La Jolla Vista

Allegation investigated: Resident sustained multiple bruises due to staff neglect or physical abuse. Staff do not respond to resident's calls for assistance.

Licensing Program Analyst(LPA) Janet Ngallo conducted an unannounced subsequent visit to deliver findings regarding the above mentioned complaint allegations. LPA was greeted by, introduced themselves to, and discussed the purpose of the visit with Licensee Gus Fernandez. On 07/19/2026, it was alleged that a resident(R1) sustained multiple bruises due to staff neglect or physical abuse, and that staff do not respond to resident's (R1's) calls for assistance. The department's investigation consisted of interviews, records review, and LPA observation. [Cont. on LIC 9099-C] Unsubstantiated [Cont. from LIC 9099] Regarding the allegations, interviews with staff revealed that R1 frequently wears long sleeves or a robe, is a fall risk, ambulatory throughout the facility, and at times confused. Staff revealed that R1 may refuse assistance, wander, and can swing their arms when agitated. Staff stated that R1 does not call for help, and prefers independence, R1 will instead stay near common areas often. Interviews consistently stated they did not witness any incident in which R1 was handled roughly or physically harmed. Staff reported that when asked about the bruise, R1 provided differing accounts such as being “pulled” or “pinched,” but became emotional, confused, and unwilling to provide further details such as a name for who may have harmed R1. Interviews further reported that R1 has had bruising or skin issues in the past. Staff stated they respond to call systems within minutes unless assisting another resident, and that R1 rarely uses the call system due to their desire for independence. Interviews residents revealed concerns primarily related to occasional raised voices or communication style among staff, but none reported witnessing any rough physical treatment or abuse. Residents stated staff respond promptly when assistance is requested. Residents described the environment as sometimes tense due to language barriers or impatience but did not report or observe physical mistreatment. During an interview with R1, confusion was exhibited and recollection was inconsistent. R1 minimized the incident and repeatedly stated that no one caused harm. R1 alternated between describing accidental contact with an object and refusing to discuss the matter further, stating that the situation was “no big deal.” R1 remained consistent in denying injury caused by staff. LPA observed R1 clean and well-groomed. Bruising was observed on R1’s right forearm, red-purple in color. No hazards or environmental concerns were present in R1’s room or the facility. Record review showed documentation of R1 experiencing both calm and agitated days throughout July of 2026, including resistance to care, confusion, and slamming of drawers. Medical assessment records show R1 has mild cognitive impairment, anxiety, and chronic medical conditions. R1 is identified as a fall risk with prior fall history. Appraisal records show memory loss, forgetfulness, sporadic anxiety, wandering behaviors, and the need for redirection. Based on interviews, and records review, the preponderance of evidence standard has not been met, therefore the above allegations are found to be unsubstantiated. An exit interview was conducted with Licensee Gus Fernandez and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 01/16), were provided. Their signature confirms receipts of these documents.the state’s words, verbatim · CDSS document, Aug 24, 2026 · control 08-AS-20260719115917

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Janet Ngallo conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Licensee Gus Fernandez. The facility's license shows a maximum capacity of six (6) residents, one (1) of which may be bedridden. Bedridden may only reside in bedroom #2. Additionally the facility is approved for 2 hospice waivers. During today’s inspection there were three(3) residents in care. LPA and Licensee toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Hot water at taps accessible to residents were all in compliance. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to residents. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and residents, and reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. [Cont. on LIC 809-C] [Cont. from LIC 809] No deficiencies were cited during the inspection. An exit interview was conducted with Licensee Gus Fernandez to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Jul 24, 2026

Type of visit: Case Management - Licensee Initiated

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an announced Case Management visit to the facility. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Co-Administrator Jennifer Fernandez. The purpose of today's visit was for LPA to conduct a walk-through of the facility at the request of Co-Administrator Fernandez and provide consultation on best practices and licensing resources prior to the facility beginning to accept new residents. The facility has not had any residents since the end of March 2025. During today's visit, LPA and Co-Administrator Fernandez toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility is prepared to contain at least two (2) days of perishable food, and at least seven (7) days non-perishable food. Co-Administrator Fernandez showed LPA the locked cabinet designated for storage of knives and other sharp objects. No pools or bodies of water exist on the premises. Per Co-Administrator Fernandez, no firearms or ammunition are kept at or planned to be kept at the facility. Smoke and carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguishers were serviced within the last 12 months. First aid kits were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. [Continued on LIC 809-C] [Continued from LIC 809] While touring the side of the home containing bedrooms #4 and #5, LPA noted that the wall that created a hallway to access the two (2) rooms had been removed, thus increasing the size of the rooms. Additionally, the hall closet had been converted into a restroom. A door was placed in between the two rooms, however, per regulation 87307(a)(2)(C), resident rooms may not be used as access ways into another bedroom. This changes route access to bedroom #5, making it only accessible through the exterior door into the room from the yard, or through the garage into bedroom #5's private restroom. Per Co-Administer Fernandez, the route into room #5 through garage access was always what was used, and the previous hallway had not been, hence the removal of the hallway. While the Licensee had submitted an updated facility sketch to the Department on January 5th, 2026 notating the changes to the floor plan, the Department had not received notification from the Licensee regarding proposed construction/alterations or applicable permits for changes to the home. Such modifications to the facility may be subject to inspection by the local Fire Authority. Though there are not any current residents in the home, a Type A citation is being issued for unapproved alterations and are noted on the attached LIC 809-D page. Additionally, as this is a violation pertaining to Fire Clearance Violations, a Zero-Tolerance Civil Penalty is being assessed in the amount of $500 and is noted in the attached LIC 421IM. An exit interview was conducted with Co-Administrator Fernandez to whom a copy of this report, the LIC 421IM, and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Feb 6, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87305(b) · Plan of correction due date: Feb 7, 2026

87305(b): The licensing agency may require the facility to acquire a local building inspection where the agency determines that a suspected hazard to health and safety exists. This requirement is not met as evidenced by: Based on LPA observation and interview, the licensee did not comply with the section cited above in ensuring the Department was notified of building alterations that would affect their fire clearance, which poses an immediate health, safety, and/or personal rights risk to 0 out of 0 persons in care.the state’s words, verbatim · CDSS document, Feb 6, 2026

Plan of correction: Licensee will submit a completed LIC 200 application to LPA, along with any applicable permits for the alterations conducted by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Co-Administrator Jennifer Fernandez. The facility's license shows a maximum capacity of six (6) residents, one (1) of which may be bedridden. Bedridden may only reside in bedroom #2. Additionally the facility is approved for 2 hospice waivers. During today’s inspection there were zero (0) residents in care. Per Co-Administer Fernandez, the facility has not had any residents since the end of March 2025, however the plan is to eventually have the facility operating with residents in the future. LPA and Co-Administrator Fernandez toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. No furniture was present in the facility however as floors were being redone. Doors, windows, screens, toilets, and showers were in working order. Hot water temperature at accessible taps were all compliant: kitchen sink was 110.4F. Hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. As the facility currently has no residents, no perishable or non-perishable foods were present. Cooking, dining equipment, and utensils were present. Knives were locked and inaccessible to potential/future residents. [Continued on LIC 809-C] [Continued from LIC 809] No toxic chemicals or poisons were accessible to clients. As there are no residents currently, no medications were being kept in the premises, however, Co-Administrator Fernandez showed LPA where medications were stored when residents were present. No pools or bodies of water exist on the premises. Per Co-Administrator Fernandez, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguishers were present but maintained in storage. First aid kit was complete and readily accessible. Required licensing postings were observed in storage for the time being. LPA interviewed one (1) staff and zero (0) clients, and interviews did not reveal any licensing or regulatory concerns. LPA reviewed facility administrative records, but no staff or resident files as the facility is not accepting residents currently. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. No deficiencies were cited during the inspection. An exit interview was conducted with Co-Administrator Fernandez to whom a copy of this report was provided. Their signature below confirms receipt of this document.the state’s words, verbatim · CDSS document, Aug 20, 2025

Allegation investigated: Licensee did not follow reporting requirments regarding pending facility sale.

Licensing Program Analyst (LPA) Arian Golbakhsh conducted a complaint investigation regarding the above mentioned allegation. LPA was welcomed by, identified themselves to, and discussed the purpose of their visit to Co-owner Jennifer Fernandez. LPA's visit consisted of touring the facility to ensure there were no residents in care, in addition to conducting interviews and file review. LPA verified there were no residents on the premises. Per Co-owner Fernandez, the facility was vacated on March 26th after the only resident passed. The agency has investigated the complaint alleging the licensee did not follow reporting requirements regarding pending facility sale. We have determined that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have dismissed the complaint. An exit interview was conducted with Co-owner Jennifer Fernandez to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents. Unfoundedthe state’s words, verbatim · CDSS document, Apr 24, 2025 · control 08-AS-20250416112406

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection. The LPA introduced himself and disclosed the purpose to Caregiver Kathia Badilla. Administrator Jennifer Fernandez arrived during the visit an assisted the LPA. The facility was licensed for a capacity of six (6) non-ambulatory residents, of which one (1) may be bedridden in bedroom # 2. The facility also had a hospice waiver approved for two (2) residents. The LPA, accompanied by administrator, toured the interior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, and stored in a locked area. No pools, nor bodies of water on the premises. Per staff, no firearms, nor ammunition were kept at the facility. Carbon monoxide detectors, fire extinguisher(s) and a First aid kit(s) were present. Required licensing postings were observed in visible area of the facility. The LPA interviewed staff and reviewed multiple staff and client records/files. The files which LPA reviewed contained required documents. Technical advise was provided, and no deficiencies were cited during today's annual inspection. An exit interview was conducted with Administrator Jennifer Fernandez, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058), were provided.the state’s words, verbatim · CDSS document, Aug 23, 2024