Ridgeview Assisted Living Community

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was greeted and allowed entry into the facility and conducted the visit with Assisted Living Director, Samantha Luke and Executive Director, Meegan Kiline. LPA, accompanied by staff, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Hot water temperature at taps accessible to residents were all compliant and measured between 110-113 F.. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, and/or fireplaces accessible to residents. Medications were labeled, as required, and stored in locked areas. No pools were observed on the premises. However the the facility has fountains that are within requirement. Per the facility staff, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA reviewed multiple staff and resident records/files. The reviewed files contained required documents. Confidential records were stored in locked areas. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Assisted Living Director, Samantha Luke to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Aug 21, 2026

Allegation investigated: Lack of supervision, resulted in injury

Licensing Program Analyst (LPA), Natasha Persaud conducted a telephone visit to conclude a complaint investigation regarding the above mentioned allegation. LPA discussed the investigation with Executive Director, Meegan Kline. During the investigation, the facility was briefly toured, records reviewed, and interviews conducted with staff, residents, and outside sources. It was alleged that lack of supervision resulted in injury involving Resident #1 (R1). It was reported that R1 had an un-witnessed fall in the memory care unit at the facility and sustained a fractured femur. R1 was found in their bathroom lying on their right side with their head in the shower and feet towards the toilet. R1 was assessed, 911 was contacted and R1 was transported to the hospital. R1’s Medical Assessment dated 12/04/25, indicated R1 required assistance with toileting; repositioning and transferring; bathing; grooming/hygiene; and unable to transfer in and out of bed. R1’s Facility's Service Plan dated 12/23/25, indicated R1 was a high risk for falls, chair bound and required assistance with toileting. Continued on LIC 9099C Unsubstantiated It also indicated R1 required mobility assistance with their wheelchair, and one person assist with transfers. Staff interviews revealed when R1 first moved in, they were independent. As time went on, R1 declined and required assistance with transfers and toileting. However, R1 was known for getting up without assistance. Outside source (OS) interviews revealed R1 will get up and not request assistance, due to their medical condition. OS confirmed R1’s needs were being met at the facility. OS confirmed visiting the facility daily as well as different times of the day and observed R1’s receiving care and supervision. R1 was interviewed but unable to recall the incident due to a medical condition that affects their brain. The facility conducts safety checks along with incontinence care to residents but does not provide one on one care. Residents use the bathroom in their private apartment, there's no way for staff to know, unless the resident calls for assistance. During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegation. The allegation was deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were emailed to Executive Director, Meegan Kline.the state’s words, verbatim · CDSS document, Jul 17, 2026 · control 08-AS-20260415123000

Allegation investigated: Staff did not seek medical attention for a resident in a timely manner

Licensing Program Analyst (LPA), Natasha Persaud conducted a telephone visit to conclude a complaint investigation regarding the above mentioned allegation. LPA discussed the investigation with Executive Director, Meegan Kline. During the investigation, the facility was toured, records reviewed, and interviews conducted with staff. It was alleged staff did not seek medical attention for a resident in a timely manner. It was reported that Resident #1 (R1) fell on 04/13/26, while in the restroom and staff responded by putting R1 back to bed and providing Tylenol. However, R1 was in significant pain and requested to go to the hospital but had to wait four (4) hours until they called an ambulance to transport R1 to the hospital. A review of facility records indicated R1 was sent out to the hospital by the Assisted Living facility on 03/23/26 for an unrelated medical condition. On 03/30/26, R1 was transported to a Skilled Nursing Facility (SNF) and remained at the SNF through 05/19/26. R1 confirmed they did not fall at the assisted living facility but rather at the SNF. Continued on LIC 9099C. Unfounded R1 also confirmed the allegation was investigated by the appropriate agency. Staff interviews confirmed R1 did not have a delay of medical care caused by the assisted living facility staff, as R1 was not present in the facility for the time frame reported. Skilled Nursing Facilities are overseen by California Department of Public Health (CDPH), not Community Care Licensing. LPA confirmed with SNF staff that investigation was initiated by CDPH. This agency has investigated the complaint alleging staff did not seek medical attention for a resident in a timely manner. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were emailed to Executive Director, Meegan Kline.the state’s words, verbatim · CDSS document, Jul 17, 2026 · control 08-AS-20260416155740

Allegation investigated: Staff are not following infectious control protocols

Licensing Program Analyst (LPA), Natasha Persaud conducted a telephone visit to conclude a complaint investigation regarding the above mentioned allegation. LPA discussed the investigation with Executive Director, Meegan Kline. During the investigation, the facility was toured, records reviewed, and interviews conducted with staff. It was alleged that staff are not following infectious control protocols. It was reported Resident #1 (R1) was not quarantined and/or kept away from the other residents, while Covid positive. The Executive Director (ED) explained R1 was in their secured memory care unit. R1 had wandering behaviors and liked to walk. R1 would walk from their room directly to the outside patio, wearing a mask. When R1 was outdoors they were accompanied by staff, both wearing masks.ED stated they followed infection control protocols, by assigning specific staff to positive residents, residents and staff wore masks, and PPE was in place when necessary. Staff confirmed that R1 would become restless and want to walk outside on the patio. Continued on LIC 9099C. Unsubstantiated The administrator and staff confirmed R1’s door was close to the exit door, ensuring it was a safe route for R1 to exit. Staff stated they ensured no other residents were present and they accompanied R1. R1 did not come in contact with other residents. During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegation. The allegation was deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were emailed to Executive Director, Meegan Kline.the state’s words, verbatim · CDSS document, May 22, 2026 · control 08-AS-20220106084229

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced case management visit. LPA identified themselves and met with Assisted Living Director Michelle England and Wellness Manager Jessica Mikkola to discuss the purpose of the visit. Today's visit was in response to a self reported medication error that occurred on 09/13/2025. Staff interviews and records review showed that Resident 1 (R1) did not experience any injuries or adverse reactions due to receiving a dose of a discontinued medication. The facility conducted an internal investigation which revealed that the Medication Technician (Med Tech) did not verify the order when administering the medication. The facility contacted R1's responsible party and primary care physician regarding the error, and notified the Department per requirements. Due to a repeat violation, deficiencies are cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D page). A Repeat Civil Penalty totaling $250 was assessed/charged to Licensee (refer to the LIC421-FC page). A Plan of Correction was jointly developed with the licensee. An exit interview was conducted with Michelle England, Assisted Living Director and Jessica Mikkola, Wellness Manager, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Oct 23, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(c)(2) · Plan of correction due date: Nov 21, 2025

(c) If the resident's physician has stated... that the resident is unable to determine his/her own need for nonprescription PRN medication,... facility staff...shall be permitted to assist the resident with self administration, provided...: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met, as evidenced by: based on interviews and records, Licensee did not assist 1 of 58 residents (R1) with medication according to the physician's order, which posed a health risk to persons in care.the state’s words, verbatim · CDSS document, Oct 23, 2025

Plan of correction: A 3rd party Pharmacy was contracted to retrain all Med Techs on medication passes and the 9 rights. Counseling was done with the staff involved regarding the error. The facility has implemented random medication audit checks and new procedures for medication passes regarding discontinued medications. All sign-in sheets for the in-service training will be provided to LPA by the POC due date.

Type of visit: Case Management - Deficiencies

Licensing Program Analysts (LPAs) Nacole Patterson, Ramin Hashemi, and Janet Ngallo conducted an unannounced case management visit. LPAs identified themselves and met with Executive Director Mona Kaur and Assisted Living Director Michelle England to discuss the purpose of the visit. Today's visit was in response to a self-reported medication error that occurred on 07/28/2025. Staff interviews and records review showed that the Resident 1 (R1) did not experience any injuries or adverse reactions due to receiving two doses of a routine medication. The facility conducted an internal investigation which revealed that two Medication Technicians (Med Techs) were administering medications to the same floor during the incident, and the extra dose was given to R1 due to a communication error between the Med Techs. The facility contacted R1's responsible party and primary care physician regarding the error, and notified the Department per requirements. This is the facility's second medication error within a 12-month period. Deficiencies are cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D page). A Repeat Civil Penalty totaling $250 was assessed/charged to Licensee (refer to the LIC421-FC page). A Plan of Correction was jointly developed with the licensee. An exit interview was conducted with Executive Director Mona Kaur, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Aug 15, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(c)(2) · Plan of correction due date: Aug 22, 2025

(c) If the resident's physician has stated... that the resident is unable to determine his/her own need for nonprescription PRN medication,... facility staff...shall be permitted to assist the resident with self administration, provided...: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met, as evidenced by: based on interviews and records, Licensee did not assist 1 of 40 residents (R1) with medication according to the physician's order, which posed a health risk to persons in care.the state’s words, verbatim · CDSS document, Aug 15, 2025

Plan of correction: A 3rd party Pharmacy was brought in to retrain all Med Techs on medication passes and the 9 rights, and narcotic/controlled substance policy. Counseling was done with the staff involved regarding the error. The facility has implemented random medication audit checks and new procedures for medication passes. All sign-in sheets for the in-service training will be provided to LPA by the POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Administrator Mona Kaur. The facility's license shows a maximum capacity of sixty-eight (68) elderly residents, sixty-eight (68) of whom may be bedridden with a hospice waiver approved for twelve (12) residents. During today’s inspection there were 60 residents in care. LPA, Administrator Mona Kaur, and Assisted Living Director Michelle England toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Administrator Mona Kaur, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and clients, and reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. No deficiencies were cited during the inspection. An exit interview was conducted with Administrator Mona Kaur to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Jul 8, 2025

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced Case Management Visit. LPA was greeted by and met with Mona Kaur, Executive Director, to discuss the purpose of the visit. Today's visit is in response to two self reported incidents. On 4/30/2025 the facility reported a medication error by Staff 1 (S1) where a medication was accidentally administered twice. The facility conducted an internal investigation which confirmed the medication error. The Medication Technician (Med Tech) involved was re-trained regarding medication administration protocols. On 06/17/2025 the facility reported an accusation of missing money for Resident 1 (R1). The facility conducted an internal investigation which included interviews with R1, the staff member accused, staff statements, interviews with R1's family, and review of exterior camera footage during the alleged timeframe of the incident. The facility's internal investigation was inconclusive and did not give evidence that the staff member removed money from the resident's purse. The investigation further revealed inconsistencies regarding the details of the event. The resident's family informed that the last time they observed the money in question was at the resident's prior facility, not this facility. LPA conducted a wellness check at the facility; no health or safety issues were identified. Deficiencies are cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). A Plan of Correction was jointly developed with the licensee. An exit interview was conducted with Mona Kaur, Executive Director, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Jul 8, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(c)(2) · Plan of correction due date: Jul 8, 2025

(c) If the resident's physician has stated... that the resident is unable to determine his/her own need for nonprescription PRN medication,... facility staff...shall be permitted to assist the resident with self administration, provided...: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met, as evidenced by: based on interviews and records, Licensee did not assist 1 of 60 residents (R1) with medication according to the physician's order, which posed a health risk to persons in care.the state’s words, verbatim · CDSS document, Jul 8, 2025

Plan of correction: Assisted Living Director (LVN) retrained all Med Techs on medication passes and the 9 rights, and narcotic/controlled substance policy. Counseling was done with S1 regarding the error. Administrator provided the signed training sheets during the facility visit.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced Case Management Visit. LPA was greeted by and met with Assisted Living Director Michelle England, to discuss the purpose of the visit. Today's visit is in response to a request by the Licensee to increase the facility's bedridden capacity. LPA toured the facility and inspected the rooms pertinent to the request. LPA observed that the rooms match the approved bedridden clearance that was granted by the local fire authority on 01/14/2025. The facility is approved for all rooms to serve bedridden residents. No health or safety issues were observed during the visit and no deficiencies were cited on this date. An exit interview was conducted with Assisted Living Director Michelle England, who was provided with a copy of this report and Appeal Rights (LIC9056 03/22). Their signature confirms receipt of these documents.the state’s words, verbatim · CDSS document, Jan 17, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Administrator Mona Kaur. The facility's license shows a maximum capacity of 68 non-ambulatory residents. During today’s inspection there were 54 residents in care. LPA and Administrator Mona Kaur toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Administrator Mona Kaur, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and clients, and reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. No deficiencies were cited during the inspection. An exit interview was conducted with Administrator Mona Kaur to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, May 13, 2024

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced Case Management Visit. LPA was greeted by and met with Administrator Mona Kaur, to discuss the purpose of the visit. Today's visit is in response to the self reported incident of Resident 1 (R1 - see LIC811 Confidential Names List) who suffered a medication error. LPA interviewed staff and residents and collected records and a wellness check was completed. Deficiencies are cited per California Code of Regulations, Title 22 (refer to the attached LIC809-D). A Plan of Correction was jointly developed with the Licensee. An exit interview was conducted with Administrator Mona Kaur, to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, May 13, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(c)(2) · Plan of correction due date: May 13, 2024

(c) If the resident's physician has stated... that the resident is unable to determine his/her own need for nonprescription PRN medication,... facility staff...shall be permitted to assist the resident with self administration, provided...: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met, as evidenced by: based on interviews and records, Licensee did not assist 1 of 54 residents (R1) with medication according to the physician's order, which posed a health risk to persons in care.the state’s words, verbatim · CDSS document, May 13, 2024

Plan of correction: Assisted Living Director (LVN) retrained all Med Techs on medication passes and the 7 rights, and documented the retraining. Counseling was done with S1 regarding the error. Administrator provided the signed training sheets during the facility visit as well as the write-up.

Type of visit: Case Management - Incident

Licensing Program Analysts (LPA) Nacole Patterson and Ryan Fulton conducted an unannounced Case Management Visit. LPAs were greeted by and met with Administrator Mona Kaur, to discuss the purpose of the visit. Today's visit is in response to three (3) self reported incidents for residents 1, 2 and 3 (see LIC811 Confidential Names List) who suffered falls. LPAs interviewed staff and residents and conducted a wellness check; no health or safety issues were identified. No deficiencies were cited or observed on this date. An exit interview was conducted with Administrator Mona Kaur, who was provided with a copy of this report and Appeal Rights (LIC9056 03/22). Their signature confirms receipt of these documents.the state’s words, verbatim · CDSS document, Apr 3, 2024