The Pleasantview Home

Type of visit: POC

Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced visit to the facility for the purpose of a Plan of Correction (POC) visit, based upon the deficiencies cited in LIC form 809D on 12/02/2025. LPA was greeted and granted entry into the facility and explained the reason for the visit. *Deficiency cited under Title 22 Regulation 87202(a) pertaining to Fire Clearance has been cleared. Licensee removed bed from storage area. Licensee has complied with the terms of the POC. *Deficiency cited under Title 22 Regulation 87309(a) pertaining to Storage Space has been cleared. LPA observed toxins are secured. Licensee has complied with the terms of the POC. *Deficiency cited under Title 22 Regulation 87309(a)(2)(A) pertaining to Storage Space has been cleared. Licensee provided proof of correction. Licensee has complied with the terms of the POC. *Deficiency cited under Title 22 Regulation 87307(e)(1)(A) pertaining to Personal Accommodations and Services has been cleared. Licensee has provided proof of correction. Licensee has complied with the terms of the POC. *Deficiency cited under Title 22 Regulation 87456(a)(6) pertaining to Incidental Medical and Dental has been cleared. Licensee provided proof of correction. Licensee has complied with the terms of the POC. Licensee has been advised to maintain all items especially those that were previously deficient in the facility in accordance with Title 22 Regulations. Copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Dec 9, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to The Pleasantview Home. The purpose of today’s visit was to conduct the annual required inspection. LPA was allowed entry into the home and explained the reason for the visit. Facility is licensed for 5 non-ambulatory residents and one bedridden. Facility has an approved hospice waiver for 5 residents and the home currently has 5 residents, with 2 residents on hospice. Administrator Mariza Oliva has an administrator certificate expiring on 05/04/2026. LPA Lyman along with Caregiver Sosing toured the facility at 10:02 AM. LPA toured the physical plant, checked food service, facility documentation and the first aid kit. The home consists of 5 resident bedrooms, staff room, living room, dining room, and kitchen as well as 4 restrooms. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. At approximately 10:15 AM, LPA observed a bed and drawers/ clothing in an area designated as storage on facility floor plan. Resident bathrooms were checked. LPA observed unsecured Lysol spray in a common restroom. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 105 degrees F and 107.4 degrees F in all restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Kitchen appliances were operational during today's visit. Fire extinguishers were fully charged. LPA reviewed the infection control and emergency disaster plans and plans are complete and thorough. Facility conducts quarterly emergency drills with the last drill conducted on 09/09/2025. At 10:30 AM, LPA observed unlabeled cleaning supplies in the unlocked laundry room as well as paint in the unlocked garage. Continued on LIC 809-C dated 12/02/2025 LPA observed ample emergency water. Outside grounds were toured. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. There is ample shaded outdoor seating for residents. Facility does not have a first aid kit. Facility conducts activities in the form of exercise and games. At 1:30 PM, LPA reviewed five resident files and two staff files. All resident files contained required documentation including admission agreements and physician reports. Two out of five residents do not have pre-appraisals in the file and two out of five resident physician reports indicate a risk if those residents are allowed access to toxins. Staff files reviewed contained required documentation including medical assessment/ TB, criminal record clearance and proof of CPR training. LPA reviewed medication storage and administration. Medications are stored in a locked cabinet. LPA observed Resident 2 does not have a corresponding physician order for Senna to show dosing or frequency. Licensee has been asked to provide an updated LIC 500 and liability insurance by 12/16/2025. Based on the observations made during today’s visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided as well as appeal rights.the state’s words, verbatim · CDSS document, Dec 2, 2025

Type of visit: POC

Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced visit to the facility for the purpose of a Plan of Correction (POC) visit, based upon the deficiencies cited in LIC form 809D on 12/16/2024. LPA was greeted and granted entry into the facility and explained the reason for the visit. *Deficiency cited under Title 22 Regulation 87203 pertaining to Fire Safety has been cleared. During today's visit, smoke detectors are operational. Licensee has complied with the terms of the POC. *Deficiency cited under Title 22 Regulation pertaining to Criminal Record Clearance has been cleared. Licensee submitted proof of correction. Licensee has complied with the terms of the POC. *Deficiency cited under H & S Code 1569.311 pertaining to Carbon Monoxide Detectors has been cleared. Carbon monoxide detectors are operational during today's visit. Licensee has complied with the terms of the POC. *Deficiency cited under H & S Code 1569.625(b)(2) pertaining to Training has been cleared. Licensee has provided proof of correction. Licensee has complied with the terms of the POC. LPA observed toxins are secured during today's visit. Licensee has been advised to maintain all items especially those that were previously deficient in the facility in accordance with Title 22 Regulations. Copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Jan 3, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Kimberly Lyman and Fred Arias conducted an unannounced visit to The Pleasantview Home. The purpose of today’s visit was to conduct the annual required inspection. LPAs were allowed entry into the home and met with Administrator Mariza Oliva and explained the reason for the visit. Facility is licensed for 5 non-ambulatory residents and one bedridden. Facility has an approved hospice waiver for 5 residents and the home currently has 5 residents, with 1 resident on hospice. Administrator Mariza Oliva has an administrator certificate expiring on 05/04/2026. LPAs along with Administrator toured the facility at 12:55 PM. LPAs toured the physical plant, checked food service, facility documentation and the first aid kit. The home consists of 5 resident bedrooms, living room, dining room, and kitchen as well as 3 restrooms. Upon starting the tour, LPAs tested smoke detectors and carbon monoxide detector. The carbon monoxide detector is inoperable and four out of six smoke detectors are either missing or inoperable. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. At 1:10 PM, LPAs observed unsecured medications in a storage area. Resident bathrooms were checked.. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 105 degrees F and 111.9 degrees F in all restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. Auditory exit alarms were operational during today's visit. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPAs observed sharps as well as cleaning supplies locked under the sink. Kitchen appliances were operational during today's visit. Fire extinguishers were fully charged. LPAs reviewed the infection control and emergency disaster plans and plans are complete and thorough. Facility conducts quarterly emergency drills with the last drill conducted on 10/02/2024. LPAs observed ample emergency food and water. Outside grounds were toured. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. There is ample shaded seating for residents. Continued on LIC 809-C dated 12/16-2024 First aid kit contained all required items including tweezers, scissors and thermometer. Facility conducts activities in the form of music, exercise and games. Exit gate is unlocked and operational. At 1:30 PM, LPAs reviewed five resident files and three staff files. All resident files contained required documentation including admission agreements, physician reports, resident appraisals, and physician orders for bed rails as indicated. Staff files reviewed contained required documentation including medical assessment/ TB, criminal record clearance and proof of CPR training. Three out of three staff files do not contain proof of annual required training hours. LPAs reviewed medication storage and administration. Medications are stored in a locked closet. Medications are being administered per physician order. Licensee has been asked to provide an updated LIC 500 (Personnel report), LIC 610 (Emergency Disaster Plan), and LIC 308 (Designation of Facility Responsibility) by 12/30/2024. Based on the observations made during today’s visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided as well as appeal rights.the state’s words, verbatim · CDSS document, Dec 16, 2024