Brookdale Valley View

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the allegation listed above. LPA was greeted and granted entry by facility front desk staff after introducing himself and stating the purpose of the visit. Facility Executive Director Christine Perez was present and assisted with the visit. An initial investigation visit has taken place on June 11, 2025. During the visit, LPA requested the facility current census as well as the identification of residents on medication management and residents self-administering. A random selection of records for three residents on self-administration and three residents on medication management was requested, obtained and reviewed during the visit. Medication administration records and centrally stored medication also reviewed for the residents in question. Additionally, LPA conducted or attempted four staff interviews and four resident intRead the full finding— CDSS inspection report, July 11, 2025 · control 22-AS-20250605124628

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the visit, LPA toured the facility and interviewed staff and resident as well as reviewed and obtained pertinent documentation such as work orders. Regarding the allegation that facility staff are not keeping resident rooms at a comfortable temperature, the investigation revealed the following: Resident 1 (R1) indicated facility temperatures are not comfortable. LPA observed temperature in resident's room is 76 degrees F and dining room/ hallway temperatures are 75 degrees F. Facility provided an oscillating fan to resident for additional cooling. Resident is observed to be wearing a shirt, long sleeve hoodie as well as a puffer jacket while stating the temperatures are cold in the dining room and the many layers are needed. LPA reviewed facilityRead the full finding— CDSS inspection report, July 10, 2025 · control 22-AS-20250707085837

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed staff as well as reviewed and obtained pertinent documentation such as facility notes. Regarding the allegations that staff did not respond to resident's call in a timely manner and staff utilizes an inappropriate lock on resident's door, the investigation revealed the following: On 02/13/2024, Resident 1 (R1) requested staff to call 911 for knee pain. Administrator called 911 and Emergency Medical Services (EMS), Lynch Ambulance, arrived to the facility. EMS put the resident on a gurney and took the resident downstairs for transport. In the meantime, staff locked the resident's door with an exterior lock per resident request. Once downstairs, the resident declined transport as the resRead the full finding— CDSS inspection report, January 15, 2025 · control 22-AS-20240214140414

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed staff and residents as well as reviewed and obtained pertinent documentation such as staff schedule. Regarding the allegation of lack of care and supervision, the investigation revealed the following: Facility schedule indicates three caregivers, one med tech and one coordinator for 1st and 2nd shift and one caregiver/ med tech for the overnight shift. Six out of six staff and four out of four residents state care and supervision is being provided to residents. One out of four residents state staff are slow to respond when the emergency pendant is pushed. Staff indicate Resident 1 (R1) came back to the facility under the influence of marijuana after a visit with family and was observedRead the full finding— CDSS inspection report, January 8, 2025 · control 22-AS-20240205143436

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the investigation, LPA toured the facility, interviewed staff and witness as well as reviewed and obtained pertinent documentation such as staff training. Regarding the allegations that facility staff are not properly trained and facility is unsanitary, the investigation revealed the following: On 02/12/2024, Staff 1 (S1) administered a vaginal suppository to Resident 1 (R1) per Health and Wellness Director's (HWD) instruction. LPA reviewed S1's training records during the visit and staff had required annual training. While the staff had medication training, S1 is not a skilled professional as required by title 22 regulations. Facility was alerted to the situation and the Health and Wellness Director was terminated on 02/26/2024. S1 was providedRead the full finding— CDSS inspection report, March 4, 2024 · control 22-AS-20240226161612

Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit to deliver the findings on the complaint allegations mentioned above. LPA Haley met with Executive Director (ED) Melissa Weibel and explained the reason for the visit. During the investigation, staff interviews were conducted, documents were reviewed, and observations were made during the unannounced visit. Regarding the allegation: Staff do not ensure special dietary restrictions are followed for resident in care Document review revealed Resident 1 (R1) was not on a special diet at the time the complaint was filed September 1, 2023. R1 was on a texture modified diet when the resident first moved into the facility in July 7, 2023. However, on August 1, 2023, R1 received a physician’s order for a regular diet with no texture modifications. During interviews, it was discovered R1 doesn’t like sweets and doesn’t eat sweet food. During the visit, observations were made that contradict the allegation above. Continued onRead the full finding— CDSS inspection report, October 3, 2023 · control 22-AS-20230901162928

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility by Executive Director (ED) Melissa Weibel and explained the reason for the visit. Wellness Director Michelle Drinkard arrived during the visit. During the course of the investigation, LPA toured the facility, interviewed staff and residents as well as reviewed and obtained pertinent documentation such as physician report and staff achedule. Regarding the allegation that lack of staffing resulted in facility not meeting resident's needs, the investigation revealed the following: Four out of four staff and six out of six residents confirm staffing issues during the time frame alleged in complaint. Four out of four staff indicate Resident 1 (R1) was a 2 person assist and sometimes there would be only one caregiver working. All staff interviewed state staffing issues are improved as of time of complaint filiRead the full finding— CDSS inspection report, February 27, 2023 · control 22-AS-20230214144423

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch conducted an unannounced inspection visit to follow up on the investigation of the allegation listed above and deliver findings in the investigation of the allegation. LPA was greeted and granted entry by Executive Director Melissa Weibel after explaining the purpose of the visit and detailing the allegation being investigated at this time. It was alleged that Facility is increasing residents rent without proper notice. LPA Saborit-Guasch conducted a joint initial complaint investigation visit along with LPA Alvaro Ramirez Jr. on 11/22/2022. A follow-up visit was then conducted on 01/12/2023. During the investigation, the Department interviewed the administrator, the (now former) Health and Wellness Director along with the alleged victim as well as reviewed and obtained pertinent documentation including Progress Notes, Individual Needs and Services assessments and Admission Agreement. CONTINUED ON FORM LIC9099-C UnsubstaRead the full finding— CDSS inspection report, January 12, 2023 · control 22-AS-20221115162302