Fairview Living

Allegation investigated: Facility staff did not safeguard residents belongings.

Licensing Program Analyst (LPA) LaVette Farlow conducted an unannounced visit to the facility to investigation a complaint of the of above mentioned allegation. LPA met with House Manager Guadalupe Leon who provided a tour of facility and called the Administrator Ahmad Abdallatef and informed him of the reason for today's visit. The investigation consisted of interviews with staff, residents, and review of records. The allegation is facility staff did not safeguard residents belongings. LPA interviewed 5 out of 5 staff and it was revealed that R1 has a lot of belongings and the staff does have R1 guitar secured in the garage. Interviews with staff revealed R1 came to the facility to pick up items via uber. Interviews with S1, S2, and S4 revealed that staff completed approximately four (4) delivery of R1 belongings. S1, S2, S3, and S4, stated that R1 has numerous extension cords, and was not aware of any cords missing. S2, and S4 stated they personally handed R1 an extension cord or place one in his drawer prior to R1's move. Interview with S1, S2, and S4 revealed that R1 moved to another facility that they manage in Riverside name Winterwood. Unsubstantiated LPA interviewed 4 out of 4 residents in care. 4 out of 4 stated they do not have any issues with staff safeguarding their belongings. 4 out of 4 residents revealed they do not have any issues with staff storing their belongings or having access to their belongings. LPA observed the guitar in the facility and S2 stated we were not aware of him not having it or wanting the guitar. S2 phoned S4 and made arrangement for S4 to deliver the guitar to R1 at his facility Winterwood. Based on the findings the allegation is UNSUBSTANTIATED. Based on the information above, the allegations is unsubstantiated. A finding of UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted where this report LIC 9099 and LIC 9099C was discussed and a copy was provided to the Administrator Ahmad Abdallatef.the state’s words, verbatim · CDSS document, Mar 16, 2026 · control 56-AS-20260309151036

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Paola Guerrero made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Facility Administrator Ahmad Abdallatef and was granted entry to the facility. At the time of the visit there was two (2) staff present, five (5) residents present and five residents were attending Day Program. The facility is a five (5) bedroom, three (3), bathroom home, with a kitchen/dining area, living room, with an attached garage. The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (10) current census (10). LPA was accompanied by Facility 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 indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident’s 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 temperatures in the bathrooms to be 110 degrees F The facility is equipped with operating smoke detectors and carbon monoxide alarms. 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 storage space for resident/staff files. Medications are kept inside staff kitchen cabinet inaccessible to residents in care. 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. LPA observed Emergency Food supply to be kept in garage. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed five (5) resident files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed two (2) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff members. Fire and disaster drills are completed every quarter last drill completed was on 9/2025. LPA observed Liability insurance to be current with an expiration date of 6/25/26. 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 Facility Administrator Ahmad Abdallatef.the state’s words, verbatim · CDSS document, Dec 9, 2025

Allegation investigated: Unqualified staff members are allowed to provide care and supervision to residents in care

On September 3, 2025, at approximately 8:15 AM, Licensing Program Analyst (LPA) LaVette Farlow conducted an unannounced visit to the facility to deliver findings on the above-mentioned allegations. LPA was greeted and granted entry into the facility by R1. LPA requested to speak with staff and R1 stated staff is coming. R1 contacted Licensee, Yusef Nofal. Licensee informed LPA Farlow that the Administrator will be arriving soon. LPA Farlow informed Yousef the reason for the visit . The investigation consisted of interviews with staff, residents, and review of records. The allegation is Unqualified staff members are allowed to provide care and supervision to residents in care. LPA Farlow was greeted and granted in the facility by R1. LPA Farlow was informed by R1 and Licensee that staff was not present and on their way to the facility. LPA did not observe any staff at the time of the visit. Substantiated LPA Farlow observed R1 washing dishes. Interviews with staff and residents revealed that staff is not present from approximately 7:30 AM to 8:30 AM. Interviews also revealed that R1 is acting in a staff role by prepare meals, cleaning up, doing laundry, and dispensing medication. Based on interviews and observations, the allegation is substantiated. Based on observations, interviews, and records review, the allegations are SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegations are valid because the preponderance of the evidence standard has been met. During today’s visit, a deficiency was cited and an exit interview was conducted, and this report LIC9099, LIC9099C, LIC9099D and appeal rights were discussed and provided to Adminsitrator, Ahmad Abdallatef.the state’s words, verbatim · CDSS document, Sep 3, 2025 · control 56-AS-20250826085701

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(1) · Plan of correction due date: Sep 3, 2025

87355(e)(1) Criminal Record Clearance (e) All individuals subject to a criminal record... volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement is not met as evidenced by: Based on observation, interview and record review, the administrator did not comply with the section cited above in requesting a criminal record clearance for (R1) which poses an immediate health, safety and personnal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 3, 2025

Plan of correction: Administrator stated that he will hiring more staff and remove (R1) from participating in capacity of a staff and submit signed Statement of Understanding on CCR 87355(e)(1) to LPA by POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87412(a) · Plan of correction due date: Sep 10, 2025

87412(a) Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Based on observation, interview, and record review, the Administrator did not comply with the section cited above by not ensuring personnel records and endangering 9 out of 9 residents which poses a potential health, safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 3, 2025

Plan of correction: Administrator stated that he will be updating and completing the staff's records by POC due date. Administrator stated that he will submit signed Statement of Understanding on CCR 87412(a) to LPA by POC due date.

Allegation investigated: Staffs at the facility are not treating resident with dignity and respect. Staffs not providing healthful living accommodation to resident in care.

Licensing Program Analyst (LPA) LaVette Farlow conducted a unannounced visit to the facility to conclude the investigation and deliver the findings on the of above-mentioned allegations. LPA Farlow met with Direct Support Professional, Guadalupe Leon who was informed of the reason for today's visit. LPA Farlow spoke to Licensee Yusef Nofal via phone and informed him of the purpose of the visit. Later during the visit Licensee Yusef arrived to the facility. The investigation consisted of interviews with staff, residents and review of records. Allegation 1: Staff at the facility are not treating resident with dignity and respect. LPA Farlow interviewed three (3) out of three (3) staff. All three (3) staff stated they are not aware of neither have they seen any staff not treat residents in care with dignity or respect. LPA interviewed six (6) residents in care. LPA’s interviews revealed that (5) out of (6) residents stated staff treat them with dignity and respect. Residents R2, R3, R4, R5, and R6 stated they have not seen any staff mistreat residents in care or not treat them with dignity and respect. Unsubstantiated R1 stated staff are mean, but the night staff is nice. Based on LPA Farlow's interviews with staff and residents in care there was not enough evidences to substantiate the findings of staff not treating residents with dignity and respect. Allegation 2: Staff not providing healthful living accommodation to resident in care. LPA interviews with S1, S2, and S3, revealed staff are taking resident concerns or health needs into consideration. S1, S2, and S3 revealed all residents smoke outside of the home. S1, S2, and S3 stated that staff assist with residents daily needs. Interview with staff revealed staff provide, 3 meals and snacks daily, assist with medical needs, and provide activities for residents. LPA interviewed R1, R2, R3, R4, R5 and R6. All six (6) residents stated the facility is providing healthy living accommodations. Six (6) out of six (6) residents stated staff, family, or themselves will schedule medical appointments and assist with transportation to visits. Residents stated smoking is done outside and not in the facility. Based on LPA’s interview and findings the allegation is UNSUBSTANTIATED. Based on the information above, the allegations is unsubstantiated. A finding of UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted where this report LIC 9099 and LIC 9099C was discussed and a copy was provided to the Licensee, Yusef Nofal.the state’s words, verbatim · CDSS document, May 30, 2025 · control 56-AS-20250407132505

Allegation investigated: Staff do not provide adequate food service Staff have inadequate record keeping for resident

Licensing Program Analyst (LPA) LaVette Farlow conducted an unannounced visit to the facility to investigation a complaint of the of above mentioned allegations. LPA met with House Manager Guadalupe Leon who provided a tour of facility and called the Licensee and informed him of the reason for today's visit. The investigation consisted of interviews with staff, residents, and review of records. Allegation 1: Staff do not provide adequate food service. LPA interviewed 3 out of 3 resident and they stated the food was good or okay and they have plenty of food in the refrigator and pantry. 3 out of 3 resident stated they have not send a shortage of food. LPA interviewed three (3) staff and 3 out of 3 staff stated we always have plenty of food for residents in care. S1 stated if any thing food may go bad because we have too much. At 9:15AM, LPA observed during the tour of the facility that the pantry had a sufficient amount of can goods and non-perishable item for the number of residents in care. Unsubstantiated LPA also, observed a sufficient amount perishable item in the kitchen, refrigerator and freezer for the number of residents in care. LPA observed the facility has no expired perishable and nonperishable items in facility. The facility has sufficient food supply in the refrigerator, pantry, and storage for the residents in care for 7 days of nonperishable and 2 days of perishable items. Also, the facility maintains a weekly meal menu posted for residents., Based on LPA interviews and observation during the visit and tour the allegation is UNSUBSTANTIATED. Allegation 2: Staff have inadequate record keeping for resident. LPA reviewed five (5) out of five (5) residents files. LPA review of residents file revealed that the facility maintained 5 out 5 residents files with the LIC602, Admission agreement, Identification and contact sheet, and centrally stored medication log. Based on the findings the allegation is UNSUBSTANTIATED. Based on the information above, the allegations is unsubstantiated. A finding of UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted where this report LIC 9099 and LIC 9099C was discussed and a copy was provided to the House Manager Guadalupe Leon.the state’s words, verbatim · CDSS document, May 21, 2025 · control 56-AS-20250520152929

Type of visit: Required - 1 Year

Licensing Program Analyst, LaVette Farlow, (LPA ) arrived at the Fairview Living, LLC Facility unannounced to conduct an Annual Inspections. LPA introduced self and stated purpose of the visit. LPA were greeted by Staff Member, Lupe Leon; who granted entry, asked to sign in and provided a space to work. Administrator, Ahmad Abdallatef was notified of LPA's visit via telephone. Staff Member, Lupe accompanied LPA on a walk through of the facility and provided resident records for review. The facility has 5 resident bedrooms, 1 staff room, 3 bathrooms, kitchen, dining area, living room, attached garage, and backyard. The facility is approved for 10 residents. 2 non-ambulatory, 10 ambulatory and hospice waiver for 2. Staff reported there are 8 residents in care . The census at the time of the visit was 4, the other 4 resident were at the day program and doctor visits. LPA conducted a general overall inspection, which included, but was not limited to, the following: Physical Plant: Pathways were observed to be free of obstruction. The facility was maintained in comfortable temperature of 74 degrees. LPA inspected resident bedrooms and found that each room was maintained and included required furniture such as: mattresses, night stands, adequate storage space. Each room needed sufficient lighting such as lamps or a operational ceiling light, and chairs for residents in care. A technical violation was issued. LPA observed a bathroom upstairs in a shared bedroom and the water faucet was not working. LPA notified staff and licensee. Licensee did immediately repair the faucet. Bathrooms were observed to clean. LPA tested the temperature from the bathroom faucet, which was observed in regulated limits. The facility is equipped with operational smoke detectors and carbon monoxide alarms. Administrator reports disaster drills are conducted on a quarterly basis. LPA inspected the facility's fire extinguisher on the second floor. The inspection tag indicated it was last inspected November 2024. Please see LIC9099-C Posters such as; the personal rights, let-us-know, evacuation plan, theft and loss policy, house rules, infection control, meal times and disaster plans were posted in a common area. LPA observed the annual emergency and disaster plan had not been review or signed. A technical violation was issued. There was a designated secure storage space for resident/staff files. LPA observed Administration and staff files are not maintained at the facility and the Administrator Certificate has been expired since April 2024. Two (2) deficiency were cited. Medications were secure and inaccessible to residents. LPA observed one (1) out of three (3) resident MAR was incomplete. One (1) technical violation issued. LPA observed the facility does not maintain an emergency to go bags for resident in care with emergency information or contact information readily available. A deficiency was cited. LPA observed the facility does not maintain a hospice care plan for residents in care, A technical violation was issued. Food Service: LPA completed a walk through of the facility, kitchen, the facility's refrigerator and pantries LPA observed non-perishable and perishable food supply is sufficient for number of residents in care. The facility has a posted food menu; which is published on a monthly basis for breakfast, lunch, dinner and snacks. Facility offers its resident a variety of food items. Dishes, cups, and utensils were observed in proper storage and in adequate amounts. LPA observed the facility does not maintain a emergency food and water supply in case of an evacuation for residents in care. A deficiency was cited. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members currently employed in the facility have criminal record clearance through the department. Record Review: LPA reviewed three (3) resident files for admission agreements, updated physician reports, and needs and services plans. Based on observations, interviews and record reviews, deficiencies will be cited per Title 22, California Code of Regulations and technical violation were issued. A copy of this report was read/reviewed with Facility Administrator Ahmad Abdallatef; signature acknowledges understanding and receipt of report and attachments.the state’s words, verbatim · CDSS document, Dec 11, 2024

The state marks this report as 9 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analysts, Amber Coleman, (LPA Coleman) Bianca Wolcott, (LPA Wolcott) arrived at the Fairview Living, LLC Facility unannounced to conduct an Annual Inspections. LPA's introduced selves and stated purpose of the visit. LPA were greeted by Staff Member, Lupe Leon; who granted entry, asked to sign in and provided a space to work. Administrator, Najeh Hamed was notified of LPA's visit via telephone. Staff Member, Lupe accompanied LPAs on a walk through of the facility and provided resident records for review. The facility has 5 resident bedrooms, 1 staff room, 2 bathrooms, kitchen, dining area, living room, attached garage, and backyard. The facility is approved for 10 residents. 2 non-ambulatory, 10 ambulatory and hospice waiver for 2. Staff reported there are 6 residents in care . The census at the time of the visit was 2. LPA conducted a general overall inspection, which included, but was not limited to, the following: Physical Plant: Pathways were observed to be free of obstruction. The facility was maintained in comfortable temperature. LPA inspected resident bedrooms and found that each room included required furniture such as: mattresses, night stands, adequate storage and sufficient lighting. At approximately 9:30am LPA observed Bathroom #1 on the first floor. Under the sink, stood cleaning chemicals, Comet and Spray Disinfectant. At approximately 9:35am, LPA inspected Bathroom #2 on the second floor and located cleaning chemicals under the sink. At LPA's request, Staff removed the cleaning products and placed them under the kitchen sink to be secured and inaccessible to residents in care. Bathrooms were observed to clean and appliances functional. LPA tested the temperature from the bathroom faucet, which was observed in regulated limits. The facility is equipped with operational smoke detectors and carbon monoxide alarms. Administrator reports disaster drills are conducted on a monthly basis. At approximately 9:25am LPA inspected the facility's fire extinguisher on the second floor. The inspection tag indicated it was last inspected August 2021. Please see LIC9099-C Posters such as; the personal rights, let-us-know, evacuation plan, theft and loss policy, house rules, infection control, meal times and disaster plans were posted in a common area. There was a designated secure storage space for resident/staff files. Medications were secure and inaccessible to residents. Emergency and first aid kits were observed and readily available for residents in care. Food Service: LPA completed a walk trough of the facility kitchen. In the facility's refrigerator and pantries LPA observed non-perishable and perishable food supply is sufficient for number of residents in care. At approximately 9:25am, while inspecting the facility pantry, LPA observed a container of eggs in the pantry at room temperature. LPA asked staff to store the eggs in the refrigerator during the visit. The facility has a posted food menu; which is published on a monthly basis for breakfast, lunch, dinner and snacks. Facility offers its resident a variety of food items. Dishes, cups, and utensils were observed in proper storage and in adequate amounts. Emergency food and water supply were also observed. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members currently employed in the facility have criminal record clearance through the department. Record Review: LPA reviewed six resident files for admission agreements, updated physician reports, and needs and services plans. Based on observations, interviews and record reviews, deficiencies will be cited per Title 22, California Code of Regulations. A copy of this report was read/reviewed with Facility Representative; signature acknowledges understanding and receipt of report and attachments.the state’s words, verbatim · CDSS document, Dec 15, 2023

The state marks this report as 12 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.