Palm View Pleasant Living

Allegation investigated: Staff fail to instantiate CPR that led to resident death. Staff do not administer residents’ medications as prescribed. Resident was found covered in feces. Staff did not notify resident’s responsible party regarding resident’s falls. Staff do not maintain sufficient food supply for residents in care. Staff are not trained to conduct CPR. Staff are not providing resident showers due to insufficient staff coverage Staff did not immediately contact 911 during an imminent threat to resident's health.

On 8/12/2026, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegations. LPA explained the purpose of the visit to administrator Delcie Mucha. The investigation consisted of interviews with staff, residents, relevant parties and record reviews as well as observation. Allegation 1: Staff fail to initiate CPR that led to resident death. - The POA stated CPR was not initiated to resident #1 (R1) until POA instructed staff by phone. Staff stated CPR was initiated immediately under direction of the 911 operator. No witnesses or documentation were available to confirm the CPR timeline. This allegation is unsubstantiated. Allegation 2: Staff did not administer residents’ medications as prescribed. - The POA allegedly missed medications for R1. Four interviewed residents reported receiving medications on time. Staff reported maintaining medication training and procedures. Record review indicated that medication was administered on time and as prescribed. No evidence supported widespread medication mismanagement. This allegation is unsubstantiated. *******continue on LIC9099C****** Unsubstantiated Allegation 3: Resident was found covered in feces - The POA reported finding R1 in feces on multiple occasions. All interviewed residents denied being left in feces or witnessing such issues. Staff denied leaving residents soiled and described routine checks every 30–60 minutes. This allegation is unsubstantiated. Allegation 4: Staff did not notify responsible party regarding resident's falls.- Residents interviewed denied falling or seeing residents who fell. Staff reported all falls involving R1 were communicated to the POA and responsible parties. Copy of incident report was submitted to CCLD. The POA did not provide specific unreported falls. This allegation is unsubstantiated. Allegation 5: Staff do not maintain sufficient food supply for residents in care. - Residents reported receiving adequate meals and snacks. One resident on a renal diet noted limited choices but stated staff were addressing this. Staff reported ordering food twice weekly. Facility provided invoices of food ordered. LPA observed sufficient food supply for residents in care. This allegation is unsubstantiated. Allegation 6: Staff are not trained to conduct CPR. - Staff interviews indicate CPR/First Aid training is completed and maintained. The facility director stated files are reviewed monthly and provided proof of CPR certificate. No evidence indicated staff lacked CPR certification. This allegation is unsubstantiated. Allegation 7: Staff are not providing showers due to insufficient staff coverage. - Residents reported receiving showers according to their schedules or showering independently. POA concerns were related to preferred shower times, not lack of showers. Staff reported adequate coverage and provided resident’s shower schedule. This allegation is unsubstantiated. Allegation 8: Staff did not immediately contact 911 during an imminent threat to resident's health. - The POA stated 911 was not called until after POA instructed staff. Staff stated 911 was called immediately. No documentation or witnesses confirmed the timing. This allegation is unsubstantiated. Based on interviews and record review, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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 at this time. An exit interview was conducted where this report, LIC9099 and LIC9099C were discussed and provided to administrator Delcie Mucha.the state’s words, verbatim · CDSS document, Aug 12, 2026 · control 56-AS-20231218110317

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Eldin Serrano visited the facility to amend the complaint number 56-AS-20240214154635. LPA met with Delcie Mucha and received the copies of the report.the state’s words, verbatim · CDSS document, Jun 8, 2026

Allegation investigated: Staff did not provide resident with appropriate mattress resulting in resident sustaining pressure injures Staff did not properly monitor resident's catheter Staff did not seek timely medical attention for resident

On 5/27//2026 at 8:55 AM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to investigate and deliver the findings of the above allegations. LPA Serrano met with administrator Delcie Mucha to explain the purpose of the visit. The investigation consisted of interviews with facility staff, outside parties, and a hospice agency, as well as review of resident records, hospice documents and physician orders. Allegation #1: Staff did not provide resident with appropriate mattress resulting in resident sustaining pressure injures: Interviews revealed that the air mattress in question was ordered, delivered, and managed by the resident's hospice agency, not the facility. Staff reported that the mattress was delivered by hospice personnel and that facility staff sought assistance from hospice when concerns arose regarding the mattress. Documentation and interviews confirmed that hospice was responsible for resident #1’s (R1) specialized medical equipment and wound care. Records review and interviews showed that facility staff notified hospice regarding concerns about the R1 developing pressure injury. There is not sufficient evidence to corroborate that facility staff failed to provide an appropriate mattress or that staff actions caused the resident's condition. Therefore, the allegation is Unsubstantiated, meaning that although the allegation may have happened or may be valid, there is insufficient evidence to prove the allegation occoured. *** Continuation in LIC9099C *** Unsubstantiated Allegation #2: Staff did not properly monitor the resident's catheter. - Based on interviews conducted and a review of facility and hospice records, it was determined that catheter care and monitoring were the responsibility of the resident's hospice provider. Documentation reviewed, including physician's orders and hospice records, confirmed that hospice personnel were responsible for catheter-related services. Interviews with facility staff indicated that they followed the directions provided by the hospice agency and notified hospice when concerns arose regarding the resident's catheter. The investigation did not reveal evidence that facility staff failed to provide services within their scope of responsibility or failed to follow the resident’s care plan. Therefore, there is insufficient evidence to support the allegation, and the allegation is determined to be unsubstantiated. Allegation #3: Staff did not seek timely medical attention for a resident - Based on interviews conducted with facility staff, outside parties and a review of records, it was revealed that facility staff contacted the hospice agency promptly upon observing that R1 developed a pressure wound. R1 was receiving care from the hospice agency. Therefore, the allegation is unsubstantiated. Based on the evidence, review of records and interviews, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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 at this time. An exit interview was conducted where this report, LIC9099 and LIC9099C were discussed and provided to Administrator Delcie Mucha.the state’s words, verbatim · CDSS document, May 27, 2026 · control 56-AS-20240214154635

Allegation investigated: Staff are mismanaging residents medications Staff left residents in soiled diapers for an extended period of time Staff are not meeting residents hygiene needs Staff are not providing adequate food service to residents Staff are not providing residents with activities Staff are falsifying documents

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to deliver findings on the allegations mentioned. LPA met with Administrator Delcie Mucha and explained the purpose of the visit. LPA's investigation involved records review, tour of the facility, interviews with staff, residents and outside parties. Regarding Allegation #1 – Staff Mismanaging Residents’ Medication: LPA interviewed eight (8) residents. Five (5) of the eight (8) residents reported that their medications are not mismanaged and stated that medications are administered consistently at the same time each day without errors. One (1) resident does not take any medication, and another (1) resident was unable to answer due to memory impairment. LPA interviewed six (6) staff members. Three (3) staff reported that medications are not mismanaged. The remaining three (3) staff stated that they do not administer medications; however, one (1) of these three (3) indicated that they have observed no mismanagement of medications. Unsubstantiated Regarding allegation #2 – Staff left residents in soiled diapers for an extended period of time. LPA interviewed eight (8) residents. Four (4) residents stated they are not left soiled and that staff respond to their calls in a timely manner. The remaining four (4) residents reported that they either manage their own personal care or do not require the use of incontinence products. LPA interviewed six (6) staff members. All staff stated that residents are changed every two hours. Staff also reported that residents are checked hourly, and if a resident calls for assistance, they are changed immediately. Regarding allegation #3 – Staff are not meeting residents’ hygiene needs. LPA interviewed eight (8) residents. Four (4) residents stated they are on a shower schedule and typically receive two (2) to three (3) showers per week; however, if they request additional showers, staff will accommodate them. These same four (4) residents reported no issues with staff assisting with their hygiene needs. The remaining four (4) residents indicated they do not require assistance with their hygiene needs, but noted that staff provide assistance upon request. LPA interviewed six (6) staff members. All staff stated they assist residents with their hygiene needs. Regarding allegation #4 - Staff are not providing adequate food service to residents LPA interviewed eight (8) residents. All eight (8) residents confirmed that adequate food service is provided, stating there is always enough food for seconds and snacks are consistently offered. LPA also interviewed six (6) staff members. All six (6) staff confirmed that residents are provided with adequate food service. The administrator stated that grocery shopping is conducted twice a week. Regarding allegation #5 - Staff are not providing residents with activities LPA interviewed eight (8) residents. All eight (8) residents confirmed that the facility offers activities such as bingo, arts and crafts, and pen pal writing. Some residents stated that although activities are available, they prefer to keep to themselves or watch television. LPA also interviewed six (6) staff members. All six (6) staff confirmed that activities are provided; however, most residents prefer to participate primarily in bingo. Regarding allegation #6 - Staff are falsifying documents LPA interviewed six (6) residents. All (6) residents stated that, to their knowledge, staff have not falsified any documents. Some residents added that certain individuals simply prefer not to take showers. LPA also interviewed six (6) staff members. All six (6) staff stated they do not falsify documents and have not been coached to provide false information. Based on LPAs observations, record review, and interviews, the above allegations are Unsubstantiated; meaning that although the allegations may have happened or ate 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 was discussed and a copy was provided to Administrator Delcie Mucha at the conclusion of the visit.the state’s words, verbatim · CDSS document, Apr 17, 2026 · control 56-AS-20250121102453

Allegation investigated: Staff handled resident in a rough manner Staff engaged in verbal altercations with resident Staff did not ensure resident was transported to appointment Staff did not safeguard resident's personal belongings Staff did not ensure resident had privacy Staff are not meeting residents dietary needs Staff are not providing adequate food service to residents

Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced herself and disclosed the purpose of the visit to Marketing Director Sneha Khalid. On August 18, 2023, it was alleged that staff handled resident in a rough manner, staff engaged in verbal altercations with resident, staff did not ensure resident was transported to appointment, and staff did not safeguard resident's personal belongings. It was also alleged that staff did not ensure resident had privacy, staff are not meeting residents dietary needs, and staff are not providing adequate food service to residents. The Department’s investigation consisted of unannounced facility visits, records review, and staff and resident interviews. [CONTINUED ON LIC9099-C] Unsubstantiated According to the allegations received, Resident #1 (R1) was shaken by staff, staff yelled at and argued with residents, and R1 missed a medical appointment due to staff not responding to the door when transportation was outside. It was also alleged that R1’s clothing went missing, R1’s phone calls were being screened, R1’s low sodium diet was not being followed, and residents were not provided enough food and not provided dinner if they were late. Review of R1’s medical assessment dated February 23, 2023, revealed that R1 exhibited aggressive and inappropriate behaviors. Interviews with staff and residents did not reveal that R1 was shaken by staff, that staff yell and argue with residents, nor did it reveal that R1 missed a medical appointment due to staff not responding. Furthermore, interviews did not reveal that residents’ phone calls were screened nor did residents’ clothing go missing. Review of R1’s Individual Service Plan (ISP) dated September 5, 2023, revealed that R1 had a special diet need of low (or no) salt. Interviews with staff revealed that residents’ modified diets were charted and verbally communicated. Interviews did not reveal that residents were not provided with enough food and not provided dinner if they were late. Based on interviews and records review, the investigation did not yield a preponderance of evidence to conclude that that staff handled resident in a rough manner, staff engaged in verbal altercations with resident, staff did not ensure resident was transported to appointment, staff did not safeguard resident's personal belongings, staff did not ensure resident had privacy, staff did not meet residents dietary needs, and staff did not provide adequate food service to residents. Based on the foregoing, the allegations are unsubstantiated. This finding means that although the allegations may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Marketing Director Sneha Khalid, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Jan 29, 2026 · control 56-AS-20230818141447

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced follow-up visit to obtain pertinent information related to complaint investigation #56-AS-20231218110317. LPA met with Marketing Director, Sneha Khalid, and informed the purpose of the visit. During today's visit, LPA toured the facility, conducted interviews and obtain more documentation pertinent to the compliant investigation. An exit interview was conducted where this report was discussed and a copy provided to Marketing Director Khalid.the state’s words, verbatim · CDSS document, Dec 22, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sarina Ramirez made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Delcie Mucha, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (20), a current census of (19). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility has a small fountain that is gated and inaccessible to residents in care. The facility has sufficient lighting and is maintained at a comfortable temperature. The facility has sufficient indoor and outdoor space for resident activities. The facility is equipped with operating smoke detectors/carbon monoxide alarms that were checked by IE Alarms on 09/09/25, working laundry equipment, and telephone service. Resident’s showers, toilets, and hand washing areas were operating properly. The hot water temperature in three (3) resident bathrooms measured between 105 to 107.5 degrees F. Ten (10) resident’s bedrooms had beds, bed linen, chairs, dresser, storage space and sufficient lighting. The facility has sufficient linens, towels, and personal hygiene items for residents. The facility has posted in a common area, facility license, activity schedule, personal rights, facility sketch, emergency disaster plan with emergency telephone numbers, house rules, Administrator certificate, CCLD complaint poster, and Ombudsman poster. Food Service: Facility kitchen and dining areas are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. Sharps and chemicals were kept locked and inaccessible to residents in care. Continuation on LIC – 809C: Care & Supervision: Facility has 24-hour/7 days a week care staff. Facility staff have current CPR/first aid training. Medical Related Services: Resident’s medications are labeled and centrally stored in a locked medication room. Three (3) resident's medication were audited at random and appeared to be dispensed appropriately by staff. Record Review: Four (4) Staff files reviewed were observed to be complete. Four (4) Resident files reviewed were observed to be complete. Facilities last disaster drill was conducted on 09/24/25. Based on observations and record review no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to Administrator Delcie Mucha.the state’s words, verbatim · CDSS document, Nov 18, 2025

Type of visit: Case Management - Other

On 11/18/25 Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced case management visit. The purpose for this visit is in response to the facility's request for a capacity increase from a census 20 to 40. LPA Ramirez met with Administrator Delcie Mucha who assisted LPA with the facility tour. Per Mucha the Redlands Fire Department conducted the fire clearance tour on 11/06/25, however Mucha is still waiting for the approved STD 850 form. LPA observed the newly built addition unit, LPA observed no residents residing in the new unit . As the facility accepts new residents for the new unit staff will include two (2) caregivers and one (1) med technician. LPA observed a dining area with adequate seating for 20 people and furniture is in good repair. The kitchenette is connected to the dining area. LPA observed a room where the medication will be centrally stored inaccessible to residents. LPA also observed oe (1) storage closet. LPA inspected ten (10) shared bedrooms with restrooms and two additional (2) shared bathrooms. LPA observed a few rooms to have new mattresses however; some rooms are not fully furnished due to still no residents. All bathrooms had handrails. LPA observed that the model rooms had required bedding and furniture such as new mattress/linen, sufficient storage space, chairs and lighting. LPA measured the water temperature in two (2) bathrooms measuring between 106.2 to 120 degrees Fahrenheit No deficiencies we cited during this visit. An exit interview was conducted where this report was discussed and provided to Administrator Delcie Muchathe state’s words, verbatim · CDSS document, Nov 18, 2025

Allegation investigated: Resident sustained unexplained sores while in care Staff did not ensure resident's hygiene needs were met

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA was granted entry into the facility and met with Administrator, Delcie Mucha, who was informed of today’s visit. The investigation consisted of pertinent record review and interviews with relevant parties. Regarding the allegation, resident sustained unexplained sores while in care, interviews with four (4) staff and four (4) residents reveals not enough evidence to corroborate that a resident sustained unexplained sores while in care. Regarding the allegation, staff did not ensure resident's hygiene needs were met, interviews with four (4) staff and four (4) residents reveal not enough evidence to corroborate that staff did not ensure resident’s hygiene needs were met. Unsubstantiated Based on this investigation, the allegations are Unsubstantiated. Unsubstantiated meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where this report was discussed and a copy of this report was provided to the Administrator at the conclusion of the visit.the state’s words, verbatim · CDSS document, May 30, 2025 · control 56-AS-20240612103119

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sarina Ramirez made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Delcie Mucha, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (20), a current census of (20). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility has a small fountain that is gated and inaccessible to residents in care. The facility has sufficient lighting and is maintained at a comfortable temperature. The facility has sufficient indoor and outdoor space for resident activities The facility is equipped with operating smoke detectors/carbon monoxide alarms that was checked by the fire department on 10/31/24, working laundry equipment, and telephone service. Resident’s showers, toilets, and hand washing areas were operating properly. The hot water temperature in five (5) resident bathrooms measured between 105.3 and 118 degrees F. Five (5) resident’s bedrooms had beds, bed linen, chairs, dresser, storage space and sufficient lighting. The facility has sufficient linens, towels, and personal hygiene items for residents. The facility has posted in a common area, facility license, activity schedule, personal rights, facility sketch, emergency telephone numbers, house rules, CCLD complaint poster, and Ombudsman poster. Food Service: Facility kitchen and dining areas are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. Sharps and chemicals were kept locked and inaccessible to residents in care. Continuation on LIC – 809C: Care & Supervision: Facility has 24-hour/7days a week care staff. Facility staff have current CPR/first aid training. Medical Related Services: Resident’s medications are labeled and centrally stored in a locked cabinet. Record Review: Four (4) Staff files reviewed were observed to be complete. Four (4) Resident files reviewed were observed to be complete. Based on observations and record review no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to Administrator Delcie Mucha.the state’s words, verbatim · CDSS document, Nov 18, 2024