Ranchview Senior Assisted Living

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations made on 03/06/2025. LPA introduced themselves and disclosed the purpose of the visit to Marketing Manager Maria Flores. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, outside sources, and records review. It was alleged that staff did not administer medication to Resident 1 (R1), resulting in a seizure. Staff interviews revealed that the correct medication and dosage was administered to R1 at the correct time. Staff informed that the color of medications changed at times due to pharmacy preparation or generic versions of the same prescription. An independent investigation was conducted by an outside source protective agency. The outside source informed that their investigation did not produce evidence that a medication error occurred. Review of the Medication Administration Record (MAR) forRead the full finding— CDSS inspection report, July 3, 2025 · control 08-AS-20250306134947

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to initiate a complaint investigation and deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Marketing Manager/Administrator Maria Flores. On 03/14/25 it was alleged that staff refused to provide an assistive device to a resident. The Department’s investigation consisted of an unannounced facility visit, interviews with facility staff, outside sources, and records review. Three (3) staff members with medication technician training who worked morning and evening shifts were interviewed regarding the allegation. Staff interviews did not corroborate the allegation, as staff informed that Resident 1 (R1) used the CPAP machine at night and staff always assisted or attempted to assist them with it. Staff informed that R1 maintained the ability to place the CPAP machine on themselves, and sometimes refused staff assistance. Staff interviewRead the full finding— CDSS inspection report, March 21, 2025 · control 08-AS-20250314154803

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced 10-day visit to initiate a complaint investigation and deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Administrator Genoveva Guerrero and Marketing Manager Maria Flores. On 02/21/2025 it was alleged that Licensee did not meet a resident's incontinence needs. The Department’s investigation consisted of an unannounced facility visit, interviews with facility staff, resident, outside sources, and records review. It was alleged that Resident 1 (R1) arrived at an outside care agency with soiled clothing, indicating that the Licensee had not provided incontinence care to the resident. The three staff members who were involved with preparing R1 for transport the day of the incident were privately interviewed. All three staff members provided a consistent timeline of events leading up to R1's transport at the facility. All staff members inforRead the full finding— CDSS inspection report, February 27, 2025 · control 08-AS-20250221111631

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Marketing Manager Maria Flores. On 2/21/23 it was alleged that staff neglect resulted in bodily injury, staff did not seek medical attention for a resident, and Licensee did not report a resident's change in condition to responsible party. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review. Regarding the allegation, "Staff neglect resulted in bodily injury ", it was alleged that neglectful care led to significant bruising of Resident 1 (R1). Eight (8) of 8 staff involved and/or with knowledge of the incident consistently reported the circumstances of the event. (Continued on LIC9099-C p.2) UnsubstantiatedRead the full finding— CDSS inspection report, December 20, 2024 · control 08-AS-20230221091854

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Marketing Manager Maria Flores. On 10/03/2024 it was alleged that staff did not treat Resident 1 (R1) with dignity. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review. Staff interviews revealed that management had not received reports from residents or staff about lack of dignity or rough handling by a staff member. Staff interviews revealed that the staff member named in the complaint was a per diem caregiver and had not had a shift at the facility since October 2023; this information was corroborated by staff schedules. Staff interviews further revealed that due to R1's gender preference, certain caregivers typically did not provide care to R1, which reduced the likelihood thatRead the full finding— CDSS inspection report, December 20, 2024 · control 08-AS-20241003111853

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Marketing Manager Maria Flores. On 6/12/2024 it was alleged that staff did not treat a resident with dignity and staff handled a resident in a rough manner. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review. Staff interviews did not corroborate the allegations. Five (5) of five staff members interviewed did not observe any staff member handle Resident 1 (R1) roughly or interact with R1 in a way that did not maintain their dignity. Staff interviews consistently revealed that R1 exhibited aggressive and manipulative behaviors toward staff, and was frequently resistant to being provided care. (Continued on LIC9099-C p.2) UnsubstantiatedRead the full finding— CDSS inspection report, December 20, 2024 · control 08-AS-20240612143814

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to initiate a complaint investigation and deliver findings regarding the above mentioned allegation. LPA introduced herself and disclosed the purpose of the visit to Marketing Manager Maria Flores and Manager Wendy Diaz. On 3/8/24 it was alleged that staff inappropriately touched resident 1 (R1). CCLD’s investigation involved an unannounced facility visit, review of facility and outside source records, interviews with facility staff, residents, outside sources, and LPA observations. Staff interviews did not corroborate the allegation, staff members interviewed consistently stated that they had never been informed of or observed any staff inappropriately touching a resident. Staff interviews revealed that R1 has had increased agitation and hallucinations about things that did not, or could not possibly have happened. Outside source interviews did not corroborate the allegation, outside sources informed no knRead the full finding— CDSS inspection report, March 14, 2024 · control 08-AS-20240308153356

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Marketing Manager Maria Flores. On 7/12/23 the following allegations were made against the Licensee regarding Resident 1 (R1): neglect resulting in resident being severely malnourished, neglect resulting in resident suffering dehydration, neglect resulting in resident sustaining multiple pressure injuries, neglect resulting in resident sustaining serious injury, staff did not observe change in condition. The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents, outside sources, and direct observations. (Continued on LIC9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, December 21, 2023 · control 08-AS-20230712162633

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver the finding in the above mention complaint allegations. LPA Domingo identified herself and discussed the purpose of the visit with Manager Wendy Diaz. During the investigation, LPA Domingo collected pertinent resident records as well as facility documentation and conducted interviews with staff, residents and outside sources. It was alleged that staff were using a belt to restrain a resident in a chair. LPA Domingo observed 4 Residents during meal time. Resident 1 (R1) through Resident 3 (R3) (See LIC811 Confidential Names list). Resident 1 (R1) was observed with a soft positioning foam. R1's medical record was reviewed and there was an order for the soft positioning foam to be used. Continue on LIC9099C UnsubstantiatedRead the full finding— CDSS inspection report, November 29, 2023 · control 08-AS-20231020145534

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced herself and disclosed the purpose of the visit to Maria Flores, Marketing Manager. On 7/11/23 it was alleged that facility staff's lack of supervision resulted in an injury to R1 (See LIC811 Confidential list of names) when they were pushed by another resident. The Department’s investigation consisted of two unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents, outside sources, and LPA direct observations. Staff interviews revealed that staff presence was higher during the timeframe of the complaint due to an event. Interview revealed that an internal investigation was conducted by management regarding the incident and no staff observed any physical altercations between any residents on the day in question. Interviews revealed that R1 identified two different residentRead the full finding— CDSS inspection report, July 21, 2023 · control 08-AS-20230711153142

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced complaint visit to the facility to deliver findings for the above allegations. LPA introduced herself and disclosed the purpose of the visit to Ryan Ament, Operations Assistant. On 10/14/2022 it was alleged that the facility staff chemically restrained a resident, had uncleared staff working at the facility, illegally evicted a resident, did not follow reporting requirements, and forged documents. The Department’s investigation consisted of 3 unannounced facility tours, review of facility and outside source records, interviews with facility staff and outside sources, and LPA direct observations. Regarding the first allegation, “Staff chemically restrained resident”, it was alleged that management instructed staff to give medication to a resident to induce their behaviors. Continued on LIC9099-C UnsubstantiatedRead the full finding— CDSS inspection report, April 20, 2023 · control 08-AS-20221014090428

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced complaint visit to the facility to deliver findings for the above allegations. LPA introduced herself and disclosed the purpose of the visit to Marketing Manager Maria Flores. On 10/20/2022 it was alleged that the facility was in disrepair and that the Licensee did not address a pest issue. The Department’s investigation consisted of unannounced facility tours, review of facility and outside source records, interviews with facility staff and outside sources, and LPA direct observations. Regarding the first allegation, direct observation by LPA as well as outside source records and interviews, showed that the facility was in the process of repairing an HVAC malfunction, as well as remodeling to upgrade the aesthetics of the facility. (Continue...) UnsubstantiatedRead the full finding— CDSS inspection report, February 1, 2023 · control 08-AS-20221020093638