The Vineyard Residential II

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required comprehensive annual inspection. LPA met Administrator, Mayleen Saludez, and discussed the purpose for the visit. The facility is a Residential Care Facility for Elderly (RCFE) with a license capacity of (6), and a current census of (3). LPA conducted a general inspection of facility, which included, but was not limited to, the following: Operation/Physical Plant: Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or similar bodies of water. The facility has sufficient indoor and outdoor space for resident activities. Outdoor activity space is enclosed with a latching gate. The facility is maintained at a temperature of 70 degrees Fahrenheit. Resident bedrooms were furnished with beds, night stands, chairs, bed linen and lighting. Resident bathrooms were maintained clean and fixtures were operating properly. The hot water temperatures in the bathrooms measured at 114 degrees Fahrenheit. The facility is equipped with operating smoke/carbon monoxide alarms, fully charged fire extinguisher, laundry equipment, door signal, emergency supplies/water and telephone service. The facility has posted in a common area Community Care Licensing complaint poster, Ombudsman poster, facility license, facility sketch, food menu, "oxygen in use" signs, emergency plan and telephone numbers. Sharps and cleaning solutions were kept locked. The facility has a designated area for resident and staff files. Food Service: Kitchen and dining areas were maintained cleaned. Non-perishable and perishable food supply was sufficient for number of residents in care. Facility staff also maintain food items for residents with physician ordered modified diets. Cups, plates, and utensils were sufficient for residents in care. **continued on LIC809-C** Health Related Services: The facility maintains a first aid kit with manual and medications were centrally stored in a locked area. LPA audited medications for three (3) resident. LPA observed medication for resident#1 (R1) was not administered as prescribed by physician's directions. One of R1’s medications, administered three times per day, includes a physician’s directions to hold the dose if R1’s systolic blood pressure (SBP) is greater than 130. The Administrator was not able to provide the LPA with documentation that R1's SBP readings were taken prior to administration to verify that SBP was below 130 as required by the physician’s directions. Deficiency cited. Record Review: Resident files were reviewed for admissions agreements, physician’s reports, appraisals, needs and services plans. Files were complete. Staff files were reviewed for First Aid/CPR certifications, criminal record clearances, training, and health screenings. Files were complete. The facility has available an infection control plan, emergency/disaster plan, client registry, and liability insurance for review. During today's visit, a deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report was discussed and a copy provided with appeal rights to Administrator Saludez.the state’s words, verbatim · CDSS document, Mar 6, 2026

The state marks this report as 5 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 Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required comprehensive annual inspection. LPA met with Lynette Furing, caregiver, and discussed the purpose for the visit. The facility is a Residential Care Facility for Elderly (RCFE) with a license capacity of (6), and a current census of (2). LPA conducted a general inspection of facility, which included, but was not limited to, the following: Operation/Physical Plant: Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or similar bodies of water. The facility has sufficient indoor and outdoor space for resident activities. Outdoor activity space is enclosed with a latching gate. The facility is maintained at a comfortable temperature of 72 degrees F. Resident bedrooms were furnished with beds, night stands, chairs, bed linen and sufficient lighting. Resident bathrooms were maintained clean and fixtures were operating properly. The hot water temperatures in the bathrooms measured at 110 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms, fully charged fire extinguisher, laundry equipment, and telephone service. The facility has posted in a common area Community Care Licensing complaint poster, Ombudsman poster, facility license, "oxygen in use" signs, emergency plan and telephone numbers. Sharps and cleaning solutions were kept locked. The facility has a designated area for resident and staff files. Food Service: Kitchen and dining areas were maintained cleaned. Non-perishable and perishable food supply was sufficient for number of residents in care. Cups, plates, and utensils were sufficient for number of residents in care. Health Related Services: The facility maintains a first aid kit, a record of resident’s medications and medications were centrally stored in a locked area. Record Review: Resident files were reviewed for admissions agreements, physician’s reports, appraisals, needs and services plans. LPA observed Resident #1 (R1) did not have record of tuberculosis (TB) results on file for review. R1 did not have a current reappraisal on file for review. The last appraisal conducted for R1 was dated 5/25/21. Staff files were reviewed for First Aid/CPR certifications, criminal record clearances, training, and health screenings. LPA observed that staff #1 (S1) did not have record of tuberculosis (TB) results on file for review. During today's visit, deficiencies were cited and technical notes were provided per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report was discussed and a copy provided to the caregiver with appeal rights at the conclusion of the visit.the state’s words, verbatim · CDSS document, Apr 9, 2025

The state marks this report as 13 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Anna Fannell conducted an unannounced visit to this facility for a required annual inspection. Entry into the facility is unobstructed and LPA met with administrator Mayleen Saludez. The facility is approved for a Hospice Waiver for six (6) non-ambulatory residents, on of whom may be bedridden. LPA and Administrator toured the interior and exterior of the facility. Physical Plant: There are no pools or other bodies of water located on the premises. The facility is being maintained at a comfortable temperature for residents. All passageways are kept free of obstruction. Hot water temperature was measured in all bathrooms and measured between 109 and 117 degrees Fahrenheit. Grab bars, textured shower floors, and shower aid equipment are utilized by residents. Fire safety installations such as extinguishers, sprinklers, and alarms are present. Fire extinguishers were observed to be charged and last inspected on 06/27/2023. Bedroom smoke detectors and carbon monoxide detector were tested by Administrator and units were observed working. Overall the facility is in good condition; it is clean, sanitary and free of foul odors. Kitchen and Food Service: LPA was present during lunch service. The facility follows residents' special dietary needs. There is at least a one week supply of nonperishable foods and two days of perishable food items, which meets regulatory requirements. All readily perishable food or beverages capable of micro-organism growth are being stored in covered containers at appropriate temperatures. Sharps and cleaning agents are kept locked and secured. Medication, Care, and Supervision: The facility has sufficient and competent staff to provide services needed to meet resident needs. Chemicals and cleaning agents are stored inaccessible to residents. LPA inspected medications and found them in original containers and appear to be dispensed according to doctors' orders. Resident and Staff Files: LPA reviewed all staff and resident files. Resident files had the required documents including admission's agreement, consent forms, and appraisal and/or needs and services plan. Staff files had the required documentation and training including mandated reporting, health screening report, CPR certification. Operations and Administration: Disaster Plan is present. Administrator is present in the facility a sufficient amount of hours and their administrator certification is up to date. The required ombudsman and licensing posters are posted in public view. Residents rights are posted and a copy is kept the resident's file. During today's visit, LPA Fannell observed two bedridden residents are occupying the bedridden room. This poses an immediate health and safety risks to residents in care. Refer to LIC809D for deficiency cited. Technical advisories were issued to remind staff of current and updated regulations. An exit interview was conducted where this report, LIC 809D, and appeal rights were discussed and provided to Administrator Saludez.the state’s words, verbatim · CDSS document, Apr 2, 2024

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.