Valencia Terrace

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Mary Rico and Matthew Aguilar made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPAs met with Human Resources Stephanie Cobb and was granted entry to the facility. Licensed capacity is (84) current census (74). LPA was accompanied by Human Resources Stephanie Cobb and Environmental Service Director Nate Webb to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPAs inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPAs observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms which was tested on 03/24/2026 by the Fire Inspector. Posters such as personal rights and the CCL complaint poster were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated office for resident/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week .Record Review: LPAs reviewed (8) resident files for admission agreements, updated physician reports, and needs and services plans. LPAs reviewed (10) resident medications and (2) hospice files. LPAs also reviewed (8) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Human Resources Stephanie Cobb.the state’s words, verbatim · CDSS document, Jul 20, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Edgar Gallardo and was granted entry to the facility. Licensed capacity is (84) current census (74). LPA was accompanied by Administrator Edgar Gallardo to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights and the CCL complaint poster were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated office for resident/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week.Record Review: LPA reviewed (9) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (8) resident medications and (8) hospice files. LPA also reviewed (9) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Edgar Gallardo.the state’s words, verbatim · CDSS document, Sep 9, 2025

Allegation investigated: Staff left resident in soiled diapers causing resident to sustain a rash. Staff not administering residents medication as prescribed. Staff not keeping an accurate medical log for residents. Staff administering residents medication without approval of dosage(s).

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to investigate and deliver findings on the allegations listed above. LPA met with Administrator Edgar Gallardo and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews, record review and facility tour. For the allegation, Staff left resident in soiled diapers causing resident to sustain a rash. During residents’ interviews 9 out of the 9 residents stated they do not have a diaper rash. During staff interviews 6 out of the 6 staff stated they are responsible to change their resident’s brief every two hours. In addition, 6 out of the 6 staff stated the facility does not have a resident with a diaper rash. During record review, LPA obsevred no resident sustain a diaper rash. Unsubstantiated For the allegation, Staff not administering residents’ medication as prescribed. During resident interviews, 9 out of the 9 residents stated they receive all their prescribed medication.During staff interviews, 6 out of the 6 staff stated all resident's medication is administrated. During medication audit, LPA Rico observed the medication to be dispensed properly. For the allegation, Staff not keeping an accurate medical log for residents. During staff interviews, 6 out of the 6 staff stated no mistake as been made on resident’s medication log. During medication audit, LPA verify resident’s medication were dispensed and documented properly. For the allegation, Staff administering residents’ medication without approval of dosage(s). During staff interviews 6 out of 6 staff stated they have not change resident’s medication dosage. In addition, 6 out of the 6 staff stated they follow resident’s physician orders. During medication audit, LPA verify resident’s physician order matched resident’s medication logged. Based on the evidence found during the investigation, the four (4) allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Edgar Gallardo.the state’s words, verbatim · CDSS document, Jun 16, 2025 · control 56-AS-20221026112756

Type of visit: Case Management - Other

Licensing Program Analysts (LPAs) Mary Rico and Antoinette Davis conducted an announced visit to the facility for the purpose of a change of ambulatory, non-ambulatory and bedridden. LPA was greeted and granted entrance by Administrator Edgar Gallardo.. Per the LIC200, Licensee requested for the to convert rooms 151-162 from independent living into assisted living units. Current assisted living rooms are 166-192,244-262. 264-292. The Licensee is also requesting to increase total bedridden occupancy. The facility went from (72) bedridden to (84) bedridden. The fire clearance request was approved on 5/9/2025. The licensee was advised that the noted designated capacity and status for each room is to remain in compliance. LPA observed that the residents’ bedrooms had functional lighting. The physical plant is ready. LPA will update the facility's file and issue a new license. An exit interview was conducted where this report LIC809 was discussed and provided to Administrator Edgar Gallardo.the state’s words, verbatim · CDSS document, May 30, 2025

Allegation investigated: Resident sustained unexplained injuries while in care

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Administrator Edgar Gallardo and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews and document review. For the allegation, Resident sustained unexplained injuries. Investigation was conducted by Department staff which consisted of seven (7) staff interviews five (5) resident interviews and document review. Evidence revealed that resident had multiple falls while living at the facility and on two (2) occasion R1 was handled roughly by staff resulting in multiple injuries. Staff interviews indicate that R1’s health rapidly declined and had multiple falls. Staff indicated that R1 would be found on the ground or hanging off the bed almost every day. Substantiated In addition, on 10/18/21 R1’s daughter and home health nurse observed staff handling R1 rough during a lift and transfer. On 10/19/21 video footage captures a staff improperly lifting R1 causing redness to R1’s arm. Medical records show that R1 was diagnosed with Bilateral high riding humeral heads, suggestive of chronic rotator cuff tears and compression deformities of L3 and L4 vertebral bodies. Nursing notes also indicate R1 was observed to have several bruises to left arm and shoulder. Based on the evidence gathered during the investigation, the allegation listed above is deemed SUBSTANTIATED. A finding that the complaints are SUBSTANTIATED means that the allegations are valid because the preponderance of evidence the standard has been met. An exit interview was conducted and the forms LIC9099 and LIC9099D were discussed and left with Administrator Edgar Gallardo along with a copy of the appeal rights.the state’s words, verbatim · CDSS document, Apr 25, 2025 · control 18-AS-20211020150235

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(3) · Plan of correction due date: Apr 28, 2025

87468.1 Personal Rights of Residents in all Facilities (3) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Based on evidence and video footage, Licensee did not comply with the section cited above evidenced by Staff #2 (S2) improperly lifting Resident #1 (R1) and sustained bruising from using gait belt which poses an immediate health, safety, and personal rights risk to those in care.the state’s words, verbatim · CDSS document, Apr 25, 2025

Plan of correction: Licensee stated to submit photo documentation of all staff signing that they have read section 87468 Personal Rights of Residents in All Facilities by LPA Hernandez by Plan of Correction (POC) due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Stephen Pratt and was granted entry to the facility. Licensed capacity is (84) current census (65). LPA was accompanied by Administrator Stephen Pratt to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated office for client/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care.Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (10) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (10) resident medications and (4) hospice files. LPA also reviewed (10) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Stephen Pratt.the state’s words, verbatim · CDSS document, Oct 8, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Edgar Gallardo and was granted entry to the facility. Licensed capacity is (84) current census (62). LPA was accompanied by Administrator Stephen Pratt to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated office for client/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care. Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a variety of food available for clients. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (20) client files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (20) client medications. LPA also reviewed (20) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Stephen Pratt.the state’s words, verbatim · CDSS document, Oct 11, 2023