Mountain View Assisted Living

Type of visit: Case Management - Incident

At approximately 10:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a case management visit in regards to unusual incident report submitted by the facility. LPA met with Executive Director Zenia Shah and reviewed records. On 08/10/2026, Resident, R1, requested assistance from staff and did not want to be seen at the hospital. R1 told staff, S1, that they would rather end their life, and showed S1 injuries to their wrists and the scissors that caused them. S1 notified emergency personnel and R1 was placed on a 72 hour hold. R1 was admitted to the hospital and was diagnosed with a perforated bowel and refused treatment. R1 was placed on comfort care and passed away at the hospital on 08/14/2026. Based on a review of records, R1 did not express any depression related concerns and was their own responsible party. Facility staff made the proper notifications and requested emergency personnel immediately when they observed the self inflicted wounds. During this visit, LPA observed the new delayed egress doors inside the facility. The doors operated as designed and opened after a 15 second delay and an alert sounded. The alert was loud enough to be heard from anywhere in the memory care unit. No deficiencies were observed during today's visit, no citations issued.the state’s words, verbatim · CDSS document, Aug 17, 2026

Type of visit: Prelicensing

At approximately 8:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived announced, to conduct a pre-licensing inspection due to an ownership change of this currently operating care facility for the elderly. The current management company will continue to manage the facility operations. LPA met with Administrator Zenia Shah and Applicant representative Jessica Lasswell. The facility is requesting a total capacity of 64 with 57 non-ambulatory residents and 7 bedridden residents. All rooms are approved for bedridden or Non-Ambulatory residents. The facility is a single-story building with a 10 resident capacity in the Memory Care unit. The facility has requested a hospice waiver for up to 5 residents. The facility has a large courtyard in the center of the facility, and a closed-in outdoor patio in the memory care unit. Random rooms were inspected in the Assisted Living and memory care areas of the facility. The indoor temperature was 72 degrees. All personal accommodations were present in the inspected rooms. The facility staffs a receptionist at the main entrance. LPA observed facility hallways were unobstructed, and the facility smelled clean. Exits were clearly marked. LPA observed the interior doors of the memory care unit were locked with a keypad and were not delayed egress. The doors unlock in case of fire alarm activation or a power outage. LPA contacted the Fire Marshal's office for clarification. Facility cleaners and toxins are stored in the locked housekeeping supply room. Housekeeping carts are lockable and were found to be locked while in use. LPA observed the required amounts of perishable and nonperishable foods. The kitchen and dining area were clean and well maintained. Water temperature measured within regulation between 105 and 120 degrees F at various resident bathrooms and accessible faucets. LPA observed the facility has a hard wired fire alarm system, and has appropriate smoke and carbon monoxide alarms in place. Medication is centrally stored and locked in a dedicated medication room in the assisted living section of the building. Resident medical records are also kept locked and inaccessible in this room. Continued on LIC809-C... The facility has multiple pull station fire alarm with audio/visual alerts, and all resident bathrooms have pull cords for alerting staff for assistance. Residents also receive a pendant to keep with them. All fire extinguishers are charged and currently tagged. The fire system is checked annually. LPA and the Executive Director discussed the facility's emergency disaster preparedness plan for the individual facility needs and the disaster plan for a large scale disaster which may affect city/county. Facility has supplies to be self sufficient for at least 72 hours. Facility has a generator to supply power for select items during an outage. Staff have hand held radios to communicate during a power outage or emergency and residents are provided hand held bells to call for assistance during a power outage. Executive Director and applicant have successfully completed the Component lll Orientation section of the application process. Applicant will provide evidence of Liability insurance once the License has been awarded. LPA will submit the application packet for a final review and approval from the Licensing Program Manager.the state’s words, verbatim · CDSS document, Apr 1, 2026

Type of visit: Office

Component II completion: Successful Facility Type: Residential Care Facility for the Elderly (RCFE) Application Type: Change in Ownership (CHOW) Capacity: 64 Census (if any clients in care): 48 COMP II Participants: Shawn O'Conner, Applicant Zenia Shah, Administrator Interview Method: Virtual interview (Microsoft Teams) On March 13, 2026, Applicant and Administrator participated in COMP II. Identification of the Applicant and Administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Applicant and Administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant and Administrator’s understanding of following areas: 1. Facility Operation: License Type, Client/Resident Populations, and Program. 2. Admission Policies 3. Staffing Requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General Provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing Readinessthe state’s words, verbatim · CDSS document, Mar 13, 2026