Canyon View Care Homes

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) LaVette Farlow made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Caregiver Mercedes Ramos, and was greeted and granted entry to the facility. At the time of the visit there was two (2) staff present, and two (2) residents present. The current census is six (6), the other residents were attending InnovAge Day Program and appointments. The facility is a five (5) bedroom, three (3), bathroom home, one (1) staff quarters, a kitchen/dining area, living room, and attached garage. The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (6) current census (6). LPA was accompanied by Mercedes, to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 75 degres. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms to be 109.6, 111.5, and 108.0 degrees F, which is within regulation. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated storage space for resident/staff files. Medications are kept inside medicine closet inaccessible to residents. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. The facility maintains an emergency food supply. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed three (3) residents files for admission agreements, physician reports, and needs and services plans. LPA observed that two (2) out of three (3) residents physician report expired. The Administrator advised that the report was requested from InnovAge and they're waiting to receive the report. A Technical Violation issued. LPA also reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, training, and TB test and health screenings. LPA observed that personnel files are maintained. Medications were audited at random for 3 out of 3 residents in care. LPA observed that there were several discrepancies. During the audit LPA found the MARs did not match the Centrally Store medication log. LPA observed medication was dispensed but the MARs was not initialed. LPA observed there was medication listed on the MARs but wasn't available to review. The facility need stated when a medication is discontinued, and remove the medication from the MARs and Centrally store log to match both records. A Deficiency cited. LPA review the facility files for the LIC9282, Infection Control plan, LIC610E, Emergency Disaster Plan, Fire Drill Log, Liability Insurance, etc. All files were available for review and maintained. Based on the observations made during today’s visit, one deficiency was cited and one (1) technical violation were issued per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report LIC809, LIC809C, LIC809D, LIC812 and appeal rights were discussed and provided to Caregiver Liwayway Dominden.the state’s words, verbatim · CDSS document, Sep 3, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(c)(3) · Plan of correction due date: Sep 18, 2026

87465(c).. resident's physician has stated in writing...resident is... to determine...nonprescription PRN medication...facility staff...shall be permitted to assist the resident with self-administration, (3) ...record of each dose is maintained...resident's record... shall include the date and time the ...medication was taken, the dosage taken, and the resident's response. This requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee did not comply with the section cited above in 3 out of 3 residents in care by not ensuring the medication is logged properly, removing any discontinued medication, and initial any medication that is dispensed to residents in care, which poses an immediate health, safety or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Sep 3, 2026

Plan of correction: Licensee agrees to review the regulation cited, conducted a training on medication error and procedures, complete a monthly centrally stored medication log, and review all residents file and update residents records by POC due date and submit to LPA.

Allegation investigated: Staff consume liquor while on shift. Staff do not have fingerprint clearance. Staff lock facility doors to prevent residents from leaving. Staff insert suppositories to residents in care. Staff did not complete required trainings. Staff facility records are falsified. Staff did not maintain resident records. Residents are not provided proper food service.

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to investigate and deliver findings on the allegations listed above. LPA met with House Manager Yvonne Gonzalez and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews, record review and facility tour. For the allegation, Staff consume liquor while on shift. During staff interviews, 3 out of the 3 staff stated that they do not consume liquor on the shift. During resident interviews 3 out of the 3 residents stated they have not witnessed a staff drink liquor on the shift. During facility tour, LPA did not observe beverages contain alcohol for staff. Unsubstantiated For the allegation, Staff do not have fingerprint clearance. During staff interviews 3 out of the 3 staff stated that all staff members have a fingerprint clearance. Based on record review, LPA observed all staff members had a criminal record clearance. For the allegation, Staff lock facility doors to prevent residents from leaving. During staff interviews 3 out of the 3 staff stated they do not lock the facility to prevent residents from leaving. During resident interviews, 3 out of the 3 residents stated they are allowed to leave the facility and have never been locked inside. During facility tour, LPA Rico did not observe any locks from facility exits. For the allegation, Staff insert suppositories to residents in care. During staff interviews 3 out of the 3 staff stated they do not have insert suppositories to residents. For the allegation, Staff did not complete required training. During staff interviews 3 out of the 3 staff stated they have completed their required training. Based on record reviews, LPA Rico observed staff have completed their training. For the allegation, Staff facility records are falsified. During staff interviews, 3 out of the 3 staff stated they have not falsified facility records. For the allegation, Staff did not maintain resident records. During staff interviews 3 out of the 3 staff stated residents records are maintained inside the facility and locked. During facility tour, LPA observed resident records were kept inside the facility and locked. For the allegation, Residents are not provided proper food service. During staff interviews, 3 out of the 3 staff stated proper food service is provided to the residents. During resident interviews, 3 out of the 3 residents had no complaints regarding their food. In addition, LPA observed the facility had proper food and a menu calendar for each month. Based on the evidence found during the investigation, the eight(8) allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to House Manager Yvonne Gonzalez. For the allegation, Staff did not provide adequate medication assistance to residents in care. During staff interviews 3 out of the 3 staff stated they follow resident’s medication order and document on resident’s MAR. In addition, 3 out of the 3 staff stated medication is provided to all residents. During resident interviews, 3 out of the 3 residents stated they received their medication. For the allegation, Staff refuse to call an ambulance for residents in care. During staff interviews, 3 out of the staff stated they never denied an ambulance for a resident. During resident interviews, 3 out of the 3 residents stated staff have not refused to call an ambulance. For the allegation, Staff threatened residents in care. During staff interviews, 3 out of the 3 staff interviews stated they have not threatened a resident. During residents’ interviews, 3 out of the 3 residents stated they have not been threatened by staff. For the allegation, Staff did not ensure sufficient food items were available at the facility for residents in care. During staff interviews, 3 out of the 3 staff stated the facility has sufficient food available for the residents. During resident interviews, 3 out of the 3 resident stated the staff serve them sufficient food. Based on facility tour, LPA observed the facility has sufficient food available for residents. For the allegation, Staff did not prevent residents from engaging in inappropriate interactions. During staff interviews, 3 out of the 3 staff stated no residents have engaged in inappropriate interactions. During residents’ interviews, 3 out of the 3 residents stated they have not engaged in inappropriate interactions. Based on the evidence found during the investigation, the seven (7) allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to House Manger Yvonne Gonzalez For the allegation, Centrally stored medications are accessible to residents in care. During staff interviews 3 out of the 3 staff stated medication is kept locked and inaccessible to residents. During facility tour, LPA observed medications locked inside a cabinet and inaccessible to residents. For the allegation, Staff do not have a fire evacuation plan at the facility. During staff interviews, 3 out of the 3 staff stated the facility has fire evacuation plan posted on the facility hallway and emergency supplies/ food is in the garage. During facility tour, LPA observed the facility had an updated disaster plan with the evacuation location, LPA also observed emergency food/supplies readily available. For the allegation, Staff do not have an infection control plan at the facility. During staff interviews, 3 out of the 3 staff stated the facility has an infection control plan. During record review, LPA Rico observed the facility had an updated infection control plan. For the allegation, Staff are not following reporting requirements. During staff interviews 3 out of the 3 staff stated they follow reporting requirements. For the allegation, Staff left residents unattended. During staff interviews, 3 out of the 3 staff do not leave residents unattended. During resident interviews, 3 out of the 3 resident stated they have not been unattended inside the facility. Based on the evidence found during the investigation, the seven (7) allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to House Manager Yvonne Gonzalez.the state’s words, verbatim · CDSS document, Dec 10, 2025 · control 56-AS-20241120155019

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) LaVette Farlow made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Facility Manager Yvonne Gonzalez and was granted entry to the facility. At the time of the visit there was one (1) staff present, and six (6) residents present. The facility is a five (5) bedroom, three (3), bathroom home, with a kitchen/dining area, living room, and attached garage. The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (6) current census (6). LPA was accompanied by Facility Manager, to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms and kitchen to be at 99.6, 99.5 and 102. degrees F, which is below regulation. A deficiency cited. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated storage space for resident/staff files. Medications are kept inside medicine closet inaccessible to residents. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed three (3) residents files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff members. LPA review the facility files and observed the LIC9282, for the Infection Control plan had not been reviewed and signed and staff was unable to locate the Infection control plan. A technical violation issued. Based on the observations made during today’s visit, one deficiency was cited and two (2) technical violation were issued per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), (LIC809C), (LIC809D) and appeal rights were discussed and provided to Facility Manager Yvonne Gonzalez.the state’s words, verbatim · CDSS document, Sep 5, 2025

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Beena Singh and Paola Guerrero made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPAs met with Facility Manager Yvonne Gonzalez and was granted entry to the facility. At the time of the visit there was two (2) staff present, and six (6) residents present. The facility is a five (5) bedroom, three (3), bathroom home, with a kitchen/dining area, living room, and attached garage. The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (6) current census (6). LPAs was accompanied by Facility Manager, to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPAs inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPAs observed sufficient furniture and lighting throughout the facility. LPAs measured and observed the water temperatures in the bathrooms to be at 107 degrees F The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated storage space for resident/staff files. Medications are kept inside medicine closet inaccessible to residents. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPAs reviewed six (6) residents files for admission agreements, updated physician reports, and needs and services plans. LPAs also reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff members. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Facility Manager Yvonne Gonzalez.the state’s words, verbatim · CDSS document, Sep 9, 2024

Allegation investigated: Resident wandered away from facility due to lack of supervision. Staff did not notify responsible parties of a resident's unexplained absence from facility

Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Canyon View Care Home to deliver findings for the complaint investigation into the allegations listed above. LPA introduced self and stated purpose of the visit. LPA was greeted and granted entry by House Manager, Yvonne Gonzalez. LPA informed Administrator, Nick Vermani was not present. LPA contacted Administrator to notify of visit and delivery of findings. It is alleged that a resident wandered away from the facility due to lack of supervision. According to staff interviews, R1 did not leave the facility grounds. R1 walked out of the door, but was caught by staff before reaching the perimeter of the facility. LPA was unable to gather any information about the incident from R1 during the interview. Statement of the witness conflicts with the statements of staff. LPA unable to obtain the Police Report for the incident. Please see LIC9099-C Unsubstantiated It is alleged that staff did not notify responsible parties of a resident’s unexplained absence from the facility. Staff interviews revealed that during the period of time the resident was at the facility. There were several incidents that occurred; of which the facility did contact R1’s responsible parties. All staff report that the resident’s responsible parties would not answer their calls or return their calls. Staff contends that messages were left. The primary contact for R1 is R1’s son; who reportedly works long hours and is not available to take calls. Messages were left for the son, but there no response or indication that the messages were received by the son. Collateral contact contends that the Police were called to the facility based on the resident’s behaviors; not because R1 was found wandering outside by the Police. LPA was unable to obtain the Police Report for further investigation. Based on the interviews, observations and record reviews, these allegations are UNSUBSTANTIATED. A finding of UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with facility representative. This report was discussed, reviewed and then provided to facility representative.the state’s words, verbatim · CDSS document, Nov 17, 2023 · control 56-AS-20230809095524