Vista Del Sol Assisted Living and Memory Care

Allegation investigated: Licensee did not ensure that an appropriately skilled professional provided medical care to residents

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit with Cathly Balce Director of Nursing. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, and outside sources, and a review of records. On 9/08/26, it was alleged that the facility staff did not ensure that an appropriately skilled professional provided medical care to residents. The allegation was specific to residents who were receiving insulin injections [Continued on LIC9099C] Unsubstantiated [Continued from LIC9099] Staff interviews revealed that during all shifts in which residents require insulin administration, a Licensed Vocational Nurse (LVN) is on duty and is responsible for providing all insulin injections. Staff consistently stated that only licensed nursing personnel administer injections, and no unlicensed staff perform this task. The LPA reviewed resident records, medication administration records, and staff schedules, which confirmed that LVN'S are scheduled on all shifts when insulin dependent residents are present. LPA reviewed the staff records and verified that the staff on the schedule had valid vocational nursing licenses. Documentation further showed that insulin administration was completed by LVN'S, with no evidence indicating that unlicensed staff provided injections. Based on interviews and records reviewed, a preponderance of evidence does not exist to prove that the alleged violation occurred; therefore, the allegation is UNSUBSTANTIATED. An exit interview was conducted with Cathly Balce Director of Nursing, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Sep 14, 2026 · control 08-AS-20260908160239

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced Case Management - Incident visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Hunter Moore, Administrator, and Annelie Damasco, Nursing Director. Today's visit was in response to an LIC624 Incident Report, which the licensee self-reported to the CCLD San Diego Regional Office. According to the LIC624: on 8/6/26, Resident #1 (R1) was given a medication without a physician's order. No injuries reported. Facility reported incident to R1's responsible party, physician and CCLD. Staff involved in the incident were provided with retraining by the Licensed Vocational Nurse. During today’s visit, LPA, collected records, and interviewed staff. One (1) deficiency was cited per California Health and Safety Code (refer to the attached LIC 809-D). A Plan of Correction was jointly developed with the Administrator. An exit interview was conducted with the Administrator, to whom a copy of this report, the LIC809-D, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Aug 7, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 877645(a)(4) · Plan of correction due date: Aug 28, 2026

87465 Incidental Medical and Dental Care: “(a)(4) The licensee shall assist residents with self-administered medications as needed.” This requirement was not met, as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above as one (1) out of one hundred nine (109) residents received the incorrect medication, which posed a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Aug 7, 2026

Plan of correction: Licensee will be conducting an in-service training as a result of the medication error. Licensee will provide proof of the training with sign-in sheet and training topic by the POC date.

Type of visit: Annual/Random

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA Domingo was welcomed by, identified herself to, and discussed the purpose of the visit with Hunter Moore, Administrator. The facility serves 150 elderly residents, age 60 and above, all whom may be non-ambulatory. Approved for ten (10) may be bedridden. LPA, accompanied by licensee’s staff, 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 and screens, toilets, and showers were in working order. Extra linens and 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. Call box was available in each resident unit and were tested for functionality. Resident's room temperatures were within a comfortable range. The facility’s ambient internal temperature was 75 F. Hot water temperature at taps accessible to clients were all compliant: Kitchen sink was 120 F, Bathroom #1 sink was 120 F, and Bathroom #2 sink was 120 F. Refrigerator temperature was 38 F and freezer temperature was - 2 F. 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 sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas. [CONTINUED ON LIC 809C] [Continued from LIC809] No pools or bodies of water were observed on the premises. Per the licensee's staff, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. 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. LPAs interviewed multiple staff and clients. LPA reviewed multiple staff and client records/files. The interviews did not raise any significant licensing concerns. LPA observed that residents were being treated with dignity by staff, and there were sufficient staff on duty to meet resident’s needs. The reviewed files contained required documents. Confidential records were stored in locked areas. Licensee's staff also presented proof of current/active business liability insurance and surety bond. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Hunter Moore, Administrator to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Jul 27, 2026

Type of visit: Prelicensing

Licensing Program Analyst (LPA), Tiffany Holmes conducted an announced Pre-licensing inspection. An initial application to operate a Residential Care Facility for the Elderly was received on 11/03/2025. The facility was approved to care for one hundred fifty (150) bed ridden Elderly Residents. LPA was greeted and allowed entry into the facility by and met with Applicant, Brandon Cho. Structure- The facility is a four story structure with 113 bedrooms and 116 bathrooms. There is an outdoor covered area for resident use. No bodies of water were observed. Bedrooms Residents- All Rooms for Bed ridden use. Bedrooms Staff- none Bathrooms- All bathrooms have a working toilet, sink, grab bars and tub/showers with non-skid mats. Linens & Hygiene Supplies- Adequate supply. Emergency Phone Numbers, Exit Plan and Required Postings- Posted. Smoke Detectors and Carbon Monoxide Detectors- Interconnected and hardwired. Appliances- Stove burners, oven, microwave, washer, and dryer working. Toxins- Stored in a locked cabinet. Water Temperature- Measured between 111- 115.9 degrees F. Medications- Centrally stored and locked in a cabinet. First-Aid Kit- Stored in a locked cabinet in med rooms. Resident & Staff Files- Located in HR office in a cabinet. Activities- Adequate supplies to include exercising, painting, puzzles and games for resident's use. Fire clearance- Approved on 12/10/2025. Component III- Conducted at the Pre-Licensing visit. Information provided about how to operate the facility within substantial compliance. All items reviewed during the visit are in compliance. Pre-licensing is complete and this facility has no deficiencies. Facility appears to be ready for licensure pending final review. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Applicant, Cho signature below confirms receipt of these rights.the state’s words, verbatim · CDSS document, May 26, 2026