Grandview, The

On 4/21/26, Licensing Program Analyst, (LPA) Raymond Comer, arrived to conduct a subsequent facility visit regarding the above allegation. LPA conducted the initial complaint visit on 11/04/25, at which time LPA spoke with the facility Administrator. Between 12:30 pm to 1:15 pm, LPA recieved and reviewed facility roster, staff roster, and Resident#1's (R1’s) facility records, included but not limited to, physician report, needs and service plan, and other doculments relevant to the investigation. Between 1:35 pm and 2:15 pm, LPA interviewed R1. Allegation: Staff do not follow proper eviction procedures. It was alleged that R1 cannot return to the facility due to their substance use disorder. No notice of the eviction was issued to R1, due to R1 being in the medical facility. During today's subsequent visit, At 1:35 pm, LPA again spoke with Administrator and R1. During initial licensing visit, and at the time of this subsequent visit, R1 was still present in the facility. [LIC 9099C] CoRead the full finding— CDSS inspection report, April 21, 2026 · control 31-AS-20251029115400

On Thursday, 2/19/26, Licensing Program Analyst (LPA) Raymond Comer, conducted an unannounced initial complaint visit to the facility. LPA met the Administrator, presented official CDSS badge identification, and reason for the visit was disclosed. At 9:45 am, LPA conducted a physical plant tour; no health and safety issues were observed. To investigate the allegation, LPA received facility resident roster, staff roster. Between 10:00 am, and 10:30 am, LPA observed surveillance camera recordings of the outdoor courtyard commons area. Between 10:45 am, and 12:50 pm, LPA conducted interviews with the Administrator, Residents, and Staff. Between 1:00 pm, and 1:30 pm, LPA reviewed files relevant to the investigation. Prior to this visit, LPA reviewed Licensing records, including incident reports submitted by the facility. LIC 9099C] Continued- UnsubstantiatedRead the full finding— CDSS inspection report, February 19, 2026 · control 31-AS-20260211143028

On Thursday, 1/15/26, Licensing Program Analyst (LPA) Raymond Comer, conducted an announced complaint visit to the facility. LPA met the Administrator and discussed the purpose of this visit. During investigation at 2:00pm, LPA conducted physical plant tour. LPA spoke with the Administrator and two (2) staff. Due to nature of allegations, from 2:15pm to 2:45pm, LPA Comer spoke with ten (10) out of hundred fifty eight (158) facility residents including R1. During interview, LPA observed and assessed R1 and did not notice any wound on their arms. Prior to this visit LPA reviewed Licensing records including incident reports submitted by the facility. Allegation: Staff neglect resulted in a resident sustaining a pressure injury. Allegation: Staff did not seek timely medical attention for a resident. [LIC9099C]-continued UnsubstantiatedRead the full finding— CDSS inspection report, January 15, 2026 · control 31-AS-20260113095023

Licensing Program Analysts (LPAs) Evelin Rios and Michael Cava conducted a complaint visit to the facility to investigate the above allegation. LPAs met with the administrator, Yeni Flores, and advised her of the complaint. Today's investigation consisted of interviews with the administrator and staff, record review, and a physical plant inspection. Staff pushed resident: In regards to the allegation, it was alleged that on or around 09/13/23, Staff 1 (S1) pushed Resident 1 (R1). R1 had to use a wall for support and then lunged at S1. Interviews with the administrator and staff reveal that in the late night on or around 09/13/23, R1 was becoming agitated, and knocking on the doors of the other residents. S1 tried to intervene and stop R1 from doing so, but during the course of their intervention, R1 was becoming aggressive towards S1 prompting S1 to move R1 aside. In addition, S1 stated they never put their hands on R1. Review of facility surviellance reveal that S1's arm was raised, aRead the full finding— CDSS inspection report, October 25, 2023 · control 31-AS-20231019092238

Licensing Program Analyst (LPA) LaQueena Lacy conducted a subsequent complaint visit for the above allegation on 08/02/2023 at 1:30pm to deliver investigative findings. LPA Lacy met with Administrator Yeni Flores and explained the purpose of the visit. It is alleged that resident #1 (R1) has roaches and bed bugs in their living space. To investigate the above allegation, LPA requested and obtained copies of facility files and documents including but not limited to the staff and resident rosters, a room fumigation schedule and Global Rodent & Pest invoices at 11:49am. LPA interviewed Administrator and staff at approximately 12:00pm, additional staff and resident interviews were conducted between 1:39pm to 3:46pm. Interviews with ten (10) out of one hundred fifty five (155) residents confirm they have not seen any roaches due to an exterminator visiting the facility weekly. (10) out of (155) have not seen any bed bugs and have not been told by any residents that they have bed bugs. ContiRead the full finding— CDSS inspection report, August 2, 2023 · control 31-AS-20230418101310

Licensing Program Analyst (LPA) LaQueena Lacy conducted a subsequent visit on 10/14/2022 at 11:02am to deliver investigative findings for the above allegation. LPA met with Administrator Yeni Flores and explained the purpose of the visit. It is alleged that another resident stuck their hand up resident #1 (R1) dress. To investigate the above allegation, LPA interviewed staff, residents and other witnesses involved in R1 care and supervision. During the investigation R1 did not know the last name, room number or description (race, height) of the resident who stuck their hand up R1 dress. Interviews conducted with fifteen (15) out of sixteen (16) residents on 04/28/2022 between 11:25am – 2:15pm and a later date on 06/08/2022 between 11:13am – 1:04pm, revealed no one have witnessed any one being inappropriately touched and thirteen (13) out of (16) have not heard of any one being inappropriately touched. Interviews with four (04) out of (04) staff on 04/28/2022 at 1:37pm and 06/08/2022 beRead the full finding— CDSS inspection report, October 14, 2022 · control 31-AS-20220420115826

Licensing Program Analyst (LPA) LaQueena Lacy conducted a subsequent visit on 10/14/2022 at 11:02am to deliver investigative findings for the above allegation. LPA met with Administrator Yeni Flores and explained the purpose of the visit. It is alleged that March and April checks are missing. To investigate the above allegation, LPA interviewed resident #1 (R1) on 06/27/2022 at 11:03am and administrator on 06/29/2022 at 11:13am. During the investigation R1 informed LPA Lacy that the social security administration had confirmed two (02) of R1 monthly checks had been cashed by a person that R1 did not know. At the time of the investigation the Administrator confirmed that she did not know the person named by R1 or do not have any staff or residents by that name. The administrator informed LPA Lacy that R1 receives (2) checks a month and that the facility was the payee and she had returned March and April checks to the Social Security Administration. Upon document review LPA observed fourRead the full finding— CDSS inspection report, October 14, 2022 · control 31-AS-20220622154854

Licensing Program Analyst (LPA) LaQueena Lacy conducted an unannounced subsequent complaint visit to the facility on 8/19/2022 at 11:00am to deliver the investigative findings. Upon arrival LPA Lacy met with Administrator Yeni Flores and explained the purpose of this visit. It is alleged that Resident #1 (R1) roommate hit R1 over the head with a slipper, slapped her hand, yells, and cusses. To investigate the above allegation, LPA interviewed residents and staff on 11/23/2021 at approximately 1:40pm – 2:39pm and on 04/29/2022 at approximately 12:39- 3:18pm. Interviews with nine(09) out of fourteen (14) residents determined that no one has witnessed any fights/physical altercations between any residents. Eleven (11) out of (14) have not seen or heard of any arguments or abuse between any residents. Interviews with staff revealed that five (5) out (5) staff have not been told by any residents that anyone is being abused or physically assaulted and have not witnessed any physical altercatRead the full finding— CDSS inspection report, August 19, 2022 · control 31-AS-20211117154132

An unannounced subsequent complaint visit was conducted on 8/19/2022 at 11:00am by Licensing Program Analyst (LPA) LaQueena Lacy. Upon arrival LPA met with Yeni Flores the administrator and explained the puropse of the visit. This investigation was conducted by Investigator Jose Santana with the Community Care Licensing Division’s (CCLD) Investigations Branch (IB). #1 Facility staff member inappropriately sexually touched resident. It was alleged that staff #1 (S1) came to bring R1 medication, and touch resident #1 (R1) on the breast, then started sucking it and pulled R1 close to feel S1’s erection. During the investigation on 11/29/2021 interviews were conducted with residents, staff and other witnesses involved in R1’s care and supervision. Interviews at approximately 3:15pm with six (6) out of eight (8) staff on Continued on LIC9099C UnsubstantiatedRead the full finding— CDSS inspection report, August 19, 2022 · control 31-AS-20211122140439

Licensing Program Analyst (LPA) LaQueena Lacy conducted an unannounced subsequent complaint visit to the facility on 06/29/2022 at 10:23am to deliver the investigative findings. Upon arrival LPA Lacy met with Administrator Yeni Flores (S1) and explained the purpose of this visit. This is an amedment to the original report. LPA conducted a physical plant tour at 10:35am, to ensure there are no immediate health and safety concerns. It is alleged that resident #1 (R1) is being evicted for nonpayment of rent. R1’s rent is partially paid by a placement agency. Staff #1 (S1) is refusing to accept R1 portion of the rent but is still accepting payments from the placement agency. To investigate the above allegation, on 12/20/21 LPA interviewed S1 at 1:15pm, S1 confirmed that an eviction notice was served to R1 for nonpayment of rent and other reasons and admitted to accepting partial payments from the placement agency, while refusing to accept payment from R1. Continued on LIC9099C SubstantiateRead the full finding— CDSS inspection report, June 29, 2022 · control 31-AS-20211210123001

At 11:00 a.m. Licensing Program Analysts (LPAs) Melissa Ruiz and Angela Panushkina arrived at the facility to conduct a subsequent complaint visit. Upon arrival, LPAs met with Administrator Yeni Flores and explained the purpose of the visit, and an entrance interview was conducted. Allegation #1 - Fire was started at facility due to lack of supervision. To investigate this allegation, LPAs interviewed the Administrator, five (5) staff and ten (10) residents. Administrator Yeni provided an incident report with a date of occurrence 7/21/21 in which a resident was smoking inside, their sweater caught ashes and the fire alarm went off. Out of all interviews conducted no one has witnessed or heard of a fire starting at the facility. Interviews with staff revealed that although smoking is prohibited, they do know that there have been instances where residents have smoked in their room. The Administrator and a staff (S4) stated that on 7/21/21 at 5:40 p.m., they were leaving the facility andRead the full finding— CDSS inspection report, April 7, 2022 · control 31-AS-20210802143412