Vaca Valley Living A Memory Care Community

We haven’t transcribed this report yet. The complete document is on the state’s site.

Allegation investigated: Staff does not ensure prompt communication with residents personal representatives is being provided Licensee does not ensure staff are in good mental health to perform assigned tasks Staff allow residents to be left in soiled clothing for extended periods of time due to neglect Staff do not ensure adequate wound care is provided to residents due to neglect

Licensing Program Analyst(LPA) Contreras arrived unannounced for the purpose of delivering complaint findings to the above allegations. During the course of the investigation, LPA conducted interviews, made observations and collected documents. Reporting Party( RP) alleges staff does not ensure prompt communication with residents personal representatives is being provided. Based on interviews, facility provides communication policy including packet with phone numbers for line of communication. In addition, when there is a resident change in care, it is communicated with the POA or family and communication is documented. Due to lack of information given by RP, there is no evidence to show facility is not ensuring prompt communication. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. continued onto 9099-C.... Unsubstantiated continued from 9099.... Allegation licensee does not ensure staff are in good mental health to assign tasks, based on LPA observation and interview, there was no indication or signs that staff are in poor mental health. Six out of six staff interviews and interactions expressed no personal distress or inability to manage tasks. Based on observation, all staff members were cooperative and fully oriented to their assigned duties. A file review of LIC503 Health Screening of active staff was completed and did not indicate any physical or mental restrictions to perform their assigned duties. In addition, there has been a total of five new hires in facility. Based on file review and observation, there is no indication that facility has staffing concerns. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Allegation, staff allow residents to be left in soiled clothing for extended periods of time due to neglect. Based on health and safety walk through conducted by LPA, LPA did not observe any residents in soiled clothing including odorous smells inside rooms and throughout the facility on separate facility visits. Based on interviews, five out of five staff stated resident room checks are conducted every two hours and bedding is changed daily. Based on resident interviews, four out of four residents stated that they did not have concerns with rooms or not being provided with proper hygiene care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Allegation staff do not ensure adequate wound care is being provided to residents due to neglect, based on file review and interview, wound care is being regularly conducted and is administered by Hospice not facility. Based on interview, wound care is followed based on Hospice care plan and facility conducts resident hospice checks every hour. LPA conducted a room check in all wound care residents and did not observe signs of wound care neglect. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies cited during today’s visit. Copy of report given and read with administrator.the state’s words, verbatim · CDSS document, Sep 15, 2026 · control 21-AS-20260619152811

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a required annual inspection visit and was greeted by Program Administrator (admin) Jaime Healer. Facility is a Residential Care Facility for the Elderly (RCFE) with currently forty (40) residents in care. Facility has a hospice waiver for twenty (20), and a fire clearance approved for 60 non-ambulatory of which 10 can be bedridden. Approved for delayed egress. LPA and admin toured the buildings and grounds. Facility found to be at a comfortable temperature. All passageways and emergency exits were free from obstruction. Activity room and courtyard accessible for resident use. Alarm systems throughout facility were functional. Fire extinguishers were observed charged and last serviced 12/5/2025. Facility's fire system is hardwired though fire department with last cleared inspection conducted on 10/09/25. Disaster drills are being conducted per regulations with last drill done on 12/18/2025. Four (4) residents' apartments were inspected and water temperatures in Residents' bathrooms and communal bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. Residents' bedrooms were inspected and observed to be clean with all the appropriate furnishings. Storage rooms containing cleaning supplies and other items that could pose a risk were locked. LPA and admin did a walk through of the facility kitchen and was observed refrigerators and freezers to be clean. Expiration dates were noted on all food items. LPA observed at least a 2- day supply of perishable and 7-day supply of non-perishable food. Emergency food and water were observed. Continued onto 809-C.... Continued from 809..... LPA reviewed seven (7) resident files and observed all physician reports and required paperwork to be up to date. LPA reviewed seven (7) staff files. All staff files reviewed have all of the required paperwork, proof of current First Aid and CPR training, and proof of all required training hours LPA reviewed medications and medication records which are maintained and stored in compliance with regulation. Facility does not handle residents P&I monies. Updated copies of the following documents are to be submitted to CCL within 30 days of this visit: LIC500 Personnel Report LIC308 Designation of Responsibility Liability Insurance No deficiencies given during today's visit. Copy of report given and read with Care Coordinator Jennifer Ramos.the state’s words, verbatim · CDSS document, Jan 15, 2026

Allegation investigated: -Staff do not ensure resident's room is cleaned. -Staff do not safeguard resident's personal belongings.

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a complaint investigation and delivered findings regarding the allegation listed above and met with Jamie Healer, Administrator. The first allegation is about staff do not ensure resident's room is cleaned. The Reporting party provided pictures of the cleanliness of resident’s (R1) room was below optimal. On 8/10/25 afternoon, R1’s room didn’t appear that it had been cleaned at all, food was observed all over the floor, old chucks left and in their bed with dirty mattress pads. Staff arrived to barely clean the room, but it was unclear why the room and wheelchair were observed dirty. Also, it didn’t appear like staff got R1 up from bed to feed them, so they were laying on old food and other residents’ belongings were observed in the room due to another resident (R2) going into R1’s room unwanted not welcomed. On 8/23/25, the reporting party smelled bleach and observed cleaning supplies in R1’s room, which was very different from every other time when they were there and not as urine smelled like it used to be and floor was clean. Also, R1’s door was not latching, which is supporting the probability of residents are able to get into another’s room uninvited. Continue on LIC9099C... Substantiated Continued from LIC9099... LPA conducted a 10-day visit on 08/22/25 and subsequent visit conducted by LPA Nakagawa on 9/18/25, LPA made observations while touring the facility including the common areas and residents’ rooms were clean and well-organized. However, based on records review, LPA observed at the facility visitor’s log confirmed the presence of reporting party at the facility on both dates. Although, the facility provided their cleaning schedule for residents’ rooms including R1’s room, which is scheduled to be clean on Mondays and Laundry schedule set on Tuesdays. Housekeeping log indicates daily cleaning of waste baskets, mop and sanitize floors, vacuum clean dining room floors, tables and chairs, breakroom and their bathrooms, clean bather/room. Based on confidential interviews with housekeeping staff (S1) confirmed that they have to cover two sections that Saturday 8/9/25 in the afternoon when they were asked by facility medication technician (S2) to go over there and clean a very messy room, S1 observed crumbs on the floor, pads were messy, individual present was demanding with profanity language towards the facility to go around windows against the wall, but S1 limited to vacuum and cleaned the bathroom the most they could do, S1 described as an awkward situation, where they felt animosity and S1 explained that it wasn’t their area and they were just trying to do their best at the moment. During interviews conducted with S2 it was confirmed that they had requested S1 to come and clean the room and bathroom because it was not clean. Also, the facility provided written communication between R1’s responsible party and them including a written statement requested by them to S1, where the above information was described and signed by S1, where the facility administrator requested a meeting to be conducted with housekeeping staff on 8/19/25 indicating that this is not acceptable. LPA conducted confidential interviews on 9/25/25 with an outside agency individual (I1), who corroborated that the last time that they were at the facility on 8/8/25, R1’s room was not fully clean due to R1 experiencing a respiratory illness, they observed used napkins and tissues on the floor, so they discarded them in the garbage can. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. Appeal Rights Given. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency (ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Continue on LIC9099C... Continued from LIC9099C... Regarding the allegation of staff do not safeguard resident's personal belongings. The Reporting Party provided pictures dated 8/9/25 showing their observations about resident’s (R1) personal items like their toothbrush were observed in their neighbors’ residents cup in bathroom, probably resulting in R1 using incorrect toothbrush. Also, other personal items were provided for care, and the staff were using plastic ties instead of hair ties provided. Also, half of R1’s clothing was missing, and other residents’ clothes were hanging in their closet. Based on interviews conducted with facility staff (S3), R1 moved out from the facility on 8/13/25, but there were some of R1’s belongings still present at the facility that has not been picked up by R1’s responsible party. Per S3, R1 did not have a documented property inventory on file, and they have confirmed that R2 has a history of wandering and attempting to go into other’s residents rooms including R1 due to their confusion with the similarity of all the rooms thinking that it is their own room, which S3 expressed that staff usually re-direct them to their room. Although there was no supporting evidence about missing clothing, LPA learned that on 8/09/25, R1’s responsible party noticed that R1’s dentures were missing and reported to staff. According to staff (S3), they acknowledged that R1’s dentures were missing when R1’s responsible party told them on 8/09/25, then the facility conducted a search to find out that an outside agency individual (I1) had placed the dentures in a blue container on 8/8/25, and R1 was removed from the facility on 8/13/25 with their dentures still missing. On 9/25/25, LPA conducted confidential interviews with I1, who confirmed that the last time that they observed the dentures was Friday, 8/8/25, then after the weekend they learned from the facility that the dentures went missing. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. Appeal Rights Given. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency (ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Continued from LIC9099A... LPA conducted interviews with kitchen staff who were unable to confirm or denied their acknowledgement of R1’s diet adjustment. Based on LPA’s record review and conflicting information gathered during interviews there is insufficient information to prove or disprove the above allegation regarding adequate meal service adjustment. A finding that the allegation of staff did not provide resident with adequate meal service is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Lastly, the department received an allegation of staff over medicated resident. According to Reporting Party, resident (R1) did not have a history of falls until they arrived at the facility and medication technicians including staff (S1) were sedating R1 without permission from R1’s responsible party several times in a shift with Ativan, leading to them falling more than five times in the first two weeks of them being there, where at least one fall resulted in a major injury, but when staff notified responsible party about the fall did not report nothing noticeably wrong with them. On 8/13/25 R1 was relocated to another facility, where it was discovered during a spot check of medications that Tranexamic Acid prescribed by R1’s neurosurgeon on 6/28/25 was never continued because the medication was never refilled by the facility until the day of them moving out when the facility disclosed having difficulty getting the medication, which it was confirmed during records review provided by the facility indicating that Tranexamic Acid 650mg was provided between 6/28/25 to 7/31/25, but from 8/1/25 through 8/12/25 medication not available prior authorization needed as a reason why the medication was not given as prescribed to R1; LPA will address incidental medical care deficiency on a case management inspection. Furthermore, the reporting party stated that back in July there was a follow up call with R1’s physician discussion regarding broken nose injury, where it was revealed that due to R1’s condition transportation and imaging procedures were not recommended. Based on records review, the facility provided written communication between R1’s responsible party and them including their response stating that staff who assessed R1 after the alleged major injury did not report that R1’s nose appeared broken to them, and they have notified outside agency, who told them that it didn’t appear broken either along with no pain reported from R1. Also, written statement from physician was provided to LPA indicating the following: “R1 was doing very poorly at memory care facility, they had fallen three times, and hit their face, R1 was very aggressive, hitting and kicking, not following instructions, so they were getting Ativan 0.5mg x2 in 8 hours, but then R1 was completely sedated…I reviewed photos from July 3, 2025, which showed a swollen nose and abrasions on face”. Continue on LIC9099C... Continued from LIC9099C... Based on interviews conducted with staff (S2) R1 had increasing aggressive behavior and was hitting staff. Although there were changes to other medications (Zypresa) which it was presumed to be making R1 more aggressive attempting to stabilize behaviors, records review and staff interviews show that no medication was given without a physician’s order that supported the dosage given. There was a prescription for Lorazepam – Ativan 0.5mg take one tablet by mouth every 4 hours for agitation. In the month of August 2025 medication was given according to physician’s prescription, this allegation is unsubstantiated. A finding that the complaint allegation of staff over medicated resident is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.the state’s words, verbatim · CDSS document, Oct 9, 2025 · control 21-AS-20250820123946

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Oct 17, 2025

Type B – 87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary & in good repair at all times…Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees & visitors ***This requirement was not met as evidence by: Based on LPA’s records review and interviews conducted with staff, the facility did not ensure to keep residents’ (R1) room clean, safe, sanitary and in good repair at all times which poses an immediate risk to the health and safety of residents in care.the state’s words, verbatim · CDSS document, Oct 9, 2025

Plan of correction: Administrator agrees to submit in-service training with staff addressing areas of concern to CCL by POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87217(b) · Plan of correction due date: Oct 17, 2025

Type B 87217 Safeguards for Resident…Personal Property (b) Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted to the licensee or facility staff… ***This requirement was not met as evidenced by: Based on LPAs record review, observation and interview the facility failed to safeguard R1's personal property (dentures) which poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Oct 9, 2025

Plan of correction: Administrator to ensure resident's personal property and valuables are secured according to Title 22 and facility's admission agreement. The administrator agrees to submit a written plan to ensure that this deficiency has been completed by POC due date.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Cuadra conducted a case management visit to cite deficiencies discovered during a complaint investigation and met with Administrator, Jamie Healer. LPA learned through records review that on 8/13/25 resident (R1) was relocated to another facility, where it was discovered during a spot check of medications that Tranexamic Acid prescribed by R1’s neurosurgeon on 6/28/25 was not continued because the medication was not refilled by the facility until the day of them moving out, then the facility disclosed having difficulty getting the medication, which it was confirmed during records review that the facility provided Tranexamic Acid 650mg, from 6/28/25 to 7/31/25, but dates from 8/1/25 through 8/12/25 medication was not available due to prior authorization needed as a reason why the medication was not given as prescribed. Although, on 8/8/25 at 2:06:01pm a fax was sent to R1’s primary physician requesting Tranexamic Acid 650 mg to be filled by neurosurgeon due to the prescription was needed to be filled because resident was out of medication and refill. A second fax was successfully received on 8/11/25 at 1:59:49pm from physician authorizing the medication with a written note indicating staff to pick up at Kaiser. However, R1 left the facility on 8/13/25 without their prescribed medication. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penaltiesthe state’s words, verbatim · CDSS document, Oct 9, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(c)(2) · Plan of correction due date: Oct 17, 2025

Type A - 87465 Incidental Medical and Dental Care (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication…, facility staff designated by the licensee shall be permitted to assist the resident with self-administration...(2) Once ordered by the physician the medication is given according to the physician's directions. This requirement has not been met as evidence by: Based on LPA’s records review and interviews conducted with Administrator did not ensure that R1 was assisted with their Tranexamic Acid medication as prescribed by their physician which poses an immediate risk to the health & safety of resident in care.the state’s words, verbatim · CDSS document, Oct 9, 2025

Plan of correction: The administrator agrees to send a written plan on how the facility will ensure that residents are assisted with their prescribed medications according to the physician’s directions. Written plan to be sent to CCL by POC due date to clear the deficiency.

Allegation investigated: Staff did not follow reporting protocol with responsible party

On September 26, 2025 Licensing Program Analyst (LPA) Nakagawa arrived unannounced to continue the investigation regarding the above allegation and to deliver findings. LPA met with Administrator Jamie Healer. The complaint alleges that Staff did not follow reporting protocol with responsible party regarding resident (R1). The reporting party stated that staff did inform the responsible party verbally about incidents occurring on 5/11/25 and 5/20/25 but did not provide a written incident report. LPA verified that incident reports were filed with CCL within 7 days of occurrence. (Continued on 9099-C) Substantiated (Continued from 9099) LPA conducted an interview with S1 who verified by email, that verbal notification was given to the responsible party but a written copy was not given due to the report including information of another resident. LPA notes that this confidential information could have been redacted and a copy of the Incident Report given to the responsible party of R1. Based on LPA's interviews conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 & Chapter 8). Continued from 9099-A Licensing Program Analyst (LPA) Nakagawa interviewed RP who stated they brought in cleaning supplies and cleaned the floor up as staff stated they were unable to clean the floor. LPA spoke with S1 who stated staff informed S1 of the issue and that staff did clean the area when it occurred on 5/11/2025. S1 reported the maintenance crew attended the area again on 5/12 /25 in the morning using the carpet cleaning machine. Photos submitted show clothing on the floor of the room but there is no indication of how long clothing was there and does not provide substantial evidence that the facility was not maintained to be sanitary. LPAs Nakagawa and Cuadra inspected the facility on 06/03/25, 8/22/25 and 9/18/2025 and found the facility clean and sanitary. LPA Nakagawa conducted interviews with 4 staff and 2 family and found that 6 out of 6 found the facility to be clean and sanitary. Based on interviews conducted and photos received the allegations that Staff did not maintain a facility sanitary and Staff did not provide resident housekeeping service are unsubstantiated. Although the allegations may have occurred there is not enough evidence to substantiate the allegations therefore the allegations are unsubstantiated. The complaint alleges that Staff do not follow resident’s care plan. The complainant states that staff did not follow R1’s care plan and that for three days, staff had R1’s personal care items locked away in a cabinet in the bathroom. RP stated that on 5/11/2025, they observed that R1 had worn socks for three days, hair was a mess, teeth were not brushed and R1 was not wearing their hearing aids. RP stated that R1 had worn socks for so long legs were swollen. RP stated that R1 had to wear compression socks to resolve the matter. RP stated that staff did not take off R1’s hearing aids at night per instructions in his care plan, resulting in R1’s hearing aids becoming lost underneath his bed. (Continued on 9099-C2) (Continued from 9099-C) LPA reviewed the ADL Care Sheet which states that R1 received a bed bath on 5/9 and 5/12 by hospice and 5/15, 5/19, 5/22 and 5/25 during the AM shift by either facility care staff or hospice care. It is documented that teeth were brushed in the AM and PM by care staff. Swelling of legs is mentioned on the Intake Sheet dated 5/8/2025 (the date R1 moved into the facility) and on the Shower Sheet on 5/9/2025. Hospice attended R1 regularly and did not mention any signs or symptoms of pain or swelling until 5/15/2025 when Ted Hose were prescribed to manage the swelling. LPA’s review of care plan shows that care staff were to remove hearing aids each night. Responsible party stated that hearing aids were found under the bed on three occasions. LPA conducted interviews with care staff regarding hearing aid care. 4 of 4 staff verified that hearing aid care and maintenance is regularly conducted during AM and PM care and it is documented in the MAR. Based on LPA’s interviews conducted and record review the allegation is unsubstantiated. Although the allegation may have occurred there is not a preponderance of evidence to substantiate the allegation therefore the allegation that Staff did not follow resident’s care plan is unsubstantiated. Report reviewed with Administrator.the state’s words, verbatim · CDSS document, Sep 26, 2025 · control 21-AS-20250528093528

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Sep 26, 2025

87211(a)Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident....(D)Any incident......of any resident., This requirement has not been met as evidenced by: Based on statement of S1staff did not provide a written Incident Report to Responsible Party. This posed a potential risk to the health, safety or personal rights to persons in care.the state’s words, verbatim · CDSS document, Sep 26, 2025

Plan of correction: Administrator has provided a redacted copy of requested Incident Reports to responsible party of R1 and to CCL by 9/19/2025.

Type of visit: Required - 1 Year

On 12/20/2024, Licensing Program Analyst (LPA) Jill Nakagawa, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrative Assistant Nicole Oppold and explained the purpose of the visit. LPA and Administrative Assistant toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, and common restrooms. LPA observed the facility to be clean, in good repair and odor-free. Each bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels, trash can with lids. LPA observed each bedroom to have the necessary furnishings with working lights and windows with screens. Facility has a 2-day perishable and a 7-day non-perishable amount of food and sharps to be locked. Hot water temperature was measured within the required range. LPA observed several fire extinguishers, fire detectors, and carbon monoxide detectors throughout out the facility. LPA observed the first aid kit to be complete and ready for use. Staff had a safety meeting on 12/19/2024 reviewing emergency procedures. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA reviewed a total of five (5) residents' files and five (5) staff files which contained all the required documentation. Several topics were discussed. No deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Dec 20, 2024

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct a case management inspection to confirm that staff S1 has been removed from the facility. LPA met with Administrator,Jamie Healer who confirmed that S1 was terminated and was removed from the facility since 08/21/2023. Based on the information obtained during today's visit, the LPA has verified the individual is not present, employed, or residing at the facility. Administrator understands that staff S1 received an Exclusion and has since disassociated the individual from their roster. Administrator provided an updated LIC500. Verification of removal complete.the state’s words, verbatim · CDSS document, Sep 24, 2024

Allegation investigated: Facility staff speak inappropriately to residents

On 08/26/2024, Licensing Program Analyst (LPA) Nakagawa arrived unannounced for the purpose of delivering findings of a complaint investigation and was greeted by NIcole Oppold, Administrative Assistant . LPA interviewed staff, reviewed records and made observations. Complaint alleges “Facility staff speak inappropriately to residents”. LPA interviewed 6 staff and discovered that 2 of 6 staff had witnessed other staff yelling or being rude to residents. Interviews with 4 residents found that 2 of the 4 residents had witnessed staff either yelling, being rude or disrespectful to residents in care. Continued on 9099-C Substantiated Continued from 9099.... The allegation a personal rights violation is found to be SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided.the state’s words, verbatim · CDSS document, Aug 26, 2024 · control 21-AS-20240626094424

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468(a)(1) · Plan of correction due date: Aug 26, 2024

87468.1 Personal Rights of Residents in All Facilities (a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidence by:** Based on interviews with multiple staff and residents on 07/03/2024, review of records, staff had inappropriately responded to residents. This is an immediate personal rights risk to residents in care. Licensee failed to ensure client personal rights were protected.the state’s words, verbatim · CDSS document, Aug 26, 2024

Plan of correction: Licensee to submit plans for staff training of regulation CCR 87468 by 08/27/2024. Plans to include date, materials to be used. Proof of training to be submitted to CCL by 08/05/2024, including staff sign-in sheet

Type of visit: Required - 1 Year

On 01/24/2024, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Jamie Healer and explained the purpose of the visit. LPA Boyles and Administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, and common restrooms. LPA observed the facility to be clean, in good repair and odor-free. Each bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels, trash can with lids and 20-second hand-washing poster. LPA observed each bedroom to have the necessary furnishings with working lights and windows with screens. Facility has a 2-day perishable and a 7-day non-perishable amount of food and sharps to be locked. Hot water temperature was measured within the required range. LPA observed several fire extinguishers, fire detectors, and carbon monoxide detectors throughout out the facility. LPA observed the first aid kit to be complete and ready for use. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA reviewed a total of eight (8) residents' files and four (4) staff files which contained all the required documentation. Several topics were discussed. No deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Jan 24, 2024

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Farhaan Sarangi arrived unannounced at Vaca Valley Living A Memory Care Community for the purpose conducting a Case Management-Incident Inspection. LPA was greeted by Care Coordinator, Jennifer Ramos, and was granted access into the facility. During this Case Management-Incident inspection, LPA followed-up with an incident that was forwarded to the Regional Office on October 10, 2023. LPA interviewed the Care Coordinator and the resident. LPA toured the facility and found the facility to be clean, at a comfortable temperature with all exits free from obstruction. LPA observed residents engaging in activities during the Case Management-Incident Inspection. LPA toured Resident #1's room and found the room to be substantial compliance. LPA observed a lower bedframe to assist the resident when the resident is getting up. No deficiencies were observed or cited during today's Case Management-Incident inspection. Exit interview was conducted and a copy of this report was given to the Care Coordinator, Jennifer Ramos.the state’s words, verbatim · CDSS document, Nov 28, 2023