Monte Vista Manor

Type of visit: Required - 1 Year

On April 03, 2026, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Annual Inspection and met with the Licensee, Vesna Ilich. The facility file review was conducted at the Regional Office and additional records were requested and reviewed on site. The facility is licensed for six Elderly Adult residents and is currently operating at the capacity of six Elderly Adult residents. For a 740 facility type. LPA Mixson toured the facility along with the Licensee, Vesna Ilich, and made observations pertaining to the Required Annual visit. LPA inspected the facility inside and outside. There were no obstructions or debris to the indoor or outdoor passageways observed. Additionally, there were no bodies of water seen on the premises at the time of this visit. The facility is a single-story home located at 2331 Monte Vista Dr. Vista Ca. Physical Plant: The facility phone number is(760) 536-3114, and it is operable. LPA Mixson observed the residents’ bedrooms, and each was furnished as per Regulations and Title 22. LPA Mixson inspected the facility bathrooms, and the hot water temperature tested within regulations, and was logged. The bathrooms were clean, and appliances were operating appropriately currently. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. Administrator informed LPA fire extinguishers were serviced in 2026, by Cintas. LPA Mixson observed required postings such as "If you See Something, Say Something,” the "Personal Rights," and the LTCO poster. The cleaning supplies and sharp items were locked and inaccessible to the residents in care presently. There were designated storage spaces for the residents’ and staff’s files, and it was locked and inaccessible to residents in care at present. Medications: Were locked and inaccessible to residents in care, and there was a sufficient supply of medication for each resident. There were no documented errors observed on the centrally stored medication forms, and medications were stored in their original containers at the present time. The facility has two caregivers present, and the Administrator, and they were interviewed for the annual visit. Food Service& furniture: The non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents currently. Dishes and utensils were in sufficient supply and stored properly, and sharp items are locked. The overall facility is clean; the furniture is in good condition and arranged in a manner which provides space for residents to move safely. The facility cooling system and other appliances were operable at time of this visit. Licensee informed LPA there were safety lights for night throughout the facility. Care & Supervision/Administration: There were adequate staff present for the supervision of residents in care. The floor plans, telephone numbers and personal rights were found posted in the facility. The listed Administrator, Vesna Ilich possess a current administrator’s certificate with an expiration date of 08/20/2027, and it is posted in the facility, near the front door. Records Reviewed and Resident/Staff Files: LPA Mixson reviewed the staff files and the facility's staff schedule. The staff files reviewed contain criminal clearances, updated training's, along with current First Aid certifications. The resident files reviewed possessed the required paperwork as per Regulations including current TB tests. Disaster preparedness: LPA Mixson reviewed the facility's emergency and disaster plan as well as the disaster training binder. LPA observed the last fire drill met the Department standards and was conducted as required per standards. Last drill conducted February 12, 2026 Infection Control: LPA Mixson observed the hand washing stations in the facility restrooms. LPA observed PPE equipment and cleaning supplies to conduct regular cleaning of the facility. LPA reviewed the facility's infection control plan and found required infection control measures met the Department requirements. An exit interview was conducted. A copy of this report was reviewed and given to the Licensee, Ilich Vesna.the state’s words, verbatim · CDSS document, Apr 3, 2026

Allegation investigated: Staff do not let residents come out of their rooms. Staff yell at residents in care. Staff do not provide proper toileting assistance to residents in care.

On 02/12/2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced follow-up complaint visit. LPA met with staff member Jaqueline, and the purpose of the visit was explained. The Administrator Vesna Ilich later joined the LPA. The investigation consisted of the following: On 03/08/2023, Licensing Program Analyst (LPA) Venus Mixson conducted an initial, unannounced investigation visit. LPA Mixson met with Administrator Vesna Ilich. On 02/12/2026, the Department interviewed the Administrator (A1), two staff members #1-2 (S1-S2), three residents #1-3 (R1-R3), and one witness #1 (W1). The department reviewed several documents, including the Staff Roster (dated 01/21/26), Resident roster (dated 1/14/26) (R1’s), Physician Report (dated 03/13/24), Admission Agreement, Unusual Incident Report (Dated 03/05/2024), and other pertinent records associated with this complaint. (Evaluation Report continues LIC 9099C) Unsubstantiated Allegation #1: Staff do not let residents come out of their rooms. The complaint alleged that the caregivers instructed them not to leave their rooms until they were called for meals and that staff would come to get them. On 02/12/26, the LPA arrived at this facility and observed three residents seated in the dining room. On the same day, the LPA interviewed the Administrator (A1), who denied the allegation and stated that all residents may leave their rooms if they choose. Additionally, on 02/12/26, the LPA interviewed two staff members, #1-2 (S1-S2), who both denied the allegation and explained that residents in wheelchairs are permitted to leave their rooms with staff assistance if they wish. The LPA also interviewed three residents, #1-3 (R1-R3), all of whom denied the allegation and stated that they leave their rooms at will. At the same time, the LPA spoke with one witness (W1), who also denied the allegation and mentioned that W1 visits the facility often and that R1 was always out of R1’s room. 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, therefore the allegation is unsubstantiated. Allegation #2: Staff yell at residents in care. The complaint alleged that staff raise their voices and yell at the residents. On 02/12/26, LPA interviewed the Administrator (A1), who denied the allegation and stated that staff were trained not to yell at residents, even if residents could not hear staff. Some staff members speak loudly because they believe the residents didn’t hear them, but not in a yelling tone. Report Continued on LIC9099C On 02/12/26, LPA interviewed three residents #1-3 (R1-R3), all of whom denied being yelled at by any staff. On the same day, LPA interviewed the witness (W1), who denied the allegation and stated that W1 visited the facility often. W1 would have noticed the yelling. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is Unsubstantiated. Allegation #3: Staff does not provide proper toileting assistance to residents in care. The complaint alleged that staff failed to assist with toileting when called for help at night and stated, “You should go in my diaper.” On 02/12/26, LPA interviewed the Administrator (A1), who denied the allegation and said that some residents wear diapers and staff check residents at night to ensure they are changed. On 02/12/26, LPA Richard interviewed two staff members, #1-2 (S1-S2). Both denied ever failing to change a resident's diaper at night or assisting them out of bed. They also stated that they routinely check each resident at night and change residents' diapers three times a day, or earlier upon request. On 02/12/26, LPA interviewed three residents, #1-3 (R1-R3), all of whom denied the allegation and said they had been changed out of their diapers at night. R1 also stated that R1 likes how the staff treats R1. On 02/12/26, LPA interviewed one witness, W1, who denied any issue with staff assisting R1 daily. W1 confirmed that the staff provides proper toileting to R1. On 02/12/26, LPA interviewed one witness, W1, who denied any issue with staff assisting R1 daily. W1 confirmed that the staff provides proper toileting to R1. On 02/12/26, LPA reviewed facility notes and Unusual Incident Reports related to this allegation and found no documentation. On 02/12/26, LPA observed staff assisting residents throughout the day. Based on observations, interviews, and records review (s), the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is Unsubstantiated. No deficiencies were cited. An exit interview was conducted, and a copy of the report was provided to the Administrator Vesna ILICHthe state’s words, verbatim · CDSS document, Feb 12, 2026 · control 18-AS-20230303101603

Allegation investigated: Staff handled resident in a rough manner. Staff do not treat residents with dignity and respect.

On 02/12/2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced follow-up complaint visit. LPA met with staff member Jaqueline, and the purpose of the visit was explained. The Administrator Vesna Ilich later joined the LPA. The investigation consisted of the following: On 10/26/2023, Licensing Program Analyst (LPA) Venus Mixson conducted an initial unannounced investigation visit. LPA Mixson met with Administrator Vesna Ilich. On 02/12/2026, the Department interviewed the Administrator (A1), two staff members #1-2 (S1-S2), three residents #1-3 (R1-R3), and one witness #1 (W1). The department reviewed several documents, including the Staff Roster (dated 01/21/26), Resident roster (dated 1/14/26) (R1’s), Physician Report (dated 03/13/24), Admission Agreement, Unusual Incident Report (Dated 03/05/2024), and other pertinent records associated with this complaint. (Evaluation Report continues LIC 9099--C) Unsubstantiated Allegation #1: Staff roughly handled a resident. The complaint alleged that a staff member was rough and impatient while preparing a resident for the morning, pulling on R1's arm and shoulder. On 02/12/2026, between 10:38 am and 11:30 am, the Department interviewed the Administrator (A1) about the allegation. A1 denied the allegation and said that staff are trained to use appropriate techniques to assist residents based on their abilities. A1 mentioned that staff are instructed to contact A1 if a resident appears uncomfortable or in pain and to file a report if a resident reports an injury. A1 stated they were not aware of any caregiver handling a resident roughly to prepare the resident for the morning. On 02/12/2026, between 10:43 am and 11:30 am, the Department interviewed 2 staff members #1-2 (S1-S2) regarding the allegation. Both staff members denied the allegation and stated that they did not handle the residents roughly. On 02/12/2026, between 10:43 am and 11:30 am, the LPA interviewed three residents (R1-R3) regarding the allegation. All three residents denied the allegation and stated that they had never been handled roughly by staff. R1 also mentioned that the staff is very helpful. On 02/12/26, at 11:00 am, the department interviewed a witness (W1), who also denied the allegation that R1 was roughly handled by staff. Report continued on LIC9099C On 02/12/2026, between 10:30 am and 11:30 am, the Department conducted a records review and found no incident reports or resident notes related to this allegation. Based on information gathered through interviews and record reviews, there is not enough evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur. Therefore, the allegation is UNSUBSTANTIATED. Allegation #2: Staff do not treat residents with dignity and respect. The complaint alleged that a staff member berated R1 by saying, " Come on, you can get up,” and by pulling R1's paralyzed arm. On 02/12/2026, between 10:30 am and 11:30 am, the Department interviewed the Administrator (A1) about the allegation. A1 denied the allegation and stated that staff are trained to treat all residents with respect. A1 also said that if a staff member mistreats a resident, A1 would retrain the staff member on the resident's rights. Additionally, no residents have ever complained to A1 about not being treated with respect and dignity. On 02/12/2026, between 10:30 am and 11:30 am, the department interviewed two staff members (S1-S2) regarding the allegation. 2 out of the 2 staff members denied the allegation and stated that they treat residents with dignity and respect because the facility is their home. On 02/12/2026, between 10:30 am and 11:30 pm, the Department interviewed three residents (R1-R3) about the allegation. All three residents denied the allegation and said they had never been disrespect or treated without dignity. R1 specifically stated there was no pulling or pushing. On 02/12/2026, the Department also interviewed one witness (W1), who denied the allegation and stated that W1 had never seen staff disrespect R1. On 02/12/2026, between 10:30 am and 11:30 am, the Department conducted a records review and found no incident reports or resident notes regarding this allegation. Based on information gathered through interviews and record reviews, there is not enough evidence to support the allegation. 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. Therefore, the allegation is UNSUBSTANTIATED. No deficiencies were cited. An exit interview was conducted, and a copy of this report was provided to Administrator Vesna Ilich.the state’s words, verbatim · CDSS document, Feb 12, 2026 · control 18-AS-20231017113318

Type of visit: Required - 1 Year

On April 11, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Required Annual Inspection and met with Vesna Ilich, Administrator. The facility file review was conducted at the Regional Office and additional records were requested and reviewed on site. The facility is licensed for six Elderly Adults and is currently operating at capacity of five Elderly Adults (740). LPA Mixson toured the facility along with the Administrator and made observations pertaining to the annual visit. LPA inspected the facility inside and outside there were no obstructions or debris to the indoor or outdoor passageways at the time of this visit. Additionally, there were no bodies of water on the premises. Following is a summary; Physical Plant: The facility phone number is (760) 294-5949 and it is operable. LPA Mixson observed the residents’ bedrooms, and each was equipped with required furniture as per Title 22. LPA Mixson inspected facility bathrooms, and the hot water temperature tested within regulations at. The bathrooms were clean, and appliances were operating appropriately currently at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. LPA Mixson observed required postings such as "If you See Something, Say Something,” the "Personal Rights," and the PUB 475. The cleaning supplies and sharp items were kept locked and inaccessible to the residents in care. There was a designated storage space for the residents and staff files, and it was locked and inaccessible to residents in care currently at the time of this visit. Medications: Were locked and inaccessible to residents in care, and there was a sufficient supply of medication for each resident. The overall facility is clean, the furniture is in good condition. The facility cooling system and other appliances were operable currently at the time of this visit. Administrator informed LPA there are safety lights for night throughout the facility. Food Service: Non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents. Dishes and utensils were in sufficient supply and stored properly, and sharp items are locked. Care & Supervision/Administration: Adequate staff are present for the supervision of resident in care. Floor plans, telephone numbers and personal rights were found posted in the facility. The listed Administrator possesses a current administrator’s certificate with an expiration date of 08/20/2025. Records Reviewed and Resident/Staff Files: LPA reviewed staff and resident files and reviewed the facility's staff schedule. The staff files reviewed have updated training along with First Aid Certification. Resident files were reviewed and possessed required paperwork. Disaster preparedness: LPA Mixson reviewed the facility's emergency and disaster plan as well as disaster training binder. Infection Control: LPA Mixson observed the hand washing stations in the facility restrooms. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan and found all required infection control measures. There were no TA deficiencies observed or cited per Title 22, Division 6 of the California Code of Regulations at this time. An exit interview was conducted where a copy of this report was discussed and given to Vesna Ilich, Administrator.the state’s words, verbatim · CDSS document, Apr 11, 2025

Type of visit: Required - 1 Year

On April 15, 2024, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Required Annual Inspection and met with the Administrator, Vesna Ilich. The facility file review was conducted in the Regional Office and additional forms were requested and reviewed on site. The facility is licensed for six Adult Seniors and is currently operating at a capacity of five. LPA Mixson toured the facility along with the Administrator and inspected the facility inside and outside, there were no obstructions or debris to the indoor or outdoor passageways currently at the time of this visit. The facility is a single-story home located at 2331 Monte Vista Dr Vista Ca. 92084. Physical Plant: The facility phone number is (760) 536-3114 and is operable currently. The LPA observed the residents’ bedrooms, each was equipped with required furniture as per Title 22. LPA Mixson inspected facility bathrooms, and the hot water temperature tested within regulations. The bathrooms were clean, and appliances were operating appropriately currently at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. The LPA observed required postings such as "If you See Something, Say Something" the "Personal Rights" and the Ombudsman postings. The cleaning supplies and sharp items were kept locked and inaccessible to the residents in care. There was a designated storage space for the residents and staff files, and it was locked and inaccessible to residents in care currently at the time of this visit. Medications: Were locked and inaccessible to residents in care, and there was a sufficient supply of medication for each resident. The overall facility is clean, the furniture is in good condition. The facility heating system and other appliances were operable currently at the time of this visit, and there were safety lights for night through out the facility. Food Service: Non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents. Dishes and utensils were in sufficient supply and stored properly, and sharps are locked. Care & Supervision: Facility has sufficient staff, three staff on site at the time of this visit and were engaging the residents with medication management and meals. Records Review: The LPA reviewed resident and staff files, conducted staff interviews, and observed a resident during transition, the other residents were in the community. Previous Community Care Licensing forms were reviewed. There were no Title 22, Division 6 Regulation violations observed or cited during today’s visit. An exit interview was conducted, and a copy of this report was given to the Administrator, Vesna Ilich.the state’s words, verbatim · CDSS document, Apr 15, 2024