Estancia Del Sol

Type of visit: Case Management - Incident

On 7/13/2026, Licensing Program Analyst (LPA) Mary Rico conducted an unannounced case management visit. LPA Rico met with Administrator Mike Marion and explained the purpose of the visit. On 7/2/2026 Community Care Licensing received an Incident Report and SOC341 regarding R1 and R2. On today's visit, LPA conducted staff interview, resident interviews and obtain documents.LPA advised that at this time incident requires further investigation. Possible follow-up telephone calls and/or visits are necessary. An exit interview was conducted, and a copy of this report was provided to Administrator Mike Marion.the state’s words, verbatim · CDSS document, Jul 13, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Lisa Hunt and was granted entry to the facility. Licensed capacity is (135) current census (118). LPA was accompanied by Administrator Lisa Hunt to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated office for residents/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care .Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week.Record Review: LPA reviewed (10) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (10) resident medications and (5) hospice files. LPA also reviewed (10) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Lisa Hunt.the state’s words, verbatim · CDSS document, Sep 11, 2025

Allegation investigated: Staff are not properly cleaning and sanitizing dishes and utensils. Staff do not follow hand hygiene procedures. Staff do not treat residents with dignity and respect.

Licensing Program Analysts (LPAs) Mary Rico and Antionette Davis conducted unannounced visit to deliver findings for the allegations listed above. LPA met Administrator Lisa Hunt and explained the purpose of the visit. The investigation consisted of resident interviews, staff interviews, facility tour and document review. For the allegation, Staff are not properly cleaning and sanitizing dishes and utensils. During staff interviews, 6 out of the 6 staff stated they will properly clean and sanitize the dishes and utensils. During resident interviews 7 out the 8 residents stated the staff provide clean dishes and utensils. During facility tour, LPA observed clean dishes and utensils. Unsubstantiated For the allegation, Staff do not follow hand hygiene procedures. During staff interviews 6 out of the 6 staff stated they follow all hygiene procedure. During record review, LPA verify the facility staff have been properly train for hygiene procedure. During facility tour, LPA observed staff using proper hygiene procedures. For the allegation, Staff do not treat residents with dignity and respect. During staff interviews 6 out of the 6 staff stated they treat their resident with dignity and respect. During resident interviews 7 out of the 8 clients stated they are treated with respect and dignity. Based on the evidence found during the investigation, the three (3) allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Lisa Hunt.the state’s words, verbatim · CDSS document, May 19, 2025 · control 56-AS-20240304151408

Allegation investigated: Facility staff did not dispense medication as prescribed resulting in hospitalization.

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to deliver findings for the allegation listed above.LPA met Administrator Lisa Hunt and explained the purpose of the visit. The investigation consisted of resident interviews, staff interviews, facility document review, and medical document review. For the allegation, Facility staff did not dispense medication as prescribed resulting in hospitalization. Resident #1 (R1) suffered a stroke due to inaccurate medication dosage. The investigation was conducted by Community Care Licesning Investigation Branch.Interviews with the staff and document review revealed that Resident R1 has been on a medication, which requires a monthly dosage adjustment based on R1’s blood work results. It was revealed that on 6/28/2023 Staff S1 received a phone call from a medical provider staff to verbally inform S1 of an adjusted dosage amount for R1’s medication. During the shift change, S1 verbally informed Staff S2 of R1’s medication dosage adjustment. Unsubstantiated The facility staff failed to observe R1’s change of condition when they were in R1’s bedroom completing the resident check between 8:30 AM and 8:45 AM. Based on the evidence discovered during the investigation, the allegation listed above is deemed SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because of the preponderance of evidence the standard has been met. During today’s visit, one (1) deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) and LIC9099D were discussed and provided to Administrator Lisa Hunt, along with a copy of the appeal rights. On 6/28/2023, S2 administered R1’s medication incorrectly. R1’s medication was supposed to be lowered to half of the normal dosage, but instead S2 increased R1’s dosage three (3) times the prescribed amount. Thirty-six (36) hours later R1 suffered a stroke and was transported to receive medical care. Based upon investigation, medication documentation did not substantiate that R1 stroke was due to the inaccurate medication dosage. The allegation listed above is deemed 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. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to Administrator Lisa Hunt.the state’s words, verbatim · CDSS document, Apr 23, 2025 · control 56-AS-20231107145012

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.2(a)(8) · Plan of correction due date: Apr 24, 2025

87468.2(a) Additional Personal Rights of Residents in Privately Operated Facilities (a). the rights listed..Personal Rights.. residents in privately operated residential care facilities.. elderly..following personal rights:(8) To be free from neglect.. involuntary seclusion,.. This requirement is not met as evidenced based on interview and document review, the licensee did not comply with the section cited above evidenced by failing to observe a change in condition for R1 which poses an immediate health, safety, or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 23, 2025

Plan of correction: The licensee has agreed to conduct a resident change in condition training that includes resident check procedures with the staff and send LPA proof of attendance. POC due date 4/24/2025

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced case management visit. LPA Rico arrived at the facility to deliver findings on the compliant control 56-AS-20231107145012. LPA met with Administrator Lisa Hunt and granted entry to the facility. During the investigation, Community Care Licensing Department discovered that on 6/28/2023, S2 administered R1’s medication incorrectly. R1’s medication was supposed to be lowered to half of the normal dosage, but instead S2 increased R1’s dosage three (3) times the prescribed amount. Facility staff (2) admitted they committed a medication by providing R1 more medication that what was prescribed. Due to R1 medication error, the facility will be issue a deficiency. During today’s visit, one (1) Type A deficiencies to the facility were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report, LIC809, LIC809D, Appeal Rights were discussed and provided to Administrator Lisa Hunt.the state’s words, verbatim · CDSS document, Apr 23, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(c)(2) · Plan of correction due date: Apr 23, 2025

87465(c)Incidental Medical and Dental Care …facility staff designated by the licensee shall be permitted to assist the resident with self-administration… (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Based on interview and document review, the licensee did not comply with the section cited above evidenced by S2 providing R1 the wrong medication dosage which poses an immediate health, safety, or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 23, 2025

Plan of correction: Licensee/Administrator stated they re-train staff on medication management. Proof of training shall be submitted to the Licensing Agency by POC due date. POC due date 4/23/2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Lisa Hunt and was granted entry to the facility. Licensed capacity is (135) current census (119). LPA was accompanied by Administrator Lisa Hunt to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated office for client/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care .Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (6) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (6) resident medications and (6) hospice files. LPA also reviewed (6) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Lisa Hunt.the state’s words, verbatim · CDSS document, Nov 8, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Lisa Hunt and was granted entry to the facility. The facility is a Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of one-hundred thirty-five (135) non-ambulatory residents, one-hundred thirty-five (135) residents may be bedridden. The current census is one-hundred twenty-five (125) residents. LPA was accompanied by Administrator to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to interior and exterior passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperature in the bathrooms to be at 114.6 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Postings such as the facility license, personal rights, the CCL complaint poster, labor laws, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. Medications are kept inside the medication rooms inaccessible to the residents. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for the residents in care. During kitchen tour, LPA found a tray of Jello uncovered in the refrigerator. The facility will be issued a type B deficiency for not covering the Jello in the refrigerator. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed eight (8) residents files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed eight (8) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. Medications/MARs records were audited and appeared to be dispensed and logged appropriately. Based on the observations made during today’s visit, one (1) deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) and LIC809D were discussed and provided to Administrator Lisa Hunt, along with a copy of the appeal rights.the state’s words, verbatim · CDSS document, Nov 13, 2023

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to conduct a Health and Safety check at the facility. The Health and Safety check was completed at same time as the annual inspection. LPA met with Administrator Lisa Hunt and explained the reason for the visit. The Health and Safety check included overall observation of the facility inside and outside, including food supply, medications, physical plant, and residents in care. During kitchen tour, LPA found a tray of Jello uncovered in the refrigerator. The facility was issued a type B deficiency on the LIC809 annual inspection for not covering the Jello in the refrigerator. Based on the observations made during today’s visit, one (1) deficiency was cited on the annual inspection per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report was discussed, and a copy of this report was provided to Administrator Lisa Hunt at the conclusion of the visit.the state’s words, verbatim · CDSS document, Nov 13, 2023