Valle Verde

Licensing Program Analyst (LPA) Brian Phillips conducted an unannounced subsequent complaint visit to issue final findings on the allegations above. LPA met with Christina Burton, Infection Preventionist, as well as Jeremiah Hovsepian Bearce, Director of Health Services, and explained the purpose of the visit. On the allegation: Staff do not provide medication assistance to residents in care. It is alleged that Staff members have given wrong medications to residents in care. The allegation states four incidents have occurred between 9/6/22 through 9/22/22 in which multiple residents in different rooms were given incorrect medications. On 09/27/2022, LPA interviewed staff members and residents in the facility. No staff member nor resident confirmed the allegation. Staff interviewed stated they had not observed any resident being given incorrect medications. LPA did not observe any evidence of the allegation while at the facility. Continued on 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, August 10, 2023 · control 29-AS-20220922112716

Licensing Program Analyst (LPA) Brian Phillips conducted an unannounced 10-day complaint visit and met with Andy Sheen-Turner, Director of Dining Services. LPA explained the purpose of the visit. LPA requested documents pertaining to the investigation and conducted observations of the pertinant areas of the facility. On the allegation: Facility does not serve food of good quality. It was alleged that the meat is dry, burnt, and vegetables are sometimes of poor quality. The reporting party indicated that the quality of food is too salty. Reporting party also indicated an unwillingness to receive custom food orders accommodated by the facility. LPA observed the dining room areas in separate sections of the facility and found the food items on the menu to be of good quality while served to residents. LPA toured the kitchen and observed the food supply. All foods observed were of good quality. There was no indication of any expired/stale food items and all food items were stored properly aRead the full finding— CDSS inspection report, May 12, 2023 · control 29-AS-20230509113301

Licensing Program Analysts (LPAs) Olson and Phillips conducted an unannounced subsequent complaint visit to issue final findings on the allegation above. LPAs met with Adam Kopras, Assisted Living Manager, Jeremiah Hovsepian Bearce, Director of Health Services, and Andy Sheen-Turner, Director of Dining Services and explained the purpose of the visit. On the allegation: Facility does not serve food of good quality. It was alleged that the meat was tough and “low quality”, custom orders (such as holding sauce) are not available, and vegetables are sometimes of poor quality and salty. The reporting party indicated that the quality of food has decreased from how it used to be. LPA Olson interviewed residents and staff on 1/10/2023 from 4:45pm to 7:10pm and observed the dinner meal service. During the dinner service, LPA took photographs of the food served to the residents and interviewed 27 residents about the food. Continued on 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, March 7, 2023 · control 29-AS-20230105144728

Licensing Program Analysts (LPAs) Olson and Kontilis conducted an unannounced subsequent complaint visit to issue final findings on the allegation above. LPAs met with Suzie Ponce, Administrator and explained the purpose of the visit. On the allegation: Staff do not provide adequate food service. It was alleged that the vegetables are old and that food was not cooked properly. It was also alleged that some of the meat and vegetables were “tough” and difficult to chew, and that the food was too salty for residents’ tastes and for residents on a low-salt diet. On 3/22/2022, LPA Kontilis interviewed Executive Director and Director of Dining Services. LPA toured the kitchen and observed the kitchen was clean and sanitary. LPA observed an adequate amount of food and the food appeared to be of good quality. Continued on 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, September 27, 2022 · control 29-AS-20220315115521

Licensing Program Analysts (LPAs) Olson and Kontilis conducted an unannounced subsequent complaint visit to issue final findings on the allegation above. LPAs met with Suzie Ponce, Administrator and explained the purpose of the visit. It was alleged the facility serves food that is high in sodium, such as Reuben sandwiches, BBQ shrimp, grits and soup. On 3/22/2022, LPA Kontilis interviewed Executive Director and Director of Dining Services. LPA toured the kitchen and observed the kitchen was clean and sanitary. LPA observed an adequate amount of food and the food appeared to be of good quality. Director of Dining Services stated they have changed their food ordering system and vendors. On 6/24/2022, LPA Olson interviewed Dining Room Manager, who stated they offer a low sodium soup every day, and any items on the menu can be made with lower salt. Continued on 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, September 27, 2022 · control 29-AS-20220617165147

Licensing Program Analysts (LPAs) Olson, Cortez, and Kontilis conducted an unannounced subsequent complaint visit to issue final findings on the above allegation. LPAs met with Administrator Susie Ponce and explained the purpose of the visit. LPAs arrived at the facility at 11:15 am. During the investigation, LPA Kontilis reviewed an incident report and other facility documents, and interviewed resident’s responsible party and staff. Resident 1 (R1) lived at the facility since 2009, originally in Independent Living, then in Assisted Living, and then in Memory Care since January 2019. LPA Kontilis reviewed an incident report submitted on 6/25/2021 for an incident that occurred on 6/20/2021. The incident report states on 6/20/2021 at approximately 1:00 pm, R1 exited the memory care unit. R1’s WanderGuard bracelet activated the emergency system at 1:03 pm. The resident continued walking through the campus and fell. Please continue to 9099-C, Pg 2. SubstantiatedRead the full finding— CDSS inspection report, September 20, 2022 · control 29-AS-20210623155841

Licensing Program Analyst (LPA) Olson conducted an unannounced initial 10-Day complaint visit to the facility above at 12:20 PM. LPA met with Jeremiah Hovsepian Bearce, Director of Health Services and explained the purpose of the visit. Administrator Susie Ponce and Melissa Honig, Executive Director were not available at the time of the visit. LPA conducted a tour of the facility from 1:20 pm to 2:20 pm with Jeremiah Hovsepian Bearce, Director of Health Services and Stephen Freine, Building and Gounds Director. On the allegation that the facility is without First Aid kits in designated areas of the facility, at 1:35 pm, 1:39 pm, and 1:45 pm, LPA observed First Aid kit signage indicating First Aid kits were available in the cabinets in East Laundry Room, #33 (1:35 pm), Rose-Garden Clubhouse #35 (1:39 pm), and The North Gazebo Clubhouse, #36 (1:45 pm) yet no first Aid kids were present. LPA informed Building and Grounds Director and Director of Health Services that there were no First AiRead the full finding— CDSS inspection report, June 24, 2022 · control 29-AS-20220617165147

Licensing Program Analyst (LPA) Olson conducted subsequent visit to deliver final findings. LPA met with Jeremiah Hovsepian Bearce, Director of Health Services and explained the purpose of the visit. Licensing Program Analysts (LPA) Toan Luong and Darlene Chavez conducted initial visit on 4/19/2021 and met with Administrator Susan Ponce. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19) and to implement mitigation measures, the complaint investigation was conducted virtually. LPAs conducted interviews with the administrator and requested documents pertinent to the investigation. LPA Luong conducted interviews with staff, residents, and witnesses on 5/7/21, 5/11/21, 5/13/21, 8/23/21, 8/27/21, 8/31/21, and on 11/05/21. LPA Luong reviewed facility documents. R1 was scheduled to move to assisted living from independent living on 3/23/2020. The resident and resident’s responsible parties would be responsible for the relocation of the resident. Continued on 9099-C UnsuRead the full finding— CDSS inspection report, June 10, 2022 · control 29-AS-20210416110128

Licensing Program Analyst (LPA) Toan Luong made an unannounced initial 10-Day complaint visit. LPA arrived at the facility at 9:01 am and announced the purpose of the visit. During the visit, LPA conducted a Safety and Welfare tour of the facility. From 9:55 AM – 12:45 PM, LPA Luong conducted in-person interviews and obtained copies of documents pertaining to the investigation. LPA Kristin Kontilis conducted telephone interviews and participated in the investigation. On 6/20/2021, Resident 1’s (R1’s) eyeglasses and wristwatch went missing after R1 sustained a fall in the Independent Living area of the facility. 9-1-1 was called, R1 was transported to the hospital and subsequently admitted into the skilled nursing unit of the facility. Documents reviewed revealed that R1 has limited vision and requires eyeglasses. On 6/30/2021, R1’s Responsible Party was informed that a replacement wristwatch was available after a change of battery. On 7/2/2021, facility staff assisted R1 to a local venRead the full finding— CDSS inspection report, July 9, 2021 · control 29-AS-20210629102735