Alta Loma Gardens Residential Care #1

***This is an Amended report orginated on 4/3/2025*** On 04/03/2025, at 03:00 PM, Licensing Program Analyst (LPA), LaVette Farlow, conducted an unannounced visit to the facility to conclude the investigation and deliver findings to the above-mentioned complaint. LPA met with Staff, AJ Espino who was informed of the reason for today's visit. The investigation consisted of interviews with staff and clients and records review. The first allegation is Staff do not provide adequate food service. LPA Farlow interviewed R1, R2, R3, and R4, and they all indicated that the facility has an adequate amount of food. R1, stated the food was okay, just would like a different variety. R2, R3, and R4 stated they were satisfied with the meals. LPA Farlow interviewed staff S1, S2, S3, S4, S5, S6, and S7 and they all indicated that the facility does have an adequate amount of food for residents in care, and those resident with special dietary needs. ***Continued in LIC9099C*** UnsubstantiatedRead the full finding— CDSS inspection report, August 6, 2025 · control 56-AS-20241015093925

Licensing Program Analysts (LPA) Bernadette Allen arrived at the facility unannounced to deliver the findings for the allegations listed above. LPA met with Administrator Ana Pleitez Stark who left during the visit and gave her care staff Lavonne Brinley approval to sign report. The investigation consisted of interviews with two (2) staff members who stated that they have not been documenting the MAR for the clients in care.The administrator has also confirmed that accurate documentation has not been conducted per CCL requirements. The interviews also revealed that the licensee has not been conducting any quarterly or annual training for the staff and proof of training could not be provided at the time of the visit. Based on the evidence gathered during the investigation, the above allegation is found to be Substantiated. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. A deficiency is beinRead the full finding— CDSS inspection report, October 28, 2023 · control 18-AS-20210430090536

Licensing Program Analysts (LPA) Bernadette Allen arrived at the facility unannounced to deliver the findings for the allegations listed above. LPA met with Lavonne Brinley Support Staff who left during the visit and gave her care staff Lavonne Brinley. The investigation consisted of interviews with the administrator, two (2) staff members, four (4) residents and review of five (5) residents files. LPA interviewed two staff members who stated there was only one resident at the facility in the past who was diagnosed with a pressure injury but was being treated by hospice three times a week. LPA also observed documentation that confirms there was one resident with a pressure injury and was being treated by hospice. The interviews with the staff were asked if staffing was sufficient, and they stated they would like to have additional staff at night, but they manage with who they have. LPA also reviewed staff schedule that reflect there is sufficient staff for night shift. The interviews wRead the full finding— CDSS inspection report, October 28, 2023 · control 18-AS-20210430090536

Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to investigate and deliver findings on the above allegations. LPA met with administratopr, Ana Stark who was informed of the purpose of the visit. LPA conducted interviews, documented observations, and conducted records reviews. Regarding “Staff failed to destroy previous residents’ centrally stored prescription medications.” LPA reviewed where the facility stores the centrally stored medications. During the facility tour it was found that prior resident, R1’s medication was being kept in the facility garage. It was found through interview that the resident had moved out one (1) year prior. (continued on 9099-C page) SubstantiatedRead the full finding— CDSS inspection report, June 23, 2023 · control 18-AS-20200819151426

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to deliver findings on the above allegation. LPA met with administrator Margarita Stark and informed her of the purpose of this visit. The investigation included interviews with relevant parties, records reviews, and observations of the physical plant. LPA was not able to interview Resident 1 (R1). LPA was provided with an incomplete LIC 602, physician’s report, as it was missing pages 3 and 4 that included allergies, other conditions, physical health status, mental condition, capacity for self-care, and medication management. LPA received home health records from 10/1/2021 through 3/7/2022. The allegation is R1 developed pressure injuries while in care. Interviews with relevant parties could not specify when R1 first moved into this facility however, Administrator stated that R1 moved in as early as January 2021 and moved out by 11/30/2021. Review of the LIC 602 state that R1 suffers from chronicRead the full finding— CDSS inspection report, May 4, 2023 · control 18-AS-20211223163003

Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unannounced for the purpose of following up on an open complaint with the above allegation(s). LPA Colvin met with Licensee/Administrator "Margarita" Ana Stark and advised them of the purpose of today's visit. Below is a summary of the findings of the complaint. Regarding allegation "Staff failing to meet residents care needs": LPA Colvin conducted interviews with current residents at the facility, as well as family members and responsible parties of residents who lived at the facility during the time of the complaint, but are no longer present. LPA Colvin's interviews did not result in any concerns regarding staff not meeting residents' needs. Additionally, LPA Colvin did not observe any visible concerns with the residents during today's inspection. Therefore, due to interviews and observations, the allegation "Staff failing to meet residents care needs" is UNSUBSTANTIATED. finding of UNSUBSTANTIATED means althoughRead the full finding— CDSS inspection report, December 21, 2021 · control 18-AS-20200325093433

Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unannounced for the purpose of delviering findings for the complaint with the above allegation(s). LPA Colvin met with Licensee "Margarita" Ana Stark and advised them of the purpose of the visit. Below is a summary of the findings of the complaint. Regarding allegation "Staff failed to notify resident’s authorized representative prior to resident signing document(s)": LPA Colvin conducted interviews and reviewed resident's (R1) facility file and Power of Attorney (POA) documents. Through interviews conducted, LPA Colvin confirmed that R1 signed paperwork for services for an outside person/agency, and that Licensee/Administrator had some knowledge of this agreement. However, through careful review of R1's most recent Physician's Report and POA document, LPA Colvin observed that R1 has what is known as a "Springing POA", which only becomes effective when R1 becomes incapacitated. In order for R1 to be declared incapacRead the full finding— CDSS inspection report, December 21, 2021 · control 18-AS-20201201115558