened fireplace, kitchen, dining area, laundry area, attached garage with another laundry area, backyard with gated swimming pool, small storage building, shed, shaded patio area. The 2nd floor consists of an office area and (1) bathroom. Currently, there are (4) residents living in the facility. The interior and exterior physical plant was inspected. Resident bedrooms were toured. Each bedroom has a smoke detector, bed with 1/2 and full bed rails, linen, dresser, light, chair and sufficient closet space. Beds and furnishings were all in good working condition. Extra linens and towels are in the hallway closet. Exit doors are free of any obstruction and there is a gated swimming pool in the backyard. Backyard was inspected and has a shaded area and sitting area. Both fireplaces are closed and inaccessible to residents. There are (2) laundry areas, one in the hallway and another one in the attached garage. There is one (1) fire extinguisher that is fully charged in the kitchen and was last inspected on May 4, 2026. Combo smoke alarm and carbon monoxide was tested and operable. There are no firearms or weapons stored at the facility. Water temperature readings were measured at 105.3 deg in bathroom #1 and 109.7 deg F in bathroom #2 which are within the 105 degrees F and 120 degrees F Title 22 regulation. Staffing: A total of seven (7) staff members including the Administrator provide care and supervision to the residents. Staff employed are over the age of 18 and have criminal background clearance, fingerprint cleared, have training and are associated to the facility. Personnel Records/Training: LPA reviewed four (4) staff files that include personnel records, health clearance, TB test results, criminal background fingerprint clearance, 1st Aid/CPR training, Employee Rights, and staff training. The administrator certificate is valid and will expire on 07/26/2027. Resident Rights-Information: Resident personal rights, complaint hot line information and visitors’ policy posters are posted. Per Administrator, facility provides internet services to all residents and have access to the facility phone. Planned Activities: Sufficient space to accommodate both indoor and outdoor activities was observed. Activities supply observed. Food Service: Kitchen, food preparation area, and storage areas were observed to be clean. There are sufficient food supplies of 2-day perishable and 7-day non-perishable items. The food is properly stored in the refrigerator. Pesticides and cleaning supplies are kept away from the food preparation areas. There are (3) residents with restricted health/modified diet. Incident Medical and Dental: Medications were reviewed residents to confirm medication is given as prescribed and is documented properly. The facility uses the Medication Administration Record (MAR) log to document medications given. Medications are administered as prescribed by the Physician. Medications are bubbled packed and stored in a locked medicine cart. Resident Records-Incident Reports: LPA reviewed (4) resident files. Resident files are maintained at the facility. Admission Agreement, Identification and Emergency Information (Face sheet), Physician's Report (including TB and Ambulatory Status), Physician's order for bed rails, Admission Agreement, Appraisal and Needs Services plan, Pre-Admission Appraisal, and Resident Personal Rights observed. Disaster Preparedness: Emergency and Disaster Plan LIC 610E was reviewed. First Aid cabinet observed to be mounted on the wall in the hallway. Residents with Special Health Needs: There is (1) resident under hospice care and a complete hospice care plan is maintained in the facility. Full and half bed rails for mobility assistance were observed in some residents' rooms. LPA reviewed resident files with full and half bed rail orders. No residents have prohibited health conditions. One resident uses oxygen intermittently. No deficiencies cited and Technical violation issued. Exit interview and a copy of this report was provided to Administrator Linda McIntosh.the state’s words, verbatim · CDSS document, Aug 25, 2026

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced Required-1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA was met by Chile Shikabenga, Care Staff and explained the purpose of the visit. Administrator Linda McIntosh and House Manager, Brittney McIntosh arrived and assisted LPA with the inspection. The facility is licensed to care for six (6) elderly residents ages 60 and above, approved for (6) non-ambulatory residents and hospice waiver for (5) residents. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were maintained. The facility has an Infection Control Plan in place. Bathroom has hygiene items such as hand soap and toilet paper. Paper towels are only provided in the bathroom. Facility uses cloth/reusable towels in the kitchen. Operational Requirements: LPA reviewed the Infection Control Plan in place. A fire clearance is in place. Last Fire Drill was conducted on 09/02/2025 and training conducted on a monthly basis. The administrator has valid liability insurance in place. Facility does not handle cash resources for the residents. The facility has working signal systems in exit points, which LPA along with the Administrator tested during the visit. Physical Plant/Environment Safety: The facility is a 2-story home located in a residential neighborhood, 1st floor consists of (4) resident bedrooms, (2) bathrooms, living room with screened fireplace, den/tv area with screened fireplace, kitchen, dining area, laundry area, detached garage, backyard with gated swimming pool, small storage building, shed, shaded patio area. The 2nd floor consists of an office area, staff sleeping quarter with curtains as a divider for privacy and (1) bathroom. Currently, there are five (5) residents living in the facility. The interior and exterior physical plant was inspected. Resident bedrooms were toured. Each bedroom has a smoke detector, bed with 1/2 and full bed rails, linen, dresser, light, chair and sufficient closet space. Beds and furnishings were all in good working condition. Extra linens and towels are in the hallway closet. Exit doors are free of any obstruction and there is a gated swimming pool in the backyard. Backyard was inspected and has a shaded area and sitting area. The fireplace is closed and inaccessible to clients. The laundry area is in the hallway. There is one (1) fire extinguisher that is fully charged in the kitchen and was last inspected on September 2025. Carbon monoxide was tested and operable. There are no firearms or weapons stored at the facility. Water temperature readings were measured at 114.6 deg in bathroom #1, 113.7 deg F in bathroom #2 which are within the 105 degrees F and 120 degrees F Title 22 regulation. Staffing: A total of seven (7) staff members including the Administrator provide care and supervision to the residents. Staff employed are over the age of 18 and have criminal background clearance, fingerprint cleared, have training and are associated to the facility. Personnel Records/Training: LPA reviewed four (4) staff files that include personnel records, health clearance, TB test results, criminal background fingerprint clearance, 1st Aid/CPR training, Employee Rights, and staff training. The administrator certificate is valid and will expire on 07/26/2027. Resident Rights-Information: Resident personal rights, complaint hotline information and visitors’ policy posters are posted. Per Administrator, facility provides internet services to all residents and have access to the facility phone. Planned Activities: Sufficient space to accommodate both indoor and outdoor activities was observed. Activities supply observed. Food Service: Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. There are sufficient food supplies of 2-day perishable and 7-day non-perishable items. The food is properly stored in the refrigerator. Pesticides and cleaning supplies are kept away from the food preparation areas. Plates, cups and utensils are kept clean and stored properly. Per administrator, there are no residents that have a modified diet. Incident Medical and Dental: Medications were reviewed for five (5) residents to confirm medication is given as prescribed and is documented properly. The facility uses the Medication Administration Record (MAR) log to document medications given. Medications are administered as prescribed by the Physician. Medications are bubbled packed and stored in a locked medicine cart. Resident Records-Incident Reports: LPA reviewed five (5) resident files. Resident files are maintained at the facility. Admission Agreement, I.D. and Emergency Information (Face sheet), Physician's Report (including TB and Ambulatory Status), Physician's order for bed rails, Admission Agreement, Appraisal and Needs Services plan, Pre-Admission Appraisal, Resident Personal Rights, and Resident Personal Property observed. Disaster Preparedness: Emergency and Disaster Plan LIC 610E was reviewed. Evacuation chairs are in place. The facility has a First Aid Kit with all required items. Residents with Special Health Needs: Per Administrator, there are four (4) residents receive hospice services and no residents receives home health services. Half bed rails for mobility assistance were observed in some resident rooms and LPA reviewed resident files with half bed rail orders. No residents have prohibited health conditions. Per the California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during today’s visit. Exit interview was held and a copy of the report was provided to Administrator Linda McInto.shthe state’s words, verbatim · CDSS document, Sep 9, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required-1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA was met by Chile Shikabenga, Care Staff and Lolley Seckel, Care Staff and explained the purpose of the visit. At approximately 10am, Administrator Linda McIntosh and House Manager, Britteny McIntosh arrived and assisted LPA with the inspection. The facility is licensed to care for six (6) elderly residents ages 60 and above, approved for (6) non-ambulatory residents and hospice waiver for (5) residents. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were maintained. The facility has submitted a COVID-19 Mitigation Plan and the Infection Control Plan. Bathroom has hygiene items such as hand soap and toilet paper. Paper towels are only provided in the bathroom. Facility uses cloth/reusable towels in the kitchen. Administrator stated that she will supply paper towels in the kitchen moving forward. Operational Requirements: The Infection Control and Dementia plan have been added to the Infection Control Plan. A fire clearance is in place. Last Fire Drill was conducted on 06/23/2024 and training conducted on a monthly basis. Liability Insurance policy is valid and expires on 12/20/2024. Administrator will send a detailed summary of the liability insurance to LPA. Facility does not handle cash resources for the residents. Facility has working signal systems in exit points, which LPA along with the Administrator tested during the visit. Physical Plant/Environment Safety: The facility is a 2-story home located in a residential neighborhood, 1st floor consists of (4) resident bedrooms, (2) bathrooms, living room with screened fireplace, den/tv area with screened fireplace, kitchen, dining area, laundry area, detached garage, backyard with gated swimming pool, small storage building, shed, shaded patio area. 2nd floor consists of office area, staff sleeping quarter with curtains as a divider for privacy and (1) bathroom. Currently, there are six (6) clients living in the facility. The interior and exterior physical plant was inspected. Resident bedrooms were toured. Each bedroom has a smoke detector, bed with 1/2 and full bed rails, linen, dresser, light, chair and sufficient closet space. Exit doors are free of any obstruction and there is a gated swimming pool in the backyard. Backyard was inspected and has a shaded area and sitting area. Laundry area is in the hallway. There are cameras without audio in the front/back yards and common areas inside the home. There is (1) fire extinguisher in the kitchen which was just serviced in July 2024. Smoke alarms and carbon monoxide were tested and operable. There are no firearms or weapons stored at the facility. Water temperature reading measured within the required 105 - 120 degrees Fahrenheit. At 9:50am, readings were 105.3 deg in bathroom #1 (upstairs), 116.6 deg F in bathroom #2 and 113.5 deg F in bathroom #3. *****REPORT CONTINUED ON LIC809-C***** Staffing: A total of seven (7) staff members including the Administrator provide care and supervision to the residents. Staff employed are over the age of 18 and have criminal background clearance, fingerprint cleared, have training and associated to the facility. Personnel Records/Staff Training: Reviewed files for three (3) staff. Proof of staff training, health clearance, fingerprint clearance, vaccinations and 1st Aid/CPR training are current. Administrator certificate is valid and will expire on 07/27/2025. Resident Rights-Information: Client personal rights are posted. Facility provides internet services to all residents and have access to the facility phone. Planned Activities: Sufficient space to accommodate both indoor and outdoor activities was observed. Activities supply observed Food Service: There are sufficient food supplies of 2-day perishable and 7-day non-perishable items. The food is properly stored in the refrigerator. Pesticides and cleaning supplies are kept away from the food preparation areas. Kitchen is kept clean and free from rodents and other vermin. Plates, cups and utensils are kept cleaned and stored properly. Resident Records-Incident Reports: LPA reviewed (5) resident files. Resident files are maintained at the facility. Admission Agreement, I.D. and Emergency Information (Face sheet), Physician's Report (including TB and Ambulatory Status), Physician's order for bed rails, Consent For Medical Treatment, Appraisal and Needs Services plan, Resident Personal Rights, and Resident Personal Property observed. Health Related Services: Medications were reviewed for (5) residents to confirm medication is given as prescribed and is documented properly. The facility uses the Medication Administration Record (MAR) log to document medications given. Medications are administered as prescribed by the Physician. Medications are bubbled packed and stored in a locked medicine cart. Incidental Medical Services: There is one (1) resident with a restricted health condition. Disaster Preparedness: The facility has a complete Emergency Disaster and Mass Casualty Plan. Emergency Intervention: Not-Applicable. No deficiency cited. Exit interview and a copy of this report was provided to the Administrator, Linda McIntosh.the state’s words, verbatim · CDSS document, Jul 20, 2024