Alta Vista Senior Living

Licensing Program Analyst (LPA) Sandra Urena conducted a subsequent visit to continue to investigate the allegation listed above, and to deliver the findings. The LPA arrived at the facility and spoke with Destiny Quijada, Activities Director (AD). The LPA explained the reason for the visit. On 09/24/2024, Licensing Program Analyst (LPA), Javina George, conducted an unannounced visit to the facility to initiate the investigation into the allegation listed above. LPA met with Executive Director Jennifer Gephart and informed her of the purpose of LPAs visit. LPA conducted a tour of the interior/exterior areas of the facility, conducted a review of records, obtained and requested copies of pertinent documentation. On 04/26/2025, LPA Sandra Urena interviewed staff, and residents and obtained copies of pertinent documents relevant to the investigation, and conducted a tour of the facility at 1:15 p.m. Continues on LIC 9099C... SubstantiatedRead the full finding— CDSS inspection report, April 27, 2025 · control 18-AS-20240919115403

On 04/27/25, Licensing Program Analyst (LPA) Elvira Gonzalez conducted a subsequent unannounced visit to further investigate and deliver findings for the above-named allegation. LPA met with Activities Director, Destiny Quijada, and the purpose of the visit was discussed. LPA was granted access into the facility. The investigation consisted of the following: On 10/09/24, the department conducted a review of records, and requested and obtained copies of pertinent documentation, and conducted a tour of the entire facility. On 04/26/25, the department conducted interviews with staff #1-#5 (S1-S5), attempted to interview resident #1 (R1), and interviewed residents #2-#9 (R2-R9). The department requested and received the following documents: staff roster, resident roster, Residence and Care Agreement, Identification and Emergency Information, Physician’s Report, Needs and Services Plan and facility notes for R2. Furthermore, the department conducted a tour of the facility. Continued on LICRead the full finding— CDSS inspection report, April 27, 2025 · control 18-AS-20240930113845

On 04/27/25, Licensing Program Analyst (LPA) Elvira Gonzalez conducted a subsequent unannounced visit to further investigate and deliver findings for the above-named allegations. LPA met with Activities Director, Destiny Quijada, and the purpose of the visit was discussed. LPA was granted access into the facility. The investigation consisted of the following: On 12/30/21, the department conducted a review of records and requested and obtained copies of pertinent documentation. On 04/26/25, the department conducted interviews with staff #1-#5 (S1-S5), and resident #1-#8 (R1-R8). The department requested and received the following documents: staff roster, and resident roster. Furthermore, the department conducted a tour of the facility. Continued on LIC 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, April 27, 2025 · control 08-AS-20211223102726

On April 18, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced and met with Executive Director, Jennifer Gephart. LPA explained the reason for the visit was to provide findings for the complaint investigation. On November 30, 2022, Community Care Licensing received a complaint alleging Neglect / Lack of Care and Supervision, resident's wound has not recovered due to staff neglect, staff do not ensure that resident's dietary needs are met, insufficient staffing to meet the needs of residents in care, staff did not keep the resident's room free from odor, staff did not keep resident's room clean, staff did not safeguard resident's personal items. During the investigation LPA’s conducted interviews, record reviews, and made observations. Regarding the allegation that Neglect/Lack of Care and Supervision it was reported that Resident Number 1 (R1) had an unwitnessed fall and was sent to the Emergency Room (ER) at Tri-City Medical Center. Information obRead the full finding— CDSS inspection report, April 18, 2025 · control 18-AS-20221130130504

Licensing Program Analyst (LPA), Martha Arroyo conducted a subsequent complaint visit to the above facility. The purpose of the visit is to deliver findings for the above allegation. The initial complaint visit was conducted on 07/03/2024 by LPAs Venus Mixson and Kathleen Banrasavong and a subsequent complaint visit was conducted on 04/12/2025 by LPA M. Arroyo. On today’s visit, LPA Arroyo met with Memory Care Director, Beatrice Soliven. Entrance interview. During the initial visit on 07/03/2024, LPAs Mixson and Banrasavong toured the facility and requested and received pertinent documents. On 04/12/2025, LPA Arroyo conducted interviews with one staff, conducted a plant tour starting at 9:20am, and conducted a resident file review and obtained copies of pertinent documents. Report Continued on LIC 9099C... UnsubstantiatedRead the full finding— CDSS inspection report, April 13, 2025 · control 18-AS-20240625154351

Licensing Program Analyst (LPA) Martha Arroyo conducted a subsequent complaint visit to continue the investigation for the allegations listed above. Upon arrival, the LPA met Memory Care Director, Beatrice Soliven and explained the reason for the visit. Entrance interview. The initial complaint visit was conducted on 02/07/2024 by LPA Venus Mixson and a subsequent visit was conducted on 04/12/2025 by LPA M. Arroyo. On 02/07/2024, LPA Mixson toured the facility, interviewed the Executive Director, made observations, and requested and received pertinent documentation. On 04/12/2025, LPA Arroyo conducted interviews with three staff and five residents, conducted a plant tour starting at 9:20am, observed residents in dining room and common areas, conducted a medication review on five randomly selected residents, and conducted a resident file review and obtained copies of pertinent documents relevant to the investigation. During today’s visit, the LPA conducted an interview with one staff. RRead the full finding— CDSS inspection report, April 13, 2025 · control 18-AS-20240131123229

Licensing Program Analyst (LPA), Armando Perez, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegations. LPA met with Business Office Manager Monica Flores, where the LPA explained the purpose of the visit and the elements of the allegations. The investigation consisted of observations, interviews with staff members and residents, and a review of records. On December 17, 2024, Community Care Licensing received a complaint alleging staff do not safeguard resident's personal belongings and staff do not ensure resident’s room is free of tripping hazards. In regards to the allegation that staff do not safeguard resident’s poperty, it was reported that Resident #1’s (R1) room was being entered by R2 in the middle of the night. R2 would enter and take drinks and snacks from R1. Continued on 9099-C. UnsubstantiatedRead the full finding— CDSS inspection report, February 21, 2025 · control 18-AS-20241217105224

Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to investigate the above allegation. LPA met with Executive Director, Jennifer Gephart who was informed of the purpose of the visit. During the visit, LPA conducted interviews, documented observations/conducted a walk through, and conducted records review. It was alleged that “Staff did not ensure the hot water is working properly”. It was alleged that on 01/07/2025, the facility did not have hot water for a couple hours. LPA conducted (4) resident interviews, which revealed conflicting information. (2) of (4) residents reported not having hot water in their apartment, which has since been resolved. (2) of (4) residents stated they have always had hot water in their apartment. UnsubstantiatedRead the full finding— CDSS inspection report, January 14, 2025 · control 18-AS-20250107090937

Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to deliver findings for the allegations listed above. LPA met with Jennifer Gephart, Executive Director and explained the purpose of the visit and the elements of the allegations. The allegations were investigated, and the investigation consisted of observations, interviews and records review. On 07/09/2024 Community Care Licensing received a complaint alleging that staff did not ensure that the facility was in good repair and that staff did not provide a safe environment. Regarding the allegation of staff did not ensure that the facility was in good repair. It was alleged that there were two gates that were disabled/out of service, which poses a safety risk since anyone can enter or leave the facility. On 07/12/24 the initial complaint visit was conducted, and LPA observed for there to be 2 gates in the back of the property. However, only one was observed to be out of service. Both of the gates reqRead the full finding— CDSS inspection report, October 9, 2024 · control 18-AS-20240709091545

Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to deliver findings for the allegations listed above. LPA met with Jennifer Gephart, Executive Director and explained the purpose of the visit and the elements of the allegations. The allegation was investigated, and the investigation consisted of observations interviews and records review. On 10/03/2024 Community Care Licensing received a complaint alleging that Staff did not ensure the facility elevator is in good repair. LPA conducted an interview with Business Office Manager Monica Flores that revealed that one of the facility elevators was recently in operable due to it being retagged by the state. Per Monica there are inspections conducted on a monthly basis. During a recent inspection it was discovered that the outlet and light/lamp fixtures were identified as not operable. LPA conducted a records review which revealed that the facility was informed 1 year ago that the elevator mdoel requiredRead the full finding— CDSS inspection report, October 9, 2024 · control 18-AS-20241003120638

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced complaint investigation visit to deliver findings regarding the above-mentioned allegations. LPA identified herself to, was greeted by, and explained the purpose of the visit to Executive Director Diane Domingo. The Department’s investigation consisted of interviews with staff, and outside sources, records review, and a tour of the facility. It was alleged that lack of supervision resulting in resident sustaining injury from a fall and not meeting resident’s incontinence care needs. Review of resident 1’s (R1) medical records revealed R1 had a mild cognitive impairment, had wandering behaviors, and needed assistance with incontinence care. R1’s needs and services plan identified R1 as a fall risk. Review of an incident report submitted to the Department revealed that in April 2020, caregivers found R1 on the floor resulting in a head injury and was transferred to the hospital for treatment. Continued on LIC9099-C pagRead the full finding— CDSS inspection report, January 18, 2023 · control 08-AS-20200429123003

Licensing Program Manager (LPM) Denise Powell conducted an unannounced complaint visit to share investigative findings and close out the complaint. LPM was greeted and granted entry to the facility, then met with Business Office Manager Monica Flores and reviewed the complaint findings. On 9/18/20, it was alleged that a direct care staff member touched a female resident in an inappropriate manner. The investigation included interviews with staff and outside sources and records review. Interview statements obtained from the resident did not provide valid disclosure. Interview statements by multiple facility staff and outside sources denied the allegation. Records review determined resident had documented change of condition and was under medical treatment for behavioral health concerns, including increased anxiety. There was insufficent evidence to support the allegation of staff inappropriately touching the resident. The allegation was determined as unsubstantiated since the preponderaRead the full finding— CDSS inspection report, January 12, 2023 · control 08-AS-20200918165220