Serene Vista Board and Care

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Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Administrator Joel Trinidad arrived later. Facility contact information was reviewed. At approximately 9:30am LPA toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. Kitchen cabinet containing cleaning supplies was locked. Kitchen drawer with sharp knives locked. All bedrooms were equipped with lighting, night stand, and chest of drawers. LPA observed rooms #2 and #3 to have malodor of incontinence. LPA could not determine if the malodor in room #2 was from the carpet or the mattress. Licensee will have carpet cleaned or repaired/replaced in room #2, as carpet is also coming up from in door jam. Mattress in room #3 has strong smell of urine (deficiency cited, see 809D). Carpet in room #3 has less wear than carpet in room #2, so licensee will have it cleaned rather than repaired/replaced. Extra hygiene products and linens were available. Resident bathrooms had required bath mats and grab bars. Water temperature in sink accessible to residents in care measured at 116.1 degrees F in main bathroom, 112.9 degrees F in room #5, and 114.3 degrees F in room #1 which are all within the allowable range of 105 to 120 degrees F. Linoleum behind sink in room #5 is starting to come up so that it is lifting from the floor board. Licensee advised he will have it replaced rather than repaired. Continued on 809C... Continued from 809... Fire extinguishers were last inspected 2/12/25. Smoke/Carbon Monoxide detectors located throughout the facility were operational. Facility’s last quarterly disaster drills were conducted 6/15/25. Facility has a backup generator for use during a power outage. At approximately 10:00am LPA conducted a review of five [5] resident records. All required documentation present. At approximately 11:00am LPA conducted review of four [4] staff records. All required documentation present. At approximately 12:00pm LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. No deficiencies. Joel Trinidad Administrator Certificate 7006973740 expires 11/22/2026. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibility Liability Insurance Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrator and a copy of this report was given.the state’s words, verbatim · CDSS document, Aug 26, 2025

Allegation investigated: Staff did not provide resident's authorized representative with the correct refund

At approximately 12:00PM, Licensing Program Analyst (LPA) Christi Coppo arrived at this facility unannounced, to deliver findings on the above allegation. LPA met with caregiver. Licensee Joel Trinidad was not available to come to the facility. Licensee gave caregiver permission to sign report. Complaint alleges staff did not provide resident's authorized representative with the correct refund. During investigation, LPA reviewed resident's admission agreement. The rate at the facility was $6300 before facility's change of ownership. After the change of ownership, the resident was moved from a shared room to a single room and the rate increased from $6300 to $7300. A monthly rate of $7300 breaks down to $235.48 per day. The rate was to cover the time frame of the 15th of the month to the 15th of the next month, in this instance 10/15/24 to 11/15/24. Continued on 9099C... Unfounded Continued from 9099... The resident passed away on 10/21/24 and the resident’s personal effects, not including hospice equipment, were removed 10/22/24. So, the resident’s responsible party is responsible to pay a total of eight [8] days for the period covering 10/15/24 to 11/15/24 The daily rate was $235.48 so a total of $1883.84 is the amount due to the licensee to cover the time period of 10/15/24 to 10/22/24. The licensee was paid $7300 to cover the time period of 10/15/24-11/15/24. • $7300 divided by 31 is $235.48 • $7300 minus $1883.84 is $5416 So, the amount due to the resident's responsible party was $5416. However, during the resident’s final days of transition, the licensee charged the resident an increased supervision for care needs fee, as the resident now required increased supervision. This increased fee was in the amount of $1000. This fee was agreed to via verbal agreement that occurred via telephone between the licensee and the resident’s responsible party on 10/28/24, as acknowledged in evidence obtained. So the refund due to resident’s responsible party is $4416. The licensee refunded the resident’s responsible party $4475 on that same day, 10/28/24, the check was mailed to the resident’s responsible party's post office box. On Friday, November 1, 2024 the resident’s responsible party acknowledged, in writing, that they received the check from the licensee in the amount of $4475. Per Health and Safety Code 1569.652(c) a licensee has 15 days after the resident’s personal property is removed to issue a refund of any monies due. In this instance, the licensee refunded the monies due within 6 days. On 10/25/24 the resident contacted an outside consulting firm to advocate for a refund from the licensee. Per evidence obtained, resident asked licensee to cover half of the fee paid to an outside consulting agency in the amount of $350. However, there is no regulation within California’s Title 22 that requires licensees to pay for advocacy fees. CCL has investigated the complaint alleging staff did not provide resident's authorized representative with the correct refund. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.the state’s words, verbatim · CDSS document, Dec 5, 2024 · control 21-AS-20241108134608

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Christi Coppo arrived announced to conduct a pre-licensing inspection and was greeted by caregiver. Administrator Joel Trinidad arrived later At approximately 9:30am LPA toured the building and grounds. The facility was found to be clean and at a comfortable temperature. Facility has centralized air conditioning. Facility is a one story residence with four [4] single occupancy rooms and one [1] double occupancy room for a total of five bedrooms, three [3] full bathrooms, and one half bathroom, dining room, living room, and a large backyard. All resident rooms are furnished per regulation with a bed, lamp, dresser, chair and bedside table. Water temperatures read at 106.7 degrees F in the kitchen, 106.1 degrees F in the full bath in hallway, 112.9 degrees F in the half bath in room #4, 110.3 degrees F in the full bath in room #5, and 105.3 in the full bath in room #1 all of which are within regulation of 105 & 120 degrees F. Facility has sufficient items used for cooking and eating. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. Cleaning supplies are stored outside in a secured cabinet. Kitchen drawer with sharp knives locked. Facility has areas inside and outside for visiting and activities. Facility received an approved fire clearance dated May 23, 2024 that allows for up to six [6] ambulatory residents. Emergency exits paths identified on facility sketch clear and free from obstruction. Location of shut off valves present on facility sketch verified by LPA. Fire extinguishers were last inspected 05/23/2024. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility’s last quarterly disaster drills were conducted on 8/20/2024. LPA observed required posters for residents rights and required licensing posters. Joel Trinidad Administrator Certificate 7006973740 expires 11/22/2024. Comp III reviewed and exit interview conducted with Administrator and a copy of this report given. No deficiencies. LPA will submit facility's application for approval.the state’s words, verbatim · CDSS document, Sep 16, 2024