Ask: Hidden Valley Care Home

Type of visit: Required - 1 Year

On 11/05/2025 at 10:10 AM, Licensing Program Analysts (LPA) David Doidge arrived unannounced to conduct an Annual 1-year required inspection. LPA met with Caregiver Imelda Malleta and explained the purpose of the visit. Home Manager Monique Robinson was notified of visit by phone. LPA inspected the facility with Caregiver Imelda Malleta, including but not limited to the bathrooms, kitchen, common areas, and the outside area of the facility. LPA observed the facility to be free of odor, clean and in good repair. Outdoor space is provided and is free of hazards. A comfortable room temperature of 72 degrees Fahrenheit. The hot water temperature in the shared bathroom measured 115 degrees Fahrenheit. All observed toilets and hand washing stations are maintained in a safe, sanitary, operating condition. There are no bodies of water or fire safety hazards observed. Carbon monoxide and smoke fire alarms found to be in working order. Toxins and sharp objects were locked and inaccessible to participants. Fire extinguisher last services 12/16/2024. Fire drills are conducted once every other month, last 10/18/2025. First aid kit was checked and is complete. LPA reviewed four (4) staff files and five (4) resident files. All were current and complete. No deficiencies were cited during this inspection. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 5, 2025

Type of visit: Required - 1 Year

On 11/15/2024 at 11:00am, Licensing Program Analysts (LPAs) David Doidge and Lisha Holmes arrived unannounced to conduct an Annual 1-year required inspection. LPAs met with Home Manager Monique Robinson, and explained the reason for the visit. LPAs inspected the facility with Caregiver Imelda Malleta, which included but not limited to the bathrooms, kitchen, common areas, and the outside area of the facility. LPAs observed the facility to be free of odor, clean and in good repair. Outdoor space is provided and is free of hazards. There is a comfortable room temperature of 74 degrees Fahrenheit. The hot water temperature in the shared bathroom measured 117.5 degrees. All observed toilets and hand washing stations are maintained in a safe, sanitary, operating condition. There are no bodies of water or fire safety hazards observed. Carbon monoxide and smoke fire alarms found to be in working order. Toxins and sharp objects were locked and inaccessible to participants. Fire extinguisher last services 12/21/2023. Fire drills are conducted once every other month, last 09/15/2024. First aid kit was checked and is complete. LPAs reviewed four (4) staff files and six (6) resident files. All were current and complete. No deficiencies were cited during this inspection. Exit interview conducted and a copy of this report provided..the state’s words, verbatim · CDSS document, Nov 15, 2024

Type of visit: Case Management - Other

On 8/23/2024 at 9:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit. LPA met with caregiver, Imelda Malleta and explained the purpose for the visit. LPA spoke with assistant administrator, Monique Robinson over the phone regarding the reason for the visit and was informed that caregiver can sign the reports. On 4/30/2024, licensee was cited for staff (S1) not being fingerprint cleared during visit and had been working at the facility. LPA will be re-citing the licensee under the correct regulation code. Civil penalty of $500 is being assessed. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty, and appeal rights provided.the state’s words, verbatim · CDSS document, Aug 23, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(2) · Plan of correction due date: Aug 24, 2024

Criminal Record Clearance. All individuals subject to a criminal record review... Obtain a California clearance...as required by the Department... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by not having staff fingerprint cleared which poses an immediate health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Aug 23, 2024

Plan of correction: S1 has been fingerprint cleared and associated to the facility. Deficiency cleared. Civil penalty of $500 is being assess.

Allegation investigated: Staff did not meet resident's personal needs on the weekends

On 4/30/2024 at 10:15AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct complaint investigation and to deliver complaint findings for the allegation above. LPA met with Caregiver, Diosdado Savellano and explained the purpose of the visit. During the investigation, LPA interviewed 3 residents, staff, witness, and complainant. LPA reviewed and obtained documents including staff roster with phone numbers, physician's report, and care plan. Interview with residents and witness revealed there's usually 1-2 caregivers on the weekends and staff assist with ADL care. R3 stated that staff provides care and R3's needs are being met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore these allegation is UNSUBSTANTIATED. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 30, 2024 · control 15-AS-20230626095517

Type of visit: Case Management - Deficiencies

On 4/30/2024 at 12:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit. LPA met with Caregiver, Diosdado Savellano and explained the purpose for the visit. While LPA G. Luk was at the facility for a complaint investigation (#15-AS-20230626095517), the following deficiency was observed. After reviewing Guardian system, LPA G. Luk observed staff (S1) was not fingerprint cleared or associated to the facility. LPA spoke with House Manager, Monique Robinson over the phone and informed her that S1 cannot be at the facility until fingerprint clearance is completed. LPA observed S1 left the facility during visit. Civil penalty of $3,000 is being assessed. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty, and appeal rights provided.the state’s words, verbatim · CDSS document, Apr 30, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(1) · Plan of correction due date: May 1, 2024

Criminal Record Clearance. All individuals subject to a criminal record review... Obtain a California clearance...as required by the Department... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by not having staff fingerprint cleared which poses an immediate health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Apr 30, 2024

Plan of correction: S1 left the facility during visit. Facility has agreed to contact Guardian regarding S1's fingerprint clearance and submit communication to CCLD by POC date. Civil penalty of $3,000 is being assess.

Allegation investigated: Staff did not issue a refund to resident's authorized representative

On 12/12/2023 at 09:00 AM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to deliver the findings pertaining to the allegation above. Upon arrival, LPA stated the purpose of the visit to Caregiver Leonila "Dess" Savellano and spoke to House Manager Monique Robinson over the phone at approximately 9:20 AM. The complaint alleges that staff did not issue a refund to resident's authorized representative. Review of facility records and interviews of House Manager Monique Robinson and Licensee/Administrator Sabrina Crowder revealed that resident R1 was transferred by their authorized representative to another facility without a 30-day notice, so they do not qualify for a refund. Although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove it; therefore, the allegation is UNSUBSTANTIATED. Exit interview conducted and a copy of this report was provided via email. Unsubstantiated (...Continued from LIC9099-A) The complaint alleges that staff did not answer phone calls. On 11/03/2023 at 12:41 PM, The LPA called into the facility and his call was answered promptly. On 12/12/2023, phone interviews of Responsible Parties W3 and W6 about their experience of calling into the facility was that their calls were answered promptly. Although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove them; therefore, the allegations are UNSUBSTANTIATED. Exit interview conducted with the HM and a copy of this report was provided via email.the state’s words, verbatim · CDSS document, Dec 12, 2023 · control 15-AS-20231031133136

Type of visit: Required - 1 Year

On 11/30/2023 at 9:35 AM, Licensing Program Analyst (LPA) P. Watson arrived unannounced to conduct Required 1 Year Annual inspection. LPA met with House Manager, Monique Robinson and explained the purpose of the visit. The facility’s fire clearance was approved for 6 Non-Ambulatory, of which 1 may be Bedridden. LPA toured facility with Monique including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms which 6 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. Staff room is located on the second floor and is off limits to residents. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 73 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 120 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum 7 day supply of nonperishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguishers were last serviced on 11/23/2022 and observed to be fully charged. Extinguishers are scheduled to be serviced. Emergency disaster drill (Fire) was last conducted on 10/20/2023. First aid kit was observed to be complete. Report continues on 809 C At 9:50 AM, LPA reviewed 6 of 6 residents records. At 10:35 AM, LPA reviewed 6 staff records and 6 of 6 have current first aid training and associated to the facility. At 11:18 AM, LPA reviewed a sample of 6 of 6 resident’s medications. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 12/14/2023: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan (9 page version) Liability Insurance Current Administrator’s Certificate No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 30, 2023