Grand View Villa

Type of visit: Required - 1 Year

On this day Licensing Program Analyst (LPA) Fred Arias made an unannounced visit to conduct a required annual visit. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. Facility is licensed for six non-ambulatory residents of which one may be bedridden. Facility has an approved hospice waiver for five residents and the home currently has five residents, with two residents on hospice. Administrator (AD) Rozina Amlani arrived shortly to conduct facility tour. LPA along with staff toured the facility at 1:50 PM. LPA toured the physical plant, checked food service, and facility documentation. The home consists of five resident bedrooms, living room, dining room, and kitchen, two bathrooms and an attached garage. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured 107 degrees F in all bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. Auditory exit alarms were operational during today's visit. LPA toured the kitchen and observed sharps locked under the sink during today's visit. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Kitchen appliances were operational during today's visit. Smoke detectors tested operational during today's visit. Fire extinguishers were fully charged. LPA reviewed the infection control and emergency disaster plans. Facility conducts quarterly emergency drills with the last drill conducted on 4/2/2026. Outside grounds were toured. Walkways around the home were clear of hazards. There is shaded outdoor seating for residents. Exit gate is unlocked and operational. LPA observed the emergency food and water supply. First aid kit contained all required items including tweezers, scissors and thermometer. LPA reviewed five resident files and two staff files. Resident files contained required documentation including admission agreements, physician reports, and resident appraisals. Staff files reviewed contained required documentation including required annual training, medical assessment/ TB, criminal record clearance and proof of CPR training. LPA reviewed medication storage and administration. Medications are stored in a locked cabinet. Medications are being administered per physician order. Based on the observations made during today’s visit, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided.the state’s words, verbatim · CDSS document, Jun 19, 2026

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Staff did not seek timely medical attention for resident. Staff did not ensure resident was adequately fed and hydrated.

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the initial investigation into the two allegations listed above. LPA was greeted and granted entry by caregiving staff after introducing himself and stating the purpose of the visit. Administrator Rozina Amlani was notified of the visit via telephone and provided with the allegations under review before coming to the facility to assist. During the visit, LPA conducted staff and resident interviews, toured the physical plant and reviewed resident and hospice records present at the facility. Additional documentation was presented by facility staff in the form of photographs, texts and emails. Witness interviews were also conducted via telephone. CONTINUED ON FORM LIC9099-C Unfounded CONTINUED FROM LIC9099 Regarding the allegation that Staff did not seek timely medical attention for resident, the following has been concluded: Based on the evidence gathered, resident R1 was admitted at the facility on May 23, 2024 and has been receiving hospice care since being initially certified on September 23, 2024. On January 11, 2026, R1 had an episode of vomiting followed with lethargia being observed by facility staff on January 12, 2026. Facility staff notified hospice staff and a hospice nurse visit was triggered the same evening as confirmed by hospice records reviewed. A prescription for antibiotics was provided at that time and medication was delivered overnight and provided for self-administration right away on January 13, 2026. Orders for the prescription were reviewed and medication was verified to be present in the medication central storage. At the time of the present visit and per multiple statements gathered, R1 appears more responsive and is observed awake in the facility's common living area. Regarding the allegation that Staff did not ensure resident was adequately fed and hydrated, the following has been concluded: Per the latest certification and hospice assessment for R1, the resident is placed under aspiration precautions. As a result, upon being found to be lethargic, facility staff were informed to hold on liquids and pureed meals until the resident was awake. Following the initiation of antibiotics treatment, R1 became more responsive and received adequate meals as extensively documented in videos and photographs provided by facility staff. LPA additionally observed R1 being actively fed lunch during the present visit. Based on the evidence and statement gathered, R1 received adequate medical attention as well as nutrition and hydration. The two allegations are therefore found to be Unfounded, meaning that the allegations are false, could not have happened and/or are without reasonable basis. An exit interview was conducted and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jan 16, 2026 · control 22-AS-20260114162139

Allegation investigated: Staff did not seek timely medical attention for resident. Staff did not ensure resident was adequately fed and hydrated.

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the initial investigation into the two allegations listed above. LPA was greeted and granted entry by caregiving staff after introducing himself and stating the purpose of the visit. Administrator Rozina Amlani was notified of the visit via telephone and provided with the allegations under review before coming to the facility to assist. During the visit, LPA conducted staff and resident interviews, toured the physical plant and reviewed resident and hospice records present at the facility. Additional documentation was presented by facility staff in the form of photographs, texts and emails. Witness interviews were also conducted via telephone. CONTINUED ON FORM LIC9099-C Unfounded CONTINUED FROM LIC9099 Regarding the allegation that Staff did not seek timely medical attention for resident, the following has been concluded: Based on the evidence gathered, resident R1 was admitted at the facility on May 23, 2024 and has been receiving hospice care since being initially certified on September 23, 2024. On January 11, 2026, R1 had an episode of vomiting followed with lethargia being observed by facility staff on January 12, 2026. Facility staff notified hospice staff and a hospice nurse visit was triggered the same evening as confirmed by hospice records reviewed. A prescription for antibiotics was provided at that time and medication was delivered overnight and provided for self-administration right away on January 13, 2026. Orders for the prescription were reviewed and medication was verified to be present in the medication central storage. At the time of the present visit and per multiple statements gathered, R1 appears more responsive and is observed awake in the facility's common living area. Regarding the allegation that Staff did not ensure resident was adequately fed and hydrated, the following has been concluded: Per the latest certification and hospice assessment for R1, the resident is placed under aspiration precautions. As a result, upon being found to be lethargic, facility staff were informed to hold on liquids and pureed meals until the resident was awake. Following the initiation of antibiotics treatment, R1 became more responsive and received adequate meals as extensively documented in videos and photographs provided by facility staff. LPA additionally observed R1 being actively fed lunch during the present visit. Based on the evidence and statement gathered, R1 received adequate medical attention as well as nutrition and hydration. The two allegations are therefore found to be Unfounded, meaning that the allegations are false, could not have happened and/or are without reasonable basis. An exit interview was conducted and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jan 16, 2026 · control 22-AS-20260114162139

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by facility caregiving staff after introducing himself and stating the purpose of the visit. Administrator Rozina Amlani was notified of the visit via telephone and arrived later to assist. There are currently six residents in care, three of which are receiving hospice care at this time. LPA observed residents relaxing in the facility's common living areas or in their respective bedrooms. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with an attached garage. The facility has four private and one shared bedrooms along with one locked staff room. There are two bathrooms on the premises. Bedrooms appear clean and sanitary. Two residents are observed using full-length rails as postural supports along with two residents with half rails. Physician orders and hospice plans of care reviewed. All resident bedrooms have the required furnishings. Bathrooms appear clean and sanitary and are equipped with grab bars and slip mats. Hot water temperature measured at 109F and 111F in two separate bathrooms equipped with faucets used for personal grooming. LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. Sharp items, cleaning supplies and the medication central storage are verified to be secured. Fire extinguishers present are charged with up-to-date maintenance. Smoke and carbon monoxide detectors were found to be operational. CONTINUED ON FORM LIC809-C CONTINUED FROM LIC809 The garage is secured with a digital lock and used for laundry as well as additional storage of supplies. Emergency food and water supplies verified to be present. LPA and facility staff toured the outside of the facility. LPA observed a shaded outdoor seating area with furniture for resident use. The identified route of egress is free of clutter and obstructions. There are no bodies of water on the premises. Facility does not utilize locked perimeters or delayed egress. LPA reviewed six resident records which included all necessary components. LPA reviewed resident medication records and prescription orders for all residents with no discrepancies observed. Oxygen is currently in use on the premises with adequate signs observed. There are no residents currently assessed as being bedridden at the time of the visit. Resident interviews were conducted or attempted during the visit along with staff interviews. LPA reviewed staff records for three staff members present during the visit. CPR training, initial and annual training reviewed. Disaster drills are conducted quarterly and documented. Staff members are verified to be background cleared and associated to the licensed location. Based on the observations made during today’s visit, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report weas provided to a facility representative.the state’s words, verbatim · CDSS document, Jun 6, 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: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the Required Annual Inspection. LPA was greeted and granted entry by facility caregiving staff after explaining the purpose of the visit. Facility administrator Rozina Amlani was notified by telephone and arrived shortly afterwards to assist. During the inspection, LPA and facility staff conducted a tour of the physical plant and observed the following: The facility is a one story home with four private rooms, one shared room and one staff room in addition to the facility's common living areas. All resident bedrooms have the required furnishings. LPA observed all beds have linens and blankets. The backyard has a shaded area and the routes of egress are free of clutter and obstructions. There are currently five residents admitted to the facility with one resident receiving hospice care. Residents are observed to be clean and appear well taken care of. Bathrooms faucets and toilets were operational. Water temperature was verified to be within acceptable range. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required. Combined smoke and carbon monoxide detectors tested operational. Fire extinguisher present is observed to be fully charged with up-to-date maintenance. Medication, sharp items and cleaning supplies were confirmed to be inaccessible throughout the physical plant. The medication central storage was also observed to be secure and reviewed for accuracy during the visit. LPA reviewed five resident files and two staff files as well as conducted multiple staff and resident interviews. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jun 10, 2024