The Parkview

Type of visit: Case Management - Incident

On 5/14/2026 at 3:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct Case Management Inspection in regards to incident report. LPA met with Business Services Manager, Preet Ghuman and explained the reason for the visit. Based on the incident report received, resident (R1) was found by local law enforcement and transported to the hospital due to unwitnessed fall. R1 fell after leaving the facility. During visit, LPA reviewed R1's file including physician's report, care notes, care plan, and incident report. R1's physician's report indicated that R1 cannot leave the facility unassisted. Interview with staff revealed that R1 left the facility from the side door and R1 did not have a wander guard on when leaving the facility. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, May 14, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(a) · Plan of correction due date: May 22, 2026

Personnel Requirements - General. (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by having resident leave the facility unassisted which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, May 14, 2026

Plan of correction: Facility has conducted staff training on elopement and will provide training material and staff sign in sheet to CCLD by POC date.

Type of visit: Required - 1 Year

On 2/20/2026 at 9:45AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Executive Director, Aireen Tibon and explained the reason for the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, activity rooms, common areas, and outdoor area. Centrally stored medications were locked in medication carts located in med rooms. First Aid kit is complete. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detectors were observed in resident's rooms. Fire extinguishers were observed to be full and last serviced on 2/11/2026. One week of nonperishable and 2-day of perishable food supplies were available. Facility orders food twice a week. Freezer’s temperature was registered at -2 degree F while the refrigerator’s temperature was recorded at 33 degrees F. Hot water temperature was measured at 117.2 degrees F in a resident's bathroom. Grab bars for each toilet and shower were installed. Non-skid mats were observed. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. LPA reviewed 5 residents and 5 staff files starting at around 1:50PM. Residents and staff files were complete. Staff are fingerprint cleared and associated to the facility. LPA reviewed a sample of resident's medications during inspection. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.the state’s words, verbatim · CDSS document, Feb 20, 2026

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Case Management - Incident

On 2/20/2026 at 4:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to incident report received on 2/6/2026. LPA met with Executive Director, Aireen Tibon and informed her the reason for the visit. Based on the incident report received on 2/6/2026, resident (R1) was found in a sitting position in the hallway and R1 doesn't remember how R1 fell. Staff called 911 and R1 was taken to the hospital. R1 was diagnosed with lower lumbar fracture and contusion and returned to the facility later that day. During visit, LPA reviewed R1's file and interviewed R1. LPA observed R1 had a walker to assist with ambulation. R1 stated R1 is doing fine and wears a call button if R1 needs assistance. R1 verbalized R1 is able to use the call button and staff would respond to the call. No deficiencies are being cited on this date. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Feb 20, 2026

Type of visit: Case Management - Incident

On 12/2/2025 at 2:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to SOC341. LPA met with Executive Director, Aireen Tibon and informed her the reason for the visit. Based on the SOC341, staff (S3) grabbed a resident (R1) by the arms forcing R1 to stand up. This action resulted in R1 sustaining a skin tear on R1's arm. During visit, LPA interviewed staff and resident. LPA reviewed R1 and S3's files. Interview with staff indicated that S2 witnessed the incident where S3 grabbed R1's arm which caused a large skin tear on R1's right arm. Interview with R1 revealed R1 did not remember how the injury on right arm was sustained. LPA was informed that the facility conducted an internal investigation and S3 was terminated. Facility conducted an in-service training on resident rights shortly after incident occurred. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Dec 2, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(3) · Plan of correction due date: Dec 5, 2025

Personal Rights of Residents in All Facilities. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature... This requirement is not met as evidence by: Based on interviews and record reviews, licensee did not comply with the section cited above by S3 grabbing R1's arms forcefully resulted in R1 sustaining skin tear which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Dec 2, 2025

Plan of correction: Facility conducted in-service training with staff on resident rights on 11/21/2025 and provided a copy to training document to LPA. Deficiency cleared.

Allegation investigated: Staff left medication unattended and accessible to residents in care Staff did not ensure that resident took medication as prescribed Staff hid or camouflaged resident medication in another substance Staff do not respond to resident's call for assistance in a timely manner

On 5/7/2025 at 10:45AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a complaint investigation and deliver findings in regards to the allegations above. LPA met with Executive Director (ED), Aireen Tibon and explained the purpose of the visit. ED was not able to stay to sign the reports and authorized Resident Care Coordinator, Sherallyn Dones to sign CCLD reports. During the course of investigation, LPA interviewed 3 residents, 6 staff, and witness. LPA also obtained and reviewed emergency information, physician's report, care plan, hospice information, staff roster with contact information, medication list, MAR, doctor's order, incident report, progress notes, and pull cord log. Staff left medication unattended and accessible to residents in care Interview with residents revealed they have not witness unlocked medications at the facility. Interview with staff indicated that medication carts are locked when staff are not present to monitor the medication cart. (Continue on LIC9099C...) Unsubstantiated Staff did not ensure that resident took medication as prescribed Interview with residents revealed staff are good at giving medication. Interview with staff indicated staff would compare the resident's medication with E-MAR prior to administering medications to residents. Staff hid or camouflaged resident medication in another substance Interview with staff revealed that only residents that has a crushed order would have their medications crushed and mixed with applesauce. R1 had a doctor's order for crushed medications and mixed with applesauce. Staff do not respond to resident's call for assistance in a timely manner Interview with residents revealed that staff would take a few minutes to respond to call button. Interview with staff indicated there was an issue with staff clearing the call after responding to residents which caused a longer time in the pull cord logs. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted with Sherallyn Dones. A copy of this report provided.the state’s words, verbatim · CDSS document, May 7, 2025 · control 15-AS-20240903214101

Type of visit: Case Management - Incident

On 5/7/2025 at 4:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to incident report received. LPA met with Resident Care Coordinator, Sherallyn Dones and informed her the reason for the visit. Based on the incident report received, resident (R1) was taken to the hospital due to change in activity level. R1 was diagnosed with a fracture on left elbow. R1 was discharged from the hospital with a sling Based on interview with S1, R1 did not have a fall. S1 stated R1 did not have any injuries prior to the hospital visit. R1 follow up with Orthopedics. R1's activity level returned to normal. Interview with R1 indicated that R1 was doing well and was watching TV during visit. No deficiencies are being cited on this date. Exit interview conducted with Sherallyn and a copy of this report provided.the state’s words, verbatim · CDSS document, May 7, 2025

Allegation investigated: Facility did not issue a proper refund

On 4/17/2025 at 4:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a complaint investigation and deliver findings in regards to the allegation above. LPA met with Executive Director, Aireen Tibon and explained the purpose of the visit. During the course of investigation, LPA interviewed staff and complainant. LPA also obtained and reviewed admission agreement, care plan, incident report, email correspondence, and copy of the check. Interview with staff revealed that a check was issued to R1's family on 9/12/2024 and the check was cleared on 9/18/2024. S1 stated that R1 did not submit a 30 day notice to facility, but S2 had a discussion with R1's family and would reimburse R1 for the whole month. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted. A copy of this report provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 17, 2025 · control 15-AS-20240829091101

Allegation investigated: Staff did not follow general food safety requirements Facility refrigerator temperature is not maintained a maximum of 40 degrees F Facility staff did not have proper training for the operation of the food service

On 4/17/2025 at 10:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a complaint investigation and deliver findings in regards to the allegations above. LPA met with Executive Director, Aireen Tibon and explained the purpose of the visit. During the course of investigation, LPA interviewed 5 staff and complainant. LPA reviewed and obtained refrigerators/freezer temperature logs, facility menu, and staff training documents. Staff did not follow general food safety requirements LPA observed the sandwich knife was wiped using a towel that was on the counter. Interview with S3 revealed that sandwich knife was wiped with towel dipped in sanitizer instead of cleaned after each use. (Continue on LIC9099C...) Substantiated Facility refrigerator temperature is not maintained a maximum of 40 degrees F. LPA observed walk-in refrigerator temperature was at 48 degrees F seen on internal thermometer and the sandwich refrigerator temperature was at 50 degrees F seen on internal thermometer. Facility staff did not have proper training for the operation of the food service LPA observed S6 had ServSafe certification which expired on 9/24/2024. Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC9099D. Exit interview conducted. A copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Apr 17, 2025 · control 15-AS-20250414103432

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(b)(30) · Plan of correction due date: May 9, 2025

General Food Service Requirements. All utensils used for eating and drinking and in preparation of food and drink, shall be cleaned and sanitized after each usage. This requirement is not met as evidence by: Based on observation and interview, licensee did not comply with the section cited above by not cleaning the utensils after each use which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Apr 17, 2025

Plan of correction: Executive Director (ED) has agreed to conduct training for all kitchen staff regarding food safety and proper cleaning of utensils. ED will submit staff sign in sheet with training materials to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(b)(21) · Plan of correction due date: May 9, 2025

General Food Service Requirements. ...refrigerators of adequate size shall maintain a maximum temperature of 40 degrees F (4 degrees C)... This requirement is not met as evidence by: Based on observation, licensee did not comply with the section cited above by having the walk-in and sandwich refrigerator temperature above 40 degrees F which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Apr 17, 2025

Plan of correction: ED has agreed to lower the walk-in and sandwich refrigerator temperature to less than 40 degrees and submit picture proof to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(b)(17) · Plan of correction due date: May 9, 2025

General Food Service Requirements. In facilities licensed for fifty (50) or more...a full-time employee qualified by formal training ...shall be responsible for the operation of the food service... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by not having current training which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Apr 17, 2025

Plan of correction: Executive Director (ED) has agreed to create a plan for S6 to obtain current training due to S6 is on leave of absence and submit plan to CCLD by POC date.

Type of visit: Required - 1 Year

On 2/19/2025 at 9:45AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Resident Care Coordinator, Sherallyn Dones and explained the reason for the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, activity rooms, common areas, and outdoor area. Centrally stored medications were locked in medication carts located in med rooms. First Aid kit is complete. The facility has a written emergency disaster plan. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 3/25/2024. One week of nonperishable and 2-day of perishable food supplies were available. Facility orders food twice a week. Freezer’s temperature was registered at 0 degree F while the refrigerator’s temperature was recorded at 40 degrees F. Hot water temperature was measured at 120 degrees F in a resident's bathroom. Grab bars for each toilet and shower were installed. Non-skid mats were observed. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. Indoor and outdoor passages were free of obstruction. During visit, LPA reviewed 5 residents and 5 staff files. LPA observed staff completed annual training. LPA reviewed a sample of resident's medications during inspection. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.the state’s words, verbatim · CDSS document, Feb 19, 2025

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Allegation investigated: Facility is refusing to take resident back into care

On 2/07/2025 at 1:00 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to deliver findings for the above allegations. LPA met with Executive Director, Aireen Tibon and explained the purpose of the visit. During course of the investigation, LPA conducted interviews with facility staff, and witnesses. Documents including but not limited to R1’s admission agreement, physician’s report, care plans, incident reports, and email correspondences were reviewed. LPA visited the facility on 7/30/2024 and 12/20/2024. Report Continues on LIC9099-C Unsubstantiated On 7/30/2024 LPA collected R1’s admission agreement, physician’s report, and care plans. R1 was admitted to the facility at a level 2 in assisted level. A level 2 states that the resident requires minimum assistance. Between 9/7/2023 and 7/9/2024 R1 had a total of eleven (11) documented falls while at the community. On 12/20/2024 LPA interviewed the ED who stated that due to the increase of R1’s falls and observations made of R1 while evaluating for return to the community that R1 required more assistance to return to the community. ED provided email correspondences with R1’s responsible party offering solutions for R1 to return to return to the community safely. However, R1’s responsible party and the facility did not come to a resolution for R1’s return. R1 was moved out from the facility on 08/09/2024. Based on interviews, file reviews, and email correspondence trying to find a safe way for R1 to return to the community the allegation “Facility is refusing to take resident back into care “ is unsubstantiated. 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 cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Feb 7, 2025 · control 15-AS-20240715101039

Allegation investigated: Staff failed order refills in a timely manner

On 4/25/2024 at 3:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a complaint investigation and deliver findings in regards to the allegation above. LPA met with Associate Executive Director, Aireen Tibon. During the course of investigation, LPA interviewed 2 staff and complainant. LPA reviewed and obtained staff roster with contact information, physician notification forms, physician's report, medication list, MAR, care notes, and correspondences. Interview with staff indicated that facility would submit fax request to the doctor for medication refills. S1 stated that R3 did not have insurance for a period of time in March of 2023. After reviewing the MAR and care notes, LPA observed that R3 was not given one medication starting 3/1/2023 due to not obtaining refill. However, facility did not contact responsible party until 3/22/2023 for assistance with medication refills. (Continue on LIC9099C...) Substantiated Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC9099D. Exit interview conducted. A copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Apr 25, 2024 · control 15-AS-20230424094739

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(a)(4) · Plan of correction due date: May 10, 2024

Incidental Medical and Dental Care. A plan for incidental medical...shall be developed by each facility...The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not obtaining medication refills in a timely manner which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Apr 25, 2024

Plan of correction: Executive Director has agreed to create a new procedure for medication refills and conduct training for staff. ED will submit new procedure and staff sign in sheet to CCLD by POC date.

Type of visit: Case Management - Annual Continuation

On 4/25/2024 at 9:45AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct Case Management - Annual Continuation. LPA met with Executive Director, Aireen Tibon and explained the purpose of the visit. During visit, LPA reviewed 5 residents and 5 staff files. LPA observed staff completed training which includes dementia, food service, resident rights, medication, ADL (Activities of Daily Living) care, and other topics. LPA interviewed 4 residents and 5 staff starting at 1:30PM. LPA reviewed a sample of resident's medications at around 3:00PM. At 11:30AM, LPA observed R2 and R4 does not have a current medical assessment on file. At 12:30PM, LPA observed S3 does not have TB test on file. At 1:00PM, LPA observed S5 does not have current First Aid training. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Apr 25, 2024

Type of visit: Required - 1 Year

On 2/15/2024 at 3:05PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Executive Director, Aireen Tibon. The facility’s fire clearance was approved for 123 non-ambulatory residents and 13 residents may be under hospice care. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, activity rooms, kitchen, common areas, and outdoor area. Centrally stored medications were locked in medication carts located in med rooms. First Aid kit is complete. The facility has a written emergency disaster plan. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 3/2/2023. One week of nonperishable and 2-day of perishable food supplies were available. Facility orders food twice a week. Freezer’s temperature was registered at -1 degree F while the refrigerator’s temperature was recorded at 34 degrees F. Hot water temperature was measured at 120 degrees F in a resident's bathroom. Grab bars for each toilet and shower were installed. Non-skid mats were observed. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. Indoor and outdoor passages were free of obstruction. No deficiencies are being cited on this date. LPA will return at a later time to complete the inspection. Exit interview conducted. A copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 15, 2024