Grand Lake Vista

Allegation investigated: Staff allowed individuals to harm resident in care Staff engaged in punitive actions by intentionally restricting residents’ access to leisure activities

On 06/15/2026 at 10:00 AM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to deliver findings) regarding the allegations above. LPA met with Administrator Hasmin Koo and explained the purpose of the visit. During the course of the investigation, LPA interviewed four (4) residents, one (S1) staff, and obtained copies of three (3) residents Identification and Emergency form, Physician’s Reports and the Appraisal Needs and Services Plan for three (3 residents. Allegation: Staff allowed individuals to harm resident in care Investigation Findings: It was reported to the department that that the owner hired men to attack a resident by the lake causing the resident to lose some belongings. R1 stated that the owner is out to get R1 due to R1’s strict religious background, and has everyone tricked into doing the owner’s biding. Continued on LIC9099-C Unsubstantiated Continued from LIC9099 R1 stated that these incidents happened outside of the facility and with no witnesses. R1 stated the first time it was a man that walked in R1’s direction and upon seeing R1, took out his penis and showed it to R1, R1 stated R1 walked away. The second event was a pair of men’s jeans and shoes by the mailbox R1 uses to mail letters. R1 did not call the police nor report the incidents to anyone, as R1 stated no physical harm had happened. LPA spoke with R1 regarding the events. R1 informed LPA that the events are well documented on an unnamed website, and that the owner has admitted to orchestrating the events and other atrocities on this website. R1 could not provide the websites address stating that the LPA is not part of the group. LPA reviewed R1’s Physician’s Report, R1 is diagnosed with schizophrenia. R1 confirmed R1 has not been taking medications but continues to see a psychiatrist once a month. LPA asked R1 about this, R1 stated R1 stopped taking the medication as they limit R1’s psychic abilities. R1 admitted to LPA that R1 may have some delusions and refuses to take medication as the medications close the psychic link allowing R1 to read the owner’s mind. S1 informed LPA that these delusions and allegations have elevated a bit over the last six months, and R1’s psychiatrist has tried to get R1 to take R1’s medications. Staff are working to keep R1 safe and comfortable and monitor R1’s behavior. RP also reported suspicions of R1 having some delusions. Based on interviews conducted, file review and LPA’s observations the above allegation is UNSUBSTANTIATED. Allegation: Staff engaged in punitive actions by intentionally restricting residents’ access to leisure activities Investigation Findings: It was reported to the department that residents used to watch classic movies at the facility and that that was taken away by the owner to spite R1. R1 reported the televisions channel Turner Classic Movies (TMC) was available in the living room for resident to watch and that R1 used to watch movies in the evenings, however the owner got upset with R1 and removed the channel. R1 reported that R1 only checked the one time and refused to ask staff for assistance when R1 could not locate it. R1 stated R1 has not used the television since the incident as R1 does not trust the owner and felt that that night, the owner was doing it on purpose. S1 stated S1 did not know about the incident as no one mentioned anything to S1. LPA turned on the television and searched for channel TMC. LPA confirmed the channel is still available. Based on LPA’s observations the above allegation is UNSUBSTANTIATED. 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. No deficiencies were cited during this inspection. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jun 15, 2026 · control 15-AS-20260603101250

Type of visit: Required - 1 Year

On 11/13/2024 at 12:40 PM, Licensing Program Analysts (LPA) David Doidge arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver Mary Ann Ocenada and explained the purpose of the visit. Administrator Hasmin Koo arrived at 1:45 PM. LPA toured the facility including but not limited to, bedrooms, bathrooms, multiple activity rooms, kitchen, common area and backyard. LPA observe lighting in all rooms is adequate for the comfort and safety of the residents. Hallway temperature was maintained at 71 degrees Fahrenheit. The hot water temperature in a common bathroom was measured at 107.2 degrees Fahrenheit. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 11/06/2025. Emergency disaster drills are conducted quarterly; last conducted on 10/14/2025. First aid kit was observed to be complete. LPA reviewed five (5) resident records and four (4) staff records, all were complete. No deficiencies observed or cited during this visit. Exit interview conducted and a copy of this report providedthe state’s words, verbatim · CDSS document, Nov 13, 2025

Type of visit: Prelicensing

On 10/10/2024 at 9:30AM, Licensing Program Analysts (LPAs) G. Luk and D. Doidge conducted a Pre-licensing Inspection. LPAs met with Administrator, Hasmin Koo and explained the purpose of the visit. LPAs toured facility including but not limited to resident's bedrooms, bathrooms, common areas, dining area, kitchen, basement, and outdoor area. Bathrooms have grab bars and non-skid mats. LPAs observed facility has one week of non-perishable and two days of perishable food supplies available. Smoke detectors are interconnected with sprinkler system. Carbon monoxide detectors were observed. First aid kit was complete. Fire extinguishers were observed to be full and last serviced on 5/21/2024. Hot water was measured at 108.6 degrees F in the kitchen sink. The following will need to be completed before recommending licensure to Centralized Application Bureau (CAB): 1. LPAs observed unlocked laundry detergent under the bathroom sink. Staff locked up the detergent during inspection. 2. LPAs observed some bedrooms does not have lamps and chairs available. 3. LPAs observed CCLD poster size is not 20" x 26". 4. LPAs observed facility stairwells does not have evacuation chairs. 5. LPAs observed bathrooms and hallways does not have night lights. 6. LPAs observed there was no planned activities posted at the facility. (Continue on LIC809C...) 7. LPAs observed there was no theft and investigative procedures posted at the facility. 8. LPAs observed LIC610E section, "Plans for the facility to be self-reliant for a period of not less than 72 hours..." had minimal information. Administrator/Applicant will submit proof of corrections to CCLD on/before 10/25/2024. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Oct 10, 2024

Type of visit: Case Management - Other

On 10/10/2024 at 1:30PM, Licensing Program Analysts (LPAs) G. Luk and D. Doidge conducted a face to face Component III presentation. LPAs met with Administrator, Hasmin Koo. LPAs presented Component III power point and discussed the regulations embodied in the presentation. LPAs observed Administrator gained knowledge about running and maintaining the facility in accordance with Title 22 regulations. LPAs concluded Component III. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Oct 10, 2024