Hillside Haven Guest Home

Allegation investigated: Staff do not assist with arranging medical care.

Licensing Program Analyst (LPA) Jose De La Cruz conducted an unannounced visit regarding the above allegation. LPA was greeted by Licensee Leona Jardin, to whom he identified himself and explained the purpose of the visit. On August 31, 2026, the Reporting Party (RP) alleged that the facility did not assist a resident (R1) with arranging medical care. RP stated that R1 experiences back pain and requires a specific treatment that the facility was not helping R1 obtain. On September 10, 2026, LPA contacted RP, who reiterated the allegation and stated that R1 has not received the treatment that helps prevent back pain. [CONTINUED ON LIC9099-C] Substantiated Furthermore, RP stated that residents had to go to bed at a specific time. RP stated that R1 did not agree to live at the facility, and that they were there without consent. RP also stated that R1 requests for help regarding toileting had been ignored. On the same day, LPA visited the facility, interviewed staff and clients and reviewed facility records. During the visit, LPA was able to see the residents, including R1, interacting with staff and outside services in the living room. The interactions looked amicable, including jokes, laughs and other comments. Interviews with staff and residents suggested that there is no limit regarding phone calls, or a bed time. A resident (R2) stated that they “love living at the facility, I go to bed whenever I want and I get up as late as I want”. An interview with R1, mentioned that even though they’d rather be at their own place, they and their outside source (OS1) agreed that they needed help due to age, and could not live on their own. R1 also mentioned that the staff and the facility are the next-best thing after living at their house. R1 stated that staff are respectful and professional and do their best to help them. R1 specifically denied that the staff monitored their calls or that requests for help have been denied and reiterated that they agreed to live at the facility for their own well-being. Based on records reviewed, LPA observations, and interviews conducted with R1, residents, and staff, the preponderance of evidence standard has not been met, and the allegation is deemed unsubstantiated. No deficiencies were cited in accordance with the California Code of Regulations. Report and Appeal Rights discussed with and provided to licensee Leona Jardin. Signature below confirms receipt. [CONTINUED FROM LIC9099] That same day, LPA visited the facility, interviewed staff and residents, and reviewed facility records. R1’s medical records indicate a condition that results in back pain. Interviews with staff, the facility administrator, and R1 confirmed that the facility was aware R1 was experiencing and reporting back pain. In an interview, R1 stated they continue to experience back pain “at the same time and in the same area.” R1 reported that the day prior they were taken to a physical appointment with their outside source (OS1). According to R1, their regular physician was unavailable, but another physician at the same location evaluated them. An appointment was scheduled for treatment in three weeks; however, R1 stated that they require the treatment as soon as possible due to significant nighttime pain. Interviews with staff confirmed that the facility has been providing R1’s prescribed medications. Staff also indicated they have not arranged medical appointments because OS1 is currently managing R1’s medical care. On September 10, 2026, LPA contacted R1’s physician (OS2). According to OS2’s assistant, OS2 has not seen R1 since July 17, 2026, and no upcoming medical appointments for the requested treatment were found in R1’s file. Based on record review, observations, and interviews, the preponderance of evidence standard has been met for the allegation that the facility did not arrange necessary medical care for a resident. One deficiency was cited in accordance with the California Code of Regulations [see attached LIC 9099(d)]. Report and Appeal Rights were discussed with and provided to the Licensee. The Licensee’s signature below confirms receipt.the state’s words, verbatim · CDSS document, Sep 10, 2026 · control 08-AS-20260831115347

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(1) · Plan of correction due date: Sep 11, 2026

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care… shall encourage routine medical … care …by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. Based on interviews and records review, the licensee did not comply with the section cited above in one out of six residents which posed a health and personal rights risk to one person in care.the state’s words, verbatim · CDSS document, Sep 10, 2026

Plan of correction: Licensee shall reach out to the residents primary care physician by due date and make an appointment with the required professional as soon as posible, sending screenshot as proof of correction to LPA.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Renita Hall conducted an unannounced Required 1-year Annual Visit. LPA was allowed entry by Paul Chu, Caregiver. LPA identified herself and disclosed the purpose of the visit with the Administrator. The visit was later joined by Leona Jardin, Licensee. Physical Environment: The facility was found to be clean, well maintained, and free from any safety hazards. Adequate lighting and ventilation were observed in all areas of the facility. All necessary safety equipment, such as fire extinguishers and emergency exits, was present and in good working condition. The facility's outdoor spaces were properly maintained and accessible to residents. Staffing and Training: The facility had a sufficient number of qualified staff members to meet the needs of the residents. The staff member was observed to be professional, courteous, and knowledgeable in their respective roles. All staff members had completed the required training and certifications per the licensing regulations. Staffing schedules were posted and adhered to, ensuring adequate coverage. Continued on 809C Resident Care and Services: Residents' care plans were reviewed and found to be comprehensive and up-to-date. Medication administration was observed to be following the facility's policies and procedures. Residents' nutritional needs were met, and the meals provided were nutritious and well-balanced. Recreational activities and social engagement opportunities were available to residents regularly. Health and Safety: Qualified healthcare professionals conducted regular health assessments and monitored residents' well-being. Staff members followed infection control measures. The facility had established protocols for emergencies, and evacuation plans were readily available. Overall, the facility was found to comply with the licensing regulations. An exit interview was conducted, and a copy of this report, along with the Licensee Rights (LIC 9058), was provided to Leona Jardin, Licensee. Her signature on this form confirms receipt of the documents.the state’s words, verbatim · CDSS document, May 14, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Renita Hall, conducted an unannounced Required 1 year Annual Visit. LPA was allowed entry by Jerico Arriola, Caregiver. LPA identified herself and disclosed the purpose of the visit with Jerico Arriola, Caregiver. This visit was later joined by Leona Jardin, Administrator. Physical Environment: The facility was found to be clean, well-maintained, and free from any safety hazards. Adequate lighting and ventilation were observed in all areas of the facility. All necessary safety equipment, such as fire extinguishers and emergency exits, were present and in good working condition. The facility's outdoor spaces were properly maintained and accessible to residents. Staffing and Training: The facility had a sufficient number of qualified staff members to meet the needs of the residents. The staff member was observed to be professional, courteous, and knowledgeable in their respective roles. All staff members had completed the required training and certifications per the licensing regulations. Staffing schedules were posted and adhered to, ensuring adequate coverage at all times. Resident Care and Services: Residents' care plans were reviewed and found to be comprehensive and up-to-date. Medication administration was observed to be in accordance with the facility's policies and procedures. Residents' nutritional needs were met, and the meals provided were nutritious and well-balanced. Recreational activities and social engagement opportunities were available to residents regularly. Continued on 809C Health and Safety: Regular health assessments and monitoring of residents' well-being were conducted by qualified healthcare professionals. Infection control measures were in place and followed by staff members. The facility had established protocols for emergencies and evacuation plans were readily available. Overall, the facility was found to comply with the licensing regulations. An exit interview was conducted and a copy of this report along with the Licensee Rights (LIC 9058) was provided to Leona Jardin, Administrator. Her signature on this form confirms receipt of the documents.the state’s words, verbatim · CDSS document, May 10, 2024

The state marks this report as 5 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.