Valley Crest

Allegation investigated: Staff did not provide medical attention in a timely manner Staff yells at the residents in care Staff did not safeguard resident’s belongings Staff are not providing adequate food service Staff are not assisting residents with attending church

Licensing Program Analyst (LPA) Becky Mann conducted an unannounced visit to the facility to initiate a complaint investigation. LPA Mann met with Donna Cabrera, Executive Director and explained the purpose of today's visit. The investigation consisted of LPA observations, pertinent document reviews, and interviews with staff and residents. The allegation that staff do not provide medical attention in a timely manner. Four (4) staff interviewed stated that they do seek medical attention for the residents in a timely manner. Resident #1 (R1) stated that staff do seek medical attention in a timely manner. Resident #2 (R2) stated that they have not needed to seek medical attention yet at the facility. Resident #3 (R3), Resident #4 (R4) and Resident #5 (R5) were not able to respond due to cognitive impairment. Unsubstantiated The allegation that Staff yells at the residents in care. Four (4) staff interviewed denied yelling at the residents. The four (4) staff stated that they have not seen a staff yell at a resident. Resident #1 (R1) and Resident #2 (R2) stated that staff have not yelled at them and have not seen staff yell at another resident. Resident #3 (R3), Resident #4 (R4) and Resident #5 (R5) were not able to respond due to cognitive impairment. The allegation that Staff did not safeguard resident’s belongings. Four (4) staff interviewed stated that they do safeguard resident's belongings. R1 and R2 stated that staff do safeguard the residents' belongings. R3, R4 and R5 were not able to respond due to cognitive impairment. The allegation that Staff are not providing adequate food service. Four (4) staff interviewed stated that they do provide adequate food service at the facility. R1 and R2 stated that staff do provide adequate food service at the facility. R3, R4 and R5 were not able to respond due to cognitive impairment. The allegation that Staff are not assisting residents with attending church. The facility is a Memory Care facility. Based on interviews and record reviews, the pastor comes to the facility to conduct the Sunday service for the residents. Based on evidence obtained during the investigation, the above allegations are Unsubstantiated; meaning that 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. An exit interview was conducted where this report was discussed, and a copy was provided to Donna Cabrera, Executive Director at the conclusion of the visit.the state’s words, verbatim · CDSS document, Sep 17, 2026 · control 56-AS-20260316090734

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Becky Mann arrived at the facility unannounced to conduct a Case Management Visit for health and safety. This case management visit is in response to a SOC 341 submitted to the Community Care Licensing Office on 09/09/2026. LPA was greeted by Donna Cabrera, Executive Director at the front door. LPA introduced self and stated purpose of the visit. During today's visit, LPA discussed the incident and surrounding events with Donna Cabrera, Executive Director. LPA did a health and safety check and discussed the incident with Executive Director. The incident involved a video of 2 staff verbally abusing a resident which poses a potential health, safety and personal rights to persons in care. Deficiency was cited during this visit. An exit interview was conducted where this report was reviewed, discussed and then provided to Donna Cabrera, Executive Director.the state’s words, verbatim · CDSS document, Sep 15, 2026

From the deficiency page — Deficiency type: Type B · Section cited: HSC 80072(a)(1) · Plan of correction due date: Sep 15, 2026

80072 Personal Rights (a) ... each client shall have personal rights which include, but are not limited to, the following: (1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement is not met as evidenced by: Based on observations, record reviews and interviews, the facility did not comply with the section cited above by 2 staff video recording a resident and verbally abusing the resident. This poses a potential health, safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 15, 2026

Plan of correction: During the time of the visit, the Plan of Correction (POC) was completed at the facility. Executive Director submitted proof of the in service meeting with staff on 09/10/2026 on the topics of elder abuse and personal rights.

Allegation investigated: Facility did not meet the level of care needs for residents in care Insufficient staffing

Licensing Program Analyst (LPA) Paola Guerrero arrived at the facility to deliver investigative findings. LPA met with Facility Administrator Donna Cabrera and explained the purpose of the visit regarding the allegations stated above. First allegation: Facility did not meet the level of care needs for residents in care. Regarding the allegations stated above, LPA conducted interviews with Staff #2, Staff #3, Staff #4, and Staff #5, regarding the alleged allegation, and all staff denied the allegation and informed LPA that staff meet resident care needs daily and all residents at the facility are appropriate for the facility. LPA conducted interviews with Resident #1, Resident #2, Resident #3, and Resident #4, regarding the alleged allegation, and R#1-4 denied the allegation and informed LPA that caregivers meet their care needs daily and have no concerns to report regarding the level of care. Unsubstantiated Second allegation: Insufficient staffing, Regarding the allegation stated above, LPA conducted interviews with Staff #2, Staff #3, Staff #4, and Staff #5 regarding the alleged allegation, and all staff denied the allegation and informed LPA that the facility is currently staffed and has no concern regarding insufficient staff. Staff #2 provided LPA with Facility Personnel Report and LPA observed that the facility has enough staff to meet the needs of residents in care. LPA conducted interviews with Resident #1, Resident #2, Resident #3, and Resident #4 regarding the alleged allegation, and all residents denied the allegation and informed LPA that they witnessed facility to have enough care staff to meet their care needs. Based on corroborating evidence LPA has determined that the above allegation is Unsubstantiated, meaning that 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. An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator Donna Cabrera.the state’s words, verbatim · CDSS document, Aug 11, 2026 · control 56-AS-20260316113443

Allegation investigated: Staff do not ensure resident is allowed phone calls

Licensing Program Analyst (LPA) Paola Guerrero arrived at the facility to deliver investigative findings. LPA met with Facility Administrator Donna Cabreraand explained the purpose of the visit regarding the allegations stated above. First allegation: Staff do not ensure resident is allowed phone calls. Regarding the allegation stated above, LPA conducted an interview with Staff #1 regarding the alleged allegation Staff #1 informed LPA that since Resident #1 admission (2/17/2026), resident was receiving multiple calls. Staff #1 informed LPA that staff informed Resident #1 family that calls were becoming excessive and conflicting with Resident #1 schedule. Staff #1 informed LPA that staff suggested Resident #1 family for a solution regarding the excessive calls. Staff #1 provided LPA with call logs that showed the multiple calls Resident #1 received. LPA informed Staff #1 if the call log demonstrate Resident #1 refusing any telephone call Staff #1 stated “No”. LPA informed Staff #1 that all residents have the right to have reasonable access to telephones, to both make and receive confidential calls. Substantiated LPA conducted interviews with Residents #2-5 regarding the alleged allegation and all residents denied the allegation and informed LPA that caregivers assist them with their hygiene needs daily and that they have no concerns regarding their hygiene needs. Based on corroborating evidence LPA has determined that the above allegation is Unsubstantiated, meaning that 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. An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator Donna Cabrera Based on the evidence gathered during the investigation, the above allegations are Substantiated. A finding that the complaint is Substantiated means that the findings are valid because the preponderance of the evidence standard has been met. Title 22 Regulations Personal Rights of Residents in All Facilities 87468.1 (a)(1)(3)(14), from division 6, chapter, article 6, is, cited on the attached LIC 9099 D. An exit interview was conducted where this report, appeal rights, and LIC9099-D was discussed, and a copy of the report was provided to Facility Administrator Donna at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jul 17, 2026 · control 56-AS-20260303131534

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(1)(3)(14) · Plan of correction due date: Jul 24, 2026

Personal Rights of Residents in All Facilities 87468.1 ....(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:....(1) To be accorded dignity in their personal relationships with staff, residents, and other persons....(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination.....(14) To have reasonable access to telephones, to both make and receive confidential calls. The licensee may require reimbursement for long distance calls. This requirement is not met as evidence by: Based on interviews, and review of records, the Licensee did not adhere to the regulation stated above for Resident #1, which poses an immediate Health, Safety, or Personal Rights risks to residents in care.the state’s words, verbatim · CDSS document, Jul 17, 2026

Plan of correction: The Licensee has agreed to provide training on regulation: Personal Rights of Residents in All Facilities 87468.1 (a)(1)(3)(14). The Licensee will provide LPA proof of the training that will be signed and dated by all staff by POC date 7/24/2026.

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Becky Mann arrived at the facility unannounced to conduct a Case Management Visit for health and safety. This case management visit is in response to a Special Incident Report (SIR) submitted to the Community Care Licensing Office on 01/27/2026. LPA was greeted by Naomi Cundari, Concierge at the front door. LPA introduced self and stated purpose of the visit. During today's visit, LPA discussed the incident and surrounding events with Gabriel Aguilar, Administrator. LPA did a health and safety check and reviewed resident records. No deficiencies were observed during this visit. An exit interview was conducted where this report was, reviewed, discussed and then provided to Gabriel Aguilar, Administrator.the state’s words, verbatim · CDSS document, Feb 5, 2026

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Becky Mann and Rima Corona conducted an unannounced required 1-year visit to the facility. LPAs met with Gabriel Aguilar, Administrator and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE). Licensed capacity of 65 with a current census of 41. LPAs conducted an overall inspection of the facility, 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 the required furniture such as beds, 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 hot water temperature tested between 110 and 112 degrees Fahrenheit. 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. During the facility tour, LPAs observed 1 bottle of Pine Sol in 1 resident's bedroom under the sink. One (1) deficiency issued. All the sharps are locked. There was a designated area for resident/staff files. Overall, the facility is clean, in good repair, and operating in a safe condition 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 does have sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPAs reviewed four (4) resident files for admission agreements, updated physician reports, and needs and services plans. Resident files are maintained and up to date. LPAs reviewed four (4) resident medications. Medications are labeled and administered as prescribed. Medications are kept locked and inaccessible to residents in care. LPAs also reviewed six (6) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Facility staff records are up to date. Based on the observations made during today’s visit, one (1) deficiency were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report LIC809, LIC809C was discussed and provided to Administrator Gabriel Aguilar.the state’s words, verbatim · CDSS document, Jan 14, 2026

Allegation investigated: Staff do not ensure special dietary plans are followed for residents in care Staff use medication restraint on residents in care

Licensing Program Analyst (LPA) Becky Mann conducted an unannounced visit to the facility to initiate a complaint investigation. LPA Mann met with Gabriel Aguilar, Administrator and explained the purpose of today's visit. The investigation consisted of LPA observations, pertinent document reviews, and interviews with staff and residents. The allegation that staff do not ensure special dietary plans are followed for residents in care. LPA toured the facility and observed in the kitchen that there was a special dietary menu for residents who are on a special dietary plan. Interviews with kitchen staff also stated that some residents are provided a special dietary meal plan. Based on LPA observations, interviews and record reviews, staff do follow the special dietary plans for residents. The residents interviewed, there was not enough evidence to corroborate the allegation. Unsubstantiated The allegation that staff use medication restraint on residents in care. All staff interviewed denied that they use medication restraint on residents in care. Some residents interviewed were not able to respond due to cognitive impairment. Based on evidence obtained during the investigation, the above allegations are Unsubstantiated; meaning that 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. An exit interview was conducted where this report was discussed, and a copy was provided to Gabriel Aguilar, Administrator at the conclusion of the visit.the state’s words, verbatim · CDSS document, Apr 1, 2025 · control 56-AS-20250220153742

Type of visit: Prelicensing

On 01/10/2025, Licensing Program Analyst (LPA) Becky Mann conducted an announced Pre-licensing visit for a change of ownership (CHOW). LPA was greeted by Gabriel Aguilar, Administrator. LPA Introduce self and stated purpose of the visit. An initial application for change of ownership to operate a Residential Care for the Elderly Facility (RCFE) was submitted to the Central Applications Bureau (CAB) on 11/10/2024 for a total capacity of sixty-five (65). Fire clearance was granted on 10/21/2024 for 48 non-ambulatory and 17 bedridden residents, with a total capacity of 65. LPA Mann observed the following: Physical Plant: 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: beds, mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA verified hot water temperature was measured around 107, 112, 114 and 120 degrees Fahrenheit. 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 residents in care. All sharps are locked. There is a designated office for resident/staff files. 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. The facility was evaluated in accordance with the CCR, Title 22, Division 6, Chapters 1 and 6 to ensure the health and safety of residents in care. Facility appears to be ready for licensure. A COMP III orientation was also conducted during today's visit. An exit interview was conducted, and a copy of this report (LIC809) was discussed and provided to Gabriel Aguilar, Administrator.the state’s words, verbatim · CDSS document, Jan 10, 2025

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 65 Census (if any clients in care): 33 Interview Method: Telephone interview On 12/18/2024, applicant/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/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, Dec 18, 2024