Marbella Visalia

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff is disclosing personal information regarding the residents Staff is not properly reporting incidents involving the residents

On 12/30/25 at 9:00 am Licensing Program Analyst (LPA) J. Leffall conducted an initial complaint visit to open and to deliver findings on above allegations. LPA met with Resident Care Director (RCD) Britney Polman. The Department conducted an interviews with facility staff. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued. Exit interview conducted. A copy of this report was distributed to Resident Care Director which confirms signature of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 30, 2025 · control 24-AS-20251217153636

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff are not keeping resident information/records confidential

On 12/02/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct complaint visit to deliver complaint findings on the above allegation. LPA introduced self, stated the purpose of the visit and met with Resident Care Director Brittney Polman. During the course of the investigation, facility was toured and interviews were conducted. Based on interviews conducted, residents’ information is provided to outside medi-cal assisted agencies programs for referral to verify if the resident meets the programs requirements prior to the resident applying for the medi-cal assisted programs without resident’s knowledge. Residents are unaware of the programs until the outside agencies meet with the residents after the referral has been accepted for the initial enrollment process. Therefore, the allegation alleging staff are not keeping resident information/records confidential, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANthe state’s words, verbatim · CDSS document, Dec 2, 2025 · control 24-AS-20251116222344

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not provide resident with a refund

On 11/24/2025, Licensing Program Analyst (LPA) Gorban arrived unannounced to conduct an initial complaint investigation. LPA introduce self, stated the purpose of the visit, and met with resident services director Brittney Pullman. During the course of the investigation, interviews were conducted, and records were reviewed. Interview and records reviews revealed R1 monthly service fees $1395.00. In Septemebr this year resident was notified of new monthly service fees for the same service will be $1100.00 which does not start until January 1st of 2026. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, report signed and a copy of this report was provided to resident services director Brittney Polman for facility records. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 24, 2025 · control 24-AS-20251107111324

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff are not providing adequate food service to residents in care.

On 10/13/25 at 9:30 am Licensing Program Analyst (LPA) J. Leffall conducted an initial complaint visit to open and to deliver findings on above allegations. LPA met with Administrator (A1) Mandy Rancour. The Department conducted an interviews with facility staff, reviewed facility records, and resident files food menu, food alternative menu and list of residents that contain food allergies.Per interview the facility is actively addressing and correcting concerns regarding issues and concerns residents have regarding the food during monthly food commitee meetings held every 10th day of the month. Persons attended are any residents who prefer to attend, the Administrator and Head Chef. LPA toured the kitchen and dining room areas. LPA observed the kitchen to be clean and food fresh and ready to serve. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No dethe state’s words, verbatim · CDSS document, Oct 13, 2025 · control 24-AS-20251007120512

Allegation investigated: Staff speaks inappropriately to resident

On 10/13/2025, Licensing Program Analyst (LPA) M Vega conducted an unannounced inspection at the facility and met with Administrator - Mandy Rancour. The purpose of the visit was to close a complaint investigation and deliver findings regarding the above allegation. It was alleged that the facility Staff speaks inappropriately to resident. (R1-R5 see attached confidential names list). Based on interviews and record review it has been determined that the facility does speak to residents in a respectful and appropriate manner and determined the allegation is unfounded. This agency has investigated the complaint alleging “Staff speaks inappropriately to resident .” We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened or is without a reasonable basis. We have found that the complaint was unfounded, therefore we have dismissed the complaint. Unfoundedthe state’s words, verbatim · CDSS document, Oct 13, 2025 · control 24-AS-20250808080935

Allegation investigated: Facility staff did not ensure to follow resident food restrictions. Facility staff are not providing adequate food service to residents.

On 10/02/2025, Licensing Program Analysts (LPAs) M. Medina and L. Salazar conducted an unannounced subsequent complaint visit. LPAs introduced themselves, stated purpose of visit and allowed entrance. LPAs met with Executive Director, Mandy Rancour. During the subsequent visit, LPAs conducted interview with Executive Director, toured kitchen, and obtained additional information. Based on LPA's observation and record review, there is not a preponderance of evidence to prove or disprove that the allegations occurred therefore the allegations are UNSUBSTANTIATED. No deficiencies issued during this complaint visit . Exit interview conducted. A copy of this report will be provided by email to Executive Director. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 2, 2025 · control 24-AS-20250619110641

Allegation investigated: Licensee did not refund resident's preadmission fee

Licensing Program Analyst (LPA) Shawna Doucette conducted an unannounced complaint visit and was granted entry by Resident Care Director Brittany Polman. LPA explained the purpose of the visit. Resident Care Director Brittany Polman contacted Administrator Mandy Rancour via telephone who gave permission for Resident Care Director Brittany Polman to assist with the visit. Based on interviews and records review, R1 left the facility on 7/3/25 and did not receive a refund within the contract agreement. Records review of admissions agreement states residents will receive refunds within 21 business days. Facility did not issue a check to R1 until 8/22/25. Based on interviews and records review, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. A deficiency is being cited on the attached 9099-D. A copy of this report with plans of corrections and appeal rights were provided. Substantiatedthe state’s words, verbatim · CDSS document, Sep 27, 2025 · control 24-AS-20250731084237

Allegation investigated: Staff are financially abusing residents Staff open resident's mail without resident's consent.

Licensing Program Analyst (LPA) Shawna Doucette conducted an unannounced complaint visit and was granted entry by Resident Care Director Brittany Polman. LPA explained the purpose of the visit. Resident Care Director Brittany Polman contacted Administrator Mandy Rancour via telephone who gave permission for Resident Care Director Brittany Polman to assist with the visit. LPA interviewed staff, residents and witnesses. LPA reviewed records. Based on interviews and records review, Facility staff cashed two checks that were delivered to the facility and were made out to R1. Both checks were depostied into the facility account. Based on interviews, S1 opened R1's mail that was addressed to R1 without permission. Substantiatedthe state’s words, verbatim · CDSS document, Sep 27, 2025 · control 24-AS-20250815082249

Allegation investigated: Staff are not allowing residents to have full access to the facility.

Licensing Program Analyst (LPA) Katie Brown arrived at the facility unannounced to conduct the initial complaint investigation visit. LPA met with and discussed the allegation with Administrator (AD) Mandy Rancour. Investigation findings were delivered during this visit to AD. During the visit, LPA toured the Assisted Living common areas of the community, including outdoors. LPA conducted staff and resident interviews as well as record review of facility documents. Copies were provided as requested. Upon arrival, residents were observed sitting in the lobby area. Multiple residents were interviewed with consistant reports that all common areas including the lobby and restrooms near the lobby are open to residents and visitors. LPA was able to access the restrooms multiple times during the visit. This Agency has investigated the allegation listed above. We have found that the allegation is UNFOUNDED, therefore we have dismissed the allegation. There were no citations issued. An exit intthe state’s words, verbatim · CDSS document, Aug 21, 2025 · control 24-AS-20250813164158

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility kitchen sink is in disrepair

Licensing Program Analyst (LPA) K. Kaur arrived at the facility for initial 10-day complaint inspection. LPA met with Executive Director Meshell (Shelley) Ramos and explained the purpose of the visit and reviewed the elements of the allegations. LPA delivered the following complaint investigation findings. The Department investigated the allegations listed above. Based on observations, interviews conducted with staff the facility kitchen sink disposable has not been operating for a month which causes sink to clog with water. The facility had a plumbing company came to assess the sink, but permanent repair/replacement has not been scheduled. The preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. See citations on the attached LIC9099D. Exit interview was conducted with Administrator and appeal rights were provided. Substantiatedthe state’s words, verbatim · CDSS document, Dec 5, 2024 · control 24-AS-20241202121948

Allegation investigated: Staff performed unsafe transfers resulting in resident sustaining injuries Staff spoke inappropriately to residents Staff handled residents in a rough manner Staff pinched resident

On this date, Licensing Program Analyst (LPA) K. Kaur arrived at the facility for a subsequent visit to deliver findings. LPA met with Administrator Katrina Sinift and explained the purpose of the visit and reviewed the elements of the allegations. LPA delivered the following complaint investigation findings. The Department conducted interviews and reviewed records. Based on the interviews conducted and records reviewed, the resident sustained multiple bruises and skin tears due to one-person assist instead of following the care plan of 2 person assist. Based on staff and resident interviews staff speak inappropriately to residents and handle the residents in a rough manner as well as threatening residents when they complain. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Citations are issued per Title 22 on the attached LIC9099D page. Citations regarding unsafe transfers was addressed during NCC meeting and cited onthe state’s words, verbatim · CDSS document, Aug 7, 2024 · control 24-AS-20240325154638

Allegation investigated: Staff allowed residents to be left in soiled clothing for extended period Staff are not addressing incontinence needs for residents in care Staff are not addressing residents healthcare needs Staff do not ensure residents room is kept free from mal odors Staff do not ensure residents catheter bag is emptied in a timely manner

On this date, Licensing Program Analyst (LPA) K. Kaur arrived at the facility for a subsequent visit to deliver findings. LPA met with Administrator Katrina Sinift and explained the purpose of the visit and reviewed the elements of the allegations. LPA delivered the following complaint investigation findings. The Department investigated the allegations listed above. Based on Staff interviews and record reviews (R1) had an Autoimmune disease that required clothing changes often due to body fluids. R1 was being seen by multiple doctors however no treatment was available. Records were reviewed that documented catheter care for R2. Based on records review and interview of staff, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore these allegations are unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 7, 2024 · control 24-AS-20240326095324

Allegation investigated: Resident sustained injuries due to lack of staff care and supervision. Facility is not adhering to resident's Admission Agreement. Staff are not adequately trained.

On this date, Licensing Program Analyst (LPA) K. Kaur, Licensing Program Manager (LPM) S. Moua, and Regional Manager (RM) B. White met with Katrina Sinift, Administrator and Gary Allinger Regional Director. The above allegations were discussed and findings were delivered. The Department conducted interviews and reviewed records. Based on the interviews conducted and records reviewed, the resident sustained multiple fractures after staff failed to abide by R1’s care plan and the resident fell. Based on interviews conducted, staff admitted to failing to abide by R1’s care plan and continues to conduct one-person assist. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. The issuance of additional civil penalties is pending and currently under review. The details of additional civil penalties will be outlined in a future report to the facility, if any. Citations are issued per Title 22 on the attached LIC 9099D. Appeal rightthe state’s words, verbatim · CDSS document, Jul 30, 2024 · control 24-AS-20240402101858

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not treat resident with dignity or respect

Licensing Program Analyst (LPA) K. Kaur arrived at the facility for a subsequent visit to deliver findings. LPA met with Michael Herrera, LVN and explained the purpose of the visit and reviewed the elements of the allegations. Administrator Katrina Sinift was not available. LPA delivered the following complaint investigation findings. The Department investigated the allegations listed above. No evidence was forthcoming to determine that Staff did not treat resident with dignity or respect. Based on records review and interview of staff, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore these allegations are unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 27, 2024 · control 24-AS-20240311112418

Allegation investigated: Staff did not ensure that resident could access call button Staff did not provide adequate food service to resident

Licensing Program Analyst (LPA) K. Kaur arrived at the facility for a subsequent visit to deliver findings. LPA met with Michael Herrera, LVN and explained the purpose of the visit and reviewed the elements of the allegations. Administrator Katrina Sinift was not available. LPA delivered the following complaint investigation findings. The Department investigated the allegations listed above. Based on interviews, record review and observations resident did have access to a call button and pendant. Based on residents’ physical capacity it is undetermined if resident could utilize either. Resident was provided meals in room with the assistance of staff. Resident was new the facility and hadn’t adjusted to the facility meal schedule. The above allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore these allegations are unsubstantiated. Unsubstantithe state’s words, verbatim · CDSS document, Jun 27, 2024 · control 24-AS-20240321081156

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.