Canyon View Juniper Care Home

Allegation investigated: Facility is operating overcapacity

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conclude the complaint investigation and deliver findings on the above allegation. LPA met with staff, Alejoy Treyes and discussed the purpose of the visit. The investigation consisted of review of facility and other records, observations, and interviews with pertinent individuals. Regarding the allegation, facility is operating overcapacity, LPA conducted a tour of the facility, including the detached garage and storage shed. LPA observed that there were six (6) residents residing in the facility, which is within the total capacity. Interviews with five (5) staff and two (2) residents deny that more than six residents resided at the facility. Based on the Department's investigation, the allegation is Unsubstantiated. 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. Unsubstantiated An exit interview was conducted with where reports (LIC9099 & LIC9099-C) was discussed and a copy of this report was provided to staff Treyes at the conclusion of the visit. A finding that the complaint is Substantiated means that the allegation(s) is valid because the preponderance of the evidence standard has been met. An exit interview was conducted where reports (LIC9099, LIC9099-C&LIC9099-D) were discussed and provided with appeal rights to staff Treyes at the conclusion of the visit.the state’s words, verbatim · CDSS document, Apr 24, 2026 · control 56-AS-20260417094518

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87507(c) · Plan of correction due date: May 1, 2026

87507(c)Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative, if any, and the licensee or the licensee’s designated representative no later than seven days following admission...this requirement is not met as evidenced by: The licensee did not comply with the section cited above by not providing a written admission agreement to R1's authorized representative/POA to confirm consent for admission; which poses a potential health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 24, 2026

Plan of correction: The Administrator/Licensee has agreed to provide an admissions agreement to R1's authorized representative/POA and submit proof of submittal by POC due date.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Magda Malcore initiated a case management based on observations made during complaint investigation #56-AS-20260417094518. LPA met with Staff Alejoy Treyes and informed the purpose for the visit. LPA informed Administrator, Iren Creighton, the purpose for the visit via telephone. On 4/24/2026, LPA observed Resident #1 (R1) sleeping in a room with a bed and dresser, that did not have fire clearance as a designated bedroom. Staff stated that R1 was moved into the room today. Based on interviews and observations, a deficiency is being cited in accordance with Title 22 of the California Code of Regulations. An exit interview was conducted where this report and correction plans were discussed. A copy was provided with appeal rights to Staff Alejoy Treyes.the state’s words, verbatim · CDSS document, Apr 24, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a) · Plan of correction due date: Apr 25, 2026

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal...The requirement is not be as evidenced by: The licensee did not meet the regulation requirement by using a room as a resident bedroom without approved floor plan/fire clearance; this poses an immediate health, safety, and personal rights risks to persons in care.the state’s words, verbatim · CDSS document, Apr 24, 2026

Plan of correction: The Administrator/Licensee has agreed to move resident to an approved bedroom with fire clearance and provide proof of correction by POC due date.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Magda Malcore conducted an announced visit to conduct the Pre-licensing inspection. LPA met with Corporate Representative, Nitin "Nick" Vermani, and discussed the purpose of the visit. The application is for a Residential Care Facility for the Elderly (RCFE). A fire clearance was granted by San Bernardino County Fire Department for a total capacity of six (6) residents (four (4) residents may be non-ambulatory). LPA toured the interior and exterior areas of the facility. The following were inspected: Physical Plant: The physical plant is consistent with floor plan submitted by the facility. Indoor and outdoor passageways were kept free of obstructions. The facility has no swimming pools or similar bodies of water. No firearms are stored at the facility. The facility has hallway night lights, fire alarm/carbon monoxide alarms, fire extinguisher, laundry equipment and door signal system. The facility has bed linen and personal hygiene supplies. Resident bedrooms: Resident four (4) bedrooms were equipped with clean mattresses, pillows, nightstands, and lighting. Resident bathrooms: Resident three (3) bathrooms were equipped with grab bars, and non-skid materials. Food Service/Dining Areas: Kitchen and dining areas were kept clean and odor free. The refrigerator temperature was maintained at 40 degrees Fahrenheit and freezer was maintained at 0 degree F. Facility has sufficient food storage space. Medication: The facility has a location were medication will be centrally stored and kept locked. The facility has a complete first aid kit with manual. Activities: The facility has sufficient living room and indoor patio space for resident activities. Outdoor activity area is gated and has sufficient shaded space for residents. Postings: The facility has posted in the entry area, emergency exit plans, emergency telephone numbers, Community Care Licensing Complaint Division poster (CCLD), Resident Personal Rights, and Resident Council Rights. Comp III orientation was completed during today's inspection. The following Corrections needs to be made prior to licensing: Hot water temperatures in three (3) resident's bathroom did not attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C) . Hot water temperatures in bathrooms tested at 65 degrees Fahrenheit. Corporate Representative Nitin stated that the correction will be completed today, 10/30/2025. Corporate Representative Nitin was informed to send proof of correction to the Licensing Agency. An exit interview was conducted where this report was discussed and a copy of this report was provided to Corporate Representative Nitin the conclusion of the visit.the state’s words, verbatim · CDSS document, Oct 30, 2025

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Office

Component II completion: Successful Facility Type: Residential Care Facility for the Elderly (RCFE) Application Type: Initial Capacity: 6 Census (if any clients in care): none COMP II Participants: Nick Vermani, Applicant Marky Ramone Pascua, Administrator Interview Method:Virtual interview (Microsoft Teams) On October 22, 2025, Applicant and Administrator participated in COMP II. Identification of the Applicant and Administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Applicant and Administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant and Administrator’s understanding of following areas: 1. Facility Operation: License Type, Client/Resident Populations, and Program 2. Admission Policies 3. Staffing Requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General Provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing Readinessthe state’s words, verbatim · CDSS document, Oct 22, 2025