Canyon View Country Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) E. Conchas conducted an unannounced visit to the facility for an annual inspection. LPA met with administrator Iren Creighton. LPA toured the facility inside and out with the administrator. The facility has no bodies of water. LPA was informed that the facility currently has one (1) resident in hospice. LPA was informed that the facility has a dementia care plan in place. The facility has a charged fire extinguisher, operating smoke alarms, and carbon monoxide detectors. Outdoor and indoor passageways were kept free of obstruction. The outside of the facility did not have a shaded area with seating. A technical was issued. Cleaning supplies, medications, and sharps were kept locked and inaccessible to the residents. Cleaning supplies were stored in the laundry rooms. LPA observed that centrally stored medications were kept in a safe and locked place. Sharps were stored in the kitchen. LPA toured the kitchen. Food was stored in a safe and healthful manner. The facility had a menu available for review. LPA observed that the facility had a two (2) day supply of perishable food items and seven (7) day supply of nonperishable food items. LPA observed a activities calendar not updated. A technical was issued. LPA toured a the resident rooms. The resident bedrooms had the required furniture and functional lighting. LPA observed grab bars and nonskid mats in the bathrooms. LPA measured the hot water temperature throughout the facility and observed it was above 125 degrees F. A warning sign was posted. A technical was issued. The facility had a supply of additional linen and extra hygiene items for the residents. LPA also observed emergency supplies. The facility had a complete first aid kit and the last disaster drill was conducted on August 1, 2025. Continue LIC 809-C. LPA reviewed staff and resident files. Staff files were reviewed. Staff 1 was missing a TB clearance. A deficiency was cited. Administrator did not have current completed training copies on file, a technical was issued. Other required documentation including first aid/CPR certification was completed. Resident files were reviewed. Including an admission's agreement which was not updated a technical was issued. Annual physician's reports was not updated A technical was issued. LPA reviewed medications. Medications appeared to be dispensed appropriately according to the physician's orders. During the visit. LPA requested the following documents and were updated for the facility: Certificate of Liability Insurance, Personnel Report, RCFE Administrator's Certificate. A deficiency and technicalities were cited during this visit. An exit interview was conducted where this report was discussed and provided to the administrator Iren Creighton.the state’s words, verbatim · CDSS document, Jan 8, 2026

The state marks this report as 11 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Staff refused to accept resident back to the facility. Staff retaliating against resident.

On 7/14/2025 at 12:10PM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegations. LPA Serrano met with Administrator Iren Creighton to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staff and resident as well as facility observation. Allegation #1: Staff refused to accept resident back to the facility. – Based on phone interview with resident #1(R1), R1 stated that R1 was never refused to come back to the facility. In fact, R1 returned to the facility from the hospital. Staff #1 (S1) also denied the allegation. Based on information received, LPA was unable to corroborate the allegation. Allegation #2: Staff retaliating against resident. - Based on phone interview with R1, R1 denied that the facility was retaliating against R1 because of the facility's refusal to take R1 to the hospital right away. R1 stated it is "simply not true". S1 also denied the allegation. Based on information received during the investigation, LPA was unable to corroborate the allegation. *** Continuation in LIC9099C *** Unsubstantiated During the investigation, LPA did not find evidence to corroborate the allegations. Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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 at this time. An exit interview was conducted where this report, LIC9099 was discussed and provided to Administrator Iren Creighton.the state’s words, verbatim · CDSS document, Jul 14, 2025 · control 56-AS-20241125144900

Allegation investigated: Staff consume liquor while on shift Staff do not have fingerprint clearance Staff lock facility doors to prevent residents from leaving Staff insert suppositories to residents in care Staff did not complete required trainings Staff facility records are falsified Staff did not maintain resident records Residents are not provided proper food service Staff did not ensure resident’s diapering needs were met

Licensing Program Analyst (LPA) Becky Mann conducted an unannounced visit to the facility to initiate a complaint investigation. LPA met with Iren Creighton, Administrator and explained the purpose of the visit. The investigation consisted of LPA pertinent record reviews, observations and interviews with staff and residents. First allegation, staff consume liquor while on shift. LPA conducted a walk through of the facility. LPA inspected kitchen cabinets, and appliances, and liquor was not observed during the inspection. LPA interviewed four (4) residents. Two (2) residents denied witnessing staff consuming liquor while providing care. Two (2) other residents were unable to answer due to cognitive impairment. LPA interviewed three (3) staff, all staff denied consuming or storing liquor at the facility. Staff has not witnessed another staff consume liquor while providing care to residents. Unsubstantiated Second allegation, staff do not have fingerprint clearance. LPA retrieved a facility roster via Guardian Background System and observed that Staff #1 (S1), Staff #2 (S2) and Staff #3 (S3) that are currently working at the facility were eligibly cleared. LPA conducted a file review for Staff 1-3 and discovered that all clearance records were on file. Third allegation, staff lock facility doors to prevent residents from leaving. LPA conducted a walk through of the facility and inspected resident's bedrooms and doorknobs. LPA observed that no latches and/or child proof locks were in place. LPA conducted an inspection on all doors and emergency exits and observed that no latches and/or child proof locks were in place. Two (2) residents interviewed deny being locked or prevented from leaving the facility. Two (2) other residents interviewed were unable to answer due to cognitive impairment. Three (3) staff interviewed denied locking and/or preventing residents from leaving the facility. Fourth allegation, staff insert suppositories to residents in care. Three (3) staff interviewed denied utilizing or inserting suppositories to residents. Two (2) residents interviewed denied staff inserting suppositories for the residents. Two (2) other residents interviewed were unable to answer due to cognitive impairment. Staff #2 (S2) mentioned that Resident #1 (R1) does use suppository. The nurse from Brookside Hospice comes to the facility to assist R1 with the suppository. Fifth allegation, staff did not complete required trainings. LPA conducted staff file reviews and observed that training was completed. LPA observed certificates of completion to be on file for staff. Sixth allegation, staff facility records are falsified. LPA conducted a First Aid & CPR verification through National CPR Foundation and New Life CPR, these agencies are used by the facility to certify staff. Staff 1-3 are certified for First Aid & CPR certification. Seventh allegation, staff did not maintain resident records. LPA conducted a file review for three (3) residents and observed that all required documentation were on file based on Title 22 Residential Care Facility for Elderly (RCFE). Eight allegation, residents are not provided proper food service. LPA conducted an inspection on facilities food supply and observed that the facility has adequate amount of food supply to meet resident needs. LPA observed that all food including canned goods sustained current shelf life. Two (2) residents interviewed stated that the food is good and has no concerns. Two (2) other residents interviewed were unable to answer due to cognitive impairment. Ninth allegation, staff did not ensure resident’s diapering needs were met. Three (3) staff interviewed stated that they do ensure that resident's diapering needs are being met. Resident #2 (R2) stated that they do not use diapers. Resident #3 (R3) stated that staff does ensure that their diapering needs are met. Two (2) other residents interviewed were unable to answer due to cognitive impairment. Based on LPA observations, residents diapering needs are being met, the residents are kept clean and free of odors. Based on evidence obtained during this investigation, the allegations above are 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. An exit interview was conducted where this report was discussed and a copy of this report was provided to Iren Creighton at the conclusion of the visit. Staff #1 (S1) and Staff #2 (S2) stated that they do provide adequate medication assistance to residents. LPA conducted file reviews of residents Medication Administration Record (MAR) and observed that all medication is being distributed and managed correctly by staff. The allegation that staff refuse to call an ambulance for residents in care. Two (2) residents interviewed stated that staff has not refused to call ambulance for residents. Two (2) other residents interviewed were unable to answer due to cognitive impairment. Three (3) staff interviewed stated denied refusing to call an ambulance for residents in care. The allegation that staff threatened residents in care. Two (2) residents interviewed stated that staff has not threatened residents .Two (2) other residents interviewed were unable to answer due to cognitive impairment. Three (3) staff interviewed stated denied threatening residents in care. The allegation that staff did not ensure sufficient food items were available at the facility for residents in care. LPA conducted an inspection on facility's food supply and observed that there is an adequate amount of food supply to meet resident needs. Two (2) residents interviewed stated that the food provided is fulfilling and have no issues with the food. Two (2) other residents interviewed were unable to answer due to cognitive impairment. The allegation that staff did not prevent residents from engaging in inappropriate interactions. Two (2) residents interviewed stated that they have not engaged in inappropriate interactions and have not witnessed inappropriate interactions at the facility. Two (2) other residents interviewed were unable to answer due to cognitive impairment. Three (3) staff interviewed stated that they do prevent residents from engaging in inappropriate interactions. The allegation that staff yelled at residents in care. Two (2) residents interviewed stated that staff has not yell at residents in care or witnessed it at the facility. Two (2) other residents interviewed were unable to answer due to cognitive impairment. Three (3) staff interviewed stated deny yelling at residents in care and have not witnessed a staff yelling at a resident in care. The allegation that staff did not assist residents that sustained falls. Two (2) residents interviewed stated that staff does assist residents with transfers and are very involved and deny witnessing residents sustain falls and not being assisted by staff. Two (2) other residents interviewed were unable to answer due to cognitive impairment. Three (3) staff interviewed stated that they do assist residents in care. The allegation that centrally stored medications are accessible to residents in care. LPA conducted a walk through of the facility and observed that the medications are locked and secured in the kitchen cabinets. During the inspection, staff opened the cabinets with a magnet and demonstrated that medication cabinets remain locked and inaccessible to residents in care. Based on evidence obtained during this investigation, the allegations above are 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. An exit interview was conducted where this report was discussed and a copy of this report was provided to Iren Creighton at the conclusion of the visit. The allegation that staff are not following reporting requirements. LPA conducted interviews with staff who informed LPA that Special Incident Reports (SIR) are faxed to Community Care Licensing Division (CCLD) when pertaining to any incident involving residents in care. The allegation that staff left residents unattended. Two (2) residents interviewed denied being left alone and/or unattended at the facility. Two (2) other residents interviewed were unable to answer due to cognitive impairment. Three (3) staff interviewed denied leaving residents unattended or unsupervised. Based on evidence obtained during this investigation, the allegations above are 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. An exit interview was conducted where this report was discussed and a copy of this report was provided to Iren Creighton at the conclusion of the visitthe state’s words, verbatim · CDSS document, Jul 11, 2025 · control 56-AS-20241120130951

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bernadette Allen made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Iren Creighton, Administrator, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (6) and a current census of (6) residents in care. The facility has a hospice waiver for (6) residents. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant: The facility has sufficient lighting and is maintained at a comfortable temperature. Resident’s bathrooms were operating in safe and sanitary conditions. The hot water temperature in residents' bathrooms measured 105 to 120 degrees F. Resident’s bedrooms have sufficient lighting and furniture appeared to be in good repair. Facility has operating carbon monoxide detectors, and telephone service. The facility has sufficient linen, towels, and personal hygiene items for residents. The facility has posted in a common area, Community Care Licensing complaint poster, Ombudsman poster, resident's personal rights, disaster evacuation plan and emergency telephone numbers. The Indoor and outdoor passageways are free of obstruction. The facility has no bodies of water accessible to residents in care. Outdoor backyard is sufficient for resident activities and is enclosed with self-latching gates Care & Supervision: Facility has (24) hour/(7) days a week care staff. Staff working have criminal record clearances or exemptions through the Department. Food Service: Facility has sufficient non-perishable and perishable food supply for residents in care. Sharps, pesticides and other cleaning solutions were kept locked and stored away from food areas. Record Review: LPA requested staff files and Irene stated no staff files were available for review during the inspection. Irene stated that the files were at another facility to be copied and would be delivered to Canyon View Country Home during todays. Irene was informed that staff and residents files are required to remain at the facility at all times with all required information/training certificates. A Technical Advisory has been issued due to the unavailability of a complete set of staff files when LPA requested them. Irene had the files delivered to the facility about 30 minutes into the inspection process. The administrator has committed to maintaining comprehensive files for both staff and residents at all times. Irene Creighton was provided with the LIC9242 checklist during the inspection to ensure all required documents are properly filed Medical Related Services: The facility has a complete first aid kit. Resident's medication are centrally stored and kept in a locked cabinet and (2) two residents MARS/files was audited and it appears that their medications are being dispensed as prescribed by their physician. An exit interview was conducted where this report was discussed and provided to Irene Creighton- Administrator at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jan 15, 2025

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Iren Creighton, Administrator, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (6) and a current census of (6) residents in care. The facility has a hospice waiver for (6) residents. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant: Indoor and outdoor passageways are free of obstruction. The facility has no bodies of water accessible to residents in care. Outdoor backyard is sufficient for resident activities and is enclosed with self-latching gates. The facility has sufficient lighting and is maintained at a comfortable temperature. Resident’s bathrooms were operating in safe and sanitary conditions. The hot water temperature in residents' bathrooms measured 105 to 106 degrees F. Resident’s bedrooms have sufficient lighting and furniture in good repair. Facility has operating carbon monoxide alarms, signal systems and telephone service. The facility has sufficient linen, towels, and personal hygiene items for residents. The facility has posted in a common area, Community Care Licensing complaint poster, Ombudsman poster, resident's personal rights, disaster evacuation plan and emergency telephone numbers. Care & Supervision: Facility has (24) hour/(7) days a week care staff. Staff working have criminal record clearances or exemptions through the Department. Food Service: Facility has sufficient non-perishable and perishable food supply for residents in care. Sharps, pesticides and other cleaning solutions were kept locked and stored away from food areas. Record Review: Staff files reviewed at random were observed to be complete. Resident files reviewed at random were observed to be complete. Administrator’s certification expires on 10/29/24. Medical Related Services: The facility has a complete first aid kit. Resident's medication is centrally stored and kept in a locked cabinet. Based on observations and record review, no deficiencies were cited during today’s visit. An exit interview was conducted where the Licensing reports were discussed and copies were provided to the Administrator at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jan 19, 2024

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.