Atria Park of Vintage Hills

Type of visit: Required - 1 Year

On 06/24/26 Licensing Program Analyst (LPA) Toni Nwala made an unannounced visit to the facility to conduct a 1 year required inspection. LPA met with Executive Director Mariano Hernandez, where LPA explained the purpose of the visit. The facility is licensed with an approved fire clearance to serve 81 non ambulatory and 62 bedridden. There is a delayed egress in Building A (Life Guidance/memory care). The facility has an approved hospice waiver for (21) The facility currently has zero (0) bedridden residents. During today's visit LPA verified facility contact information and will update accordingly. Below is a summary of observations made during today's inspection of Assisted living census: (66) and Memory Care, census (44). In Assisted living the building consists of an Ice cream parlor, Nurse's station, library, kitchen, multi purpose room, beauty salon, art and crafts room and laundry room. In memory care (building A), consists of three wings (Wisteria court, Magnolia court and Rose court). LPA observed for there to be a dining area, salon, laundry room, and a kitchen- serves beverages and warms the food that is prepared in the main kitchen. LPA conducted a tour of the interior and exterior areas of the facility. The facility was observed to be clean, clutter and odor free. The food supply was observed to be sufficient as there was a two day supply of perishable and a seven day supply of nonperishable food items. The facility does have a pool located on the independent living side/building. It is open to all residents for use however, it is secured and rarely used. The facility has operable smoke and carbon monoxide detectors. LPA observed for there to be (4) fire extinguishers on each floor, that were last inspected on May 2026. Emergency disaster drills are being conducted on a quarterly basis, last drill was conducted on May 2026. Life guide safety meetings are done monthly, last was meeting being held in June 2026. In assisted living the medications were observed to be locked inside a medication cart that is stored inside the medication room located on the second floor. The facility utilizes an electronic Medication Authorization Record System. The same applies for memory care, as LPA observed to be locked inside a cart inside the medication room. The hot water was tested measuring at 118. degrees Fahrenheit . LPA reviewed monthly hot water log. A file review was conducted and resident files were reviewed and were observed to have current resident assessments, and admission agreements. LPA reviewed random staff files and observed for the staff to have obtained criminal record clearance and to be associated to the facility. The staff files reviewed were observed to possess valid CPR certification, and training that is completed online and in person. Based on today's inspection no citations were issued. An exit interview was conducted and a copy of this report and emailed to Mariano Hernandez, Executive Director.the state’s words, verbatim · CDSS document, Jun 24, 2026

Allegation investigated: Staff did not safeguard Resident 1's personal belongings

On 04/23/2026, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility to investigate the allegation listed above. LPA met with Business Director (BS) Laura Sutterman and Resident Services Director (RSD) Karina Cortez who were informed of the purpose of the visit. LPA toured the facility with RSD Cortez, conducted interviews, and obtained copies of pertinent records. Regarding the allegation, "Staff did not safeguard Resident 1's personal belongings" it was alleged that an individual from an outside agency stole Resident 1's (R1's) antique dishes and social security card. LPA made multiple unsuccessful attempts to make contact with the reporting party for additional information. Unfounded LPA reviewed R1's medical assessment dated 04/06/2026, documenting R1 does not exhibit memory loss or disorientation, and has the capacity to manage, administer, and store their own medications. LPA also reviewed R1's admission agreement dated 04/06/2026 noting the resident is responsible for insuring and maintaining their own clothing, jewelry, and personal possessions. LPA reviewed a signed Client/Resident Personal Property and Valuables (LIC 621) dated 04/06/2026 and the "Description" column states, "Nothing to declare at this time" and reflects a signature of R1's responsible person. BD Sutterman was interviewed and reported R1 physically moved into the facility on 04/10/2026 and has not received any visits from an outside agency since their admission. RSD Cortez was also interviewed and reported the facility does not safeguard any of the residents personal belongings or cash resources. RSD Cortez reported R1 has not receive any services from home health, hospice, or any outside agency since being admitted to the facility. BD and RSD reported no such alleged incident has occurred in the facility. LPA conducted an interview with R1 who reported the incident occurred in their private residence prior to being admitted into the facility. R1 reported facility staff had no involvement with the incident and the facility does not safeguard any of their personal belongings. LPA conducted an interview with R1's responsible person who corroborated the information provided by R1. R1's responsible person reported they do not have any concerns with the care and supervision R! has received in the facility. This agency has investigated the complaint alleging "Staff did not safeguard Resident 1's personal belongings". 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. An exit interview was conducted, and a copy of this report and Confidential Names list (LIC 811) was reviewed and provided to BD Sutterman.the state’s words, verbatim · CDSS document, Apr 23, 2026 · control 18-AS-20260417154421

Allegation investigated: Facility failed to check on the safety of resident

**This report supersedes report dated 10/25/2025. The reason the report is being superseded is to correct the previous citation issued on 10/25/2025 from 87468.1(a)(2) to 87468.2(a)(4), all other findings remain the same.** Licensing Program Analyst (LPA) Christian Gutierrez faxed over a copy of of this corrected LIC 9099. Executive Director Quinn Hernandez was notified by telephone. SEE LIC 9099C Substantiated The investigation consisted of the following: During the initial visit conducted on 06/17/2022, LPA Chinwe Nwogene toured the facility, interviewed staff 1-staff 4 (S1-S4), reviewed resident files, and collected pertinent documents. On 10/25/2025 LPA Gutierrez interviewed Executive Director by telephone, S5 by telephone, attempted phone interview with S6 and S7 in person, and residents 2- residents 10 (R2-R10). LPA obtained copies of the following documents: staff roster, resident roster, R1’s physicians reports, monthly responsibility personal care rate document, functional needs/service plan, identification information (LIC 601), and face sheet. During today’s visit LPA delivered findings. In regard to the allegation” Facility failed to check on the safety of resident”, It is alleged that after three days of calling R1 with no answer family went to facility and found R1 on floor and had to tell staff for help. During interview with Executive Director, staff three (3) out of seven (7) stated that R1 required no level of care and was independent. Executive director stated that meal checks are the only way to check on residents for the day and that the meal checks have not being done properly in the past. S3 stated that R1 was marked as refused on 06/09/2002 and 06/10/2022 because he/she did not see R1 at mealtime and assumed R1 did not want to eat. S4 stated they were responsible for verifying and signing off the meal attendance report but had not been doing that. During interviews with residents nine (9) out of ten (10) stated that staff comes and checks on them. R2 stated it may take them awhile, but they come eventually. Despite more than one staff knowing that R1 missed meals for 2 days there is no evidence that staff went to check on R1. Based on record review and conducted interviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are being cited according to California Code of Regulations, Title 22 and Health and Safety Code. An exit interview was conducted, and a copy of this report was given to Crissy Panthe state’s words, verbatim · CDSS document, Dec 17, 2025 · control 18-AS-20220614104432

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.2(a)(4) · Plan of correction due date: Nov 8, 2025

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This deficiency is evidenced by the following:' R1 had not been seen for meals for three days and staff did not follow the policy of meal attendace and go check on resident resulting in R1 being found on the ground which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Dec 17, 2025

Plan of correction: Director will conduct in service training with staff on section 87468.2 (a)(4) and the meal attendace policy and send LPA signed staff sheet by POC due date.

Allegation investigated: Facility failed to check on the safety of resident

Licensing Program Analyst (LPA) Christian Gutierrez conducted a subsequent complain visit in regard to the allegations listed above. LPA met with Crissy Panganiban Engage Life Director and explained the purpose of the visit. Executive Director Quinn Hernandez was notified by telephone. The investigation consisted of the following: During the initial visit conducted on 06/17/2022, LPA Chinwe Nwogene toured the facility, interviewed staff 1-staff 4 (S1-S4), reviewed resident files, and collected pertinent documents. On 10/25/2025 LPA Gutierrez interviewed Executive Director by telephone, S5 by telephone, attempted phone interview with S6, S7 in person, and residents 2- residents 10 (R2-R10). LPA obtained copies of the following documents: staff roster, resident roster, R1’s physicians reports, monthly responsibility personal care rate document, functional needs/service plan, identification information (LIC 601), and face sheet. During today’s visit LPA delivered findings. SEE 9099C Substantiated In regard to the allegation” Facility failed to check on the safety of resident”, It is alleged that after three days of calling R1 with no answer family went to facility and found R1 on floor and had to tell staff for help. During interview with Executive Director, staff three (3) out of seven (7) stated that R1 required no level of care and was independent. Executive director stated that meal checks are the only way to check on residents for the day and that the meal checks have not being done properly in the past. S3 stated that R1 was marked as refused on 06/09/2002 and 06/10/2022 because he/she did not see R1 at mealtime and assumed R1 did not want to eat. S4 stated they were responsible for verifying and signing off the meal attendance report but had not been doing that. During interviews with residents nine (9) out of ten (10) stated that staff comes and checks on them. R2 stated it may take them awhile but they come eventually. Based on record review and conducted interviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are being cited according to California Code of Regulations, Title 22 and Health and Safety Code. An exit interview was conducted, and a copy of this report was given to Crissy Panganiban. In regard to the allegation “Resident was found on the floor in his room with feces and urine”, it is alleged that staff failed to check on R1 and was found by family covered in feces and urine on the floor. During interviews with Executive Director and staff three (3) out of seven (7) stated that they never observed feces or urine on R1. Three (3) staff did not see R1 at time of incident. During record review LPA did not obtain any document that could collaborate this allegation. During interviews with residents nine (9) out of ten (10) residents stated they have never been left in urine or feces, and staff helps them with their incontinence needs. Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegations. Although the allegations may have happened or are 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, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Oct 25, 2025 · control 18-AS-20220614104432

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(2) · Plan of correction due date: Oct 26, 2025

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: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This deficiency is evidenced by the following:' R1 had not been seen for meals for three days and staff did not follow the policy of meal attendace and go check on resident resulting in R1 being found on the ground.the state’s words, verbatim · CDSS document, Oct 25, 2025

Plan of correction: Director will conduct in service training with staff on section 87468.1(a)(2) and the meal attendace policy and send LPA signed staff sheet by POC due date.

Type of visit: Required - 1 Year

On 05/15/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct a 1 year required inspection. LPA met with Executive Director Mariano Hernandez, where LPA explained the purpose of the visit. The facility is licensed with an approved fire clearance to serve 81 non ambulatory and 62 bedridden. There is a delayed egress in Building A (Life Guidance/memory care). The facility has an approved hospice waiver for (21) with (19) residents currently receiving hospice services. The facility currently has zero (0) bedridden residents. During today's visit LPA verified facility contact information and will update accordingly. Below is a summary of observations made during today's inspection of Assisted living census: (73) and Memory Care, census (28). In Assisted living the building consists of an Ice cream parlor, Nurse's station, library, kitchen, multi purpose room, beauty salon, art and crafts room and laundry room. LPA observed for there to be a missing screen on the window inside the laundry room located on the second floor. There was no citation issued as it was put back on during LPAs visit. In memory care (building A), consists of three wings (Wisteria court, Magnolia court and Rose court). LPA observed for there to be a dining area, salon, laundry room, and a kitchen- serves beverages and warms the food that is prepared in the main kitchen. LPA conducted a tour of the interior and exterior areas of the facility. The facility was observed to be clean, clutter and odor free. The food supply was observed to be sufficient as there was a two day supply of perishable and a seven day supply of nonperishable food items. The facility does have a pool located on the independent living side/building. It is open to all residents for use however, it is rarely used. The facility elevators were recently inspected February 2025. The facility has operable smoke and carbon monoxide detectors. LPA observed for there to be (4) fire extinguishers on each floor, that were last inspected on 12/22/24. Emergency disaster drills are being conducted on a quarterly basis, last drill was conducted on 2/26/25. In assisted living the medications were observed to be locked inside a medication cart that is stored inside the medication room located on the second floor. The facility utilizes an electronic Medication Authorization Record System. The same applies for memory care, as LPA observed to be locked inside a cart inside the medication room. The pull cords were tested in random resident rooms and were found to be operable. The hot water was tested in assisted living measuring at 111-113 degrees Fahrenheit. In memory care the water was tested and ranged from 116-120 degrees Fahrenheit. A file review was conducted and resident files were reviewed and were observed to have current resident assessments, and admission agreements. LPA reviewed random staff files and observed for the staff to have obtained criminal record clearance and to be associated to the facility. The staff files reviewed were observed to possess valid CPR certification, and training that is completed online and in person. In addition the Executive Director Mariano was observed to possess a valid administrator's certification that expires on 12/09/25. During today's visit LPA gave a reminder of the amount for the facility annual fees, that are due on or before 06/30/25, and provided PIN 809985, should the licensee wish to pay electronically. Based on today's inspection no citations were issued. An exit interview was conducted and a copy of this report and the LIC811-confidential names list was reviewed and provided to Mariano "Quinn" Hernandez, Executive Director.the state’s words, verbatim · CDSS document, May 15, 2025

Allegation investigated: Staff are not addressing a change in resident's condition.

Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to deliver findings for the allegation listed above. LPA met with Mariano Hernandez, Executive Director and explained the purpose of the visit and the elements of the allegation. The allegation was investigated, and the investigation consisted of observations interviews and records review. On 03/05/25 Community Care Licensing received a complaint alleging that staff are not addressing a change in resident's condition. It was alleged that resident Resident #1 (R1) had change in condition due to allegedly having pain, challenges with toileting, and vomiting. LPA conducted a review of R1s resident notes that revealed R1 to have been sent out of the community on 01/19/25, and 02/17/25, due to having chest pain. LPA conducted interviews with Executive Director Mariano Hernandez which revealed that R1 has not had a change of condition, and that unless something happens R1 is not due for another assessment until October 2025. Administrator Hernandez shared that the facility has a Nurse Practitioner that makes on site visits on Mondays and as of today, on Thursdays. LPA conducted a records review of R1s Unfounded Resident notes, and there is nothing noted regarding the symptoms noted that are related to the alleged change of condition, there was some preexisting conditions. In addition LPA conducted a review of R1s prescriptions and Medication Authorization Record for February and March 2025 that revealed R1 was prescribed medications associated with other medically related diagnoses. LPA conducted an interview with R1 whom denied the allegation, as they stated they were great and they have not recently experienced what was reported. R1 stated that they receive care when they need it, and stated that they do not have a problem as they let their needs be known to the staff. Based on observation, interviews and records review the allegation of staff are not addressing a change in resident's condition is unfounded. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted and a copy of this report, LIC811-Confidential names list was reviewed and provided to Mariano Hernandez, Executive Director.the state’s words, verbatim · CDSS document, Mar 13, 2025 · control 18-AS-20250305081005

Type of visit: Required - 1 Year

On June 07, 2024, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Required Annual Inspection and met with the Administrator, Mariano Hernandez. The facility file review was conducted in the Regional Office and additional forms were reviewed and requested on site. The facility is licensed for 143 ambulatory residents and is currently serving about 120 residents. LPA Mixson toured the facility and inspected the facility inside and outside, and there were no obstructions to the indoor or outdoor passageways at the time of this visit. The facility is a three floored facility located at 41780 Butterfield Stage RD. Temecula, CA. 92592. Physical Plant: The facility phone number is(951) 506-5555. The LPA observed a sampling of the residents’ living units, and they were equipped with required furniture as per Title 22. LPA Mixson inspected a sampling of the facility restrooms, and the hot water temperature tested within regulations. The restrooms were clean, and appliances were operating appropriately currently at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. The LPA observed required postings such as "If you See Something, Say Something" the "Personal Rights" and the Ombudsman postings. There was a designated storage space for the residents and staff files, and it was locked and inaccessible to residents in care currently at the time of this visit. There was a pool and jacuzzi present which was fenced in meeting the height requirements, and has a key pad. Medications: were locked and inaccessible to residents in care and located in the "Nurse's Station." The overall facility is clean, the furniture is in good condition. The facility cooling system and other appliances were operable currently at the time of this visit, and there were safety lights throughout the building. Food Service: Non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents. Kitchen utensils were in sufficient supply and stored properly, and sharps are locked. Care & Supervision: Facility has sufficient staff on site at the time of this visit. Records Review: The LPA reviewed resident and staff files, conducted staff and resident interviews. Previous Community Care Licensing forms were reviewed. There were no Title 22, Division 6 Regulation violations observed or cited during today’s visit. An exit interview was conducted, and a copy of this report was given to the Administrator, Mariano Hernandez.the state’s words, verbatim · CDSS document, Jun 7, 2024