Vintage Gardens

Allegation investigated: Staff are not properly supervising residents who are a fall risk

On 07/29/2026, Licensing Program Analyst (LPA) K. Kaur arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit and requested to meet with Administrator. LPA met with Administrator Louis Gebbia. During the course of the investigation, the Department reviewed records and conducted interviews. A review of records revealed that R1 had a history of falls and required a fall intervention plan to include safety checks, however R1’s care plan did not specify the frequency of the safety checks. During an interview with the Administrator, it was found that the facility implemented safety checks every hour and placed a mattress on the floor to prevent falls after a discussion with an LPA. Based on interview and records review, the preponderance of evidence standard has been met, therefore the allegation: Staff are not properly supervising residents who are a fall risk is found to be SUBSTANTAITED. Substantiated A Deficiency is being issued in accordance with California Code of Regulations, Title 22, Division 6 on the attached 9099D. Exit interview conducted and a plan of correction was reviewed and developed with Louis Gebbia. A copy of this report and appeal rights were discussed and provided to Louis Gebbia, whose signature on this form confirms receipt of this document.the state’s words, verbatim · CDSS document, Jul 29, 2026 · control 24-AS-20250807090451

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(a) · Plan of correction due date: Aug 5, 2026

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility This requirement was not met as evidenced by: Based on interviews and records review, the Licensee did not comply with section 87465 when the facility did not develop implement a fall intervention plan for R1 until staff had a discussion with an LPA which is a potential health and safety concern to residents in care.the state’s words, verbatim · CDSS document, Jul 29, 2026

Plan of correction: Licensee agrees to review section 87465 and submit a written statement detailing the steps the facility will take to ensure requirements of this section are met by the POC due date.

Type of visit: Case Management - Deficiencies

On 07/9/2026, Licensing Program Analyst (LPA) Kaur arrived unannounced to conduct a case management inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator Louis Gebbia. The purpose of today’s inspection is to issue a deficiency that was found during the investigation of complaint # 24-AS-20250807090451. During the investigation it was found that on 07/21/2025, R1 experienced a fall and complained of pain to the right shoulder and hip. Facility did not contact emergency medical services to have R1 transported to a hospital for evaluation. On 8/11/22025, R1 continued complaining of pain and after a discussion with an LPA, facility staff contacted emergency medical services to have R1 transported to the hospital for evaluation. A deficiency is being issued in accordance with California Code of Regulations, Title 22, Division 6 on the attached 9099D. As a result of this incident, an Enhanced Civil Penalty is under review, and a civil penalty determination is pending by the Department. Once a civil penalty assessment has been determined, an LPA will return at a future date to assess the civil penalty. Exit interview conducted and a plan of correction was reviewed and developed with Administrator Louis Gebbia. A copy of this report and appeal rights were discussed and provided to Administrator whose signature on this form confirms receipt of these documents.the state’s words, verbatim · CDSS document, Jul 29, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.2(a)(4) · Plan of correction due date: Jul 30, 2026

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.2…residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their need. This requirement was not met as evidenced by: Based on interviews and a record review, the Licensee did not comply with section 87468.2 when the facility did not seek medical services for R1 after a fall and R1 complained of pain… which is an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jul 29, 2026

Plan of correction: Licensee agrees to review section 87468.2 and submit a written statement detailing the steps the facility will take to ensure requirements of this section are met , to include the facility’s plan to train staff on when to seek emergency medical services, by the POC due date.

Type of visit: Required - 1 Year

On 06/18/2026, Licensing Program Analysts (LPAs) M Vega conducted an unannounced Annual Inspection. LPA introduced self and stated purpose of visit. LPA was granted entry into facility. LPA conducted file review for residents and documented a report. LPA conducted facility tour with Executive Director, Louis Gebbia. Facility observed to be clean, odor free and a comfortable temperature. Residents observed throughout the community in library, common lounge areas participating in various activities, or relaxing in their rooms. Facility has adequate seating available for all residents. Kitchen toured, facility receives food delivery 2 times per week. LPAs observed a 2-day supply of perishable and 7-day supply of non-perishable food available as well as Emergency Supply food. Daily menus are posted in dining areas with alternate options available. LPA toured resident bedrooms, LPA observed grab bars and non-skid surfaces in all of the resident bathrooms toured. Facility is equipped with fire pull stations throughout both buildings. Fire extinguishers all have current service dates of 07/03/2026. Carbon monoxide detectors observed operational during today's visit. Fire drills conducted monthly, last fire drill conducted on 06/18/2026 according to facility records. Fire system was inspected on 02/06/2026 and certified. Staff files reviewed and documented under annual report. Resident files reviewed and documented under annual report. Continuation on LIC 809C LPA observed mechanical room locked and secured in basement, laundry room locked and secured in basement, per ED laundry is completed on a daily basis, cleaning chemicals secured in basement as well. Outside of facility toured, all exits open free of obstruction. Facility has shade and seating available for residents. Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate and up to date information for your facility. In an effort to maintain your facility file, please submit the most current and complete forms and/or information as identified below: Residential Care Facility for the Elderly (RCFE) LIC 308 Designation of Facility Responsibility LIC 309 Administrative Organization LIC 400 Affidavit Regarding Client/Resident Cash Resources LIC 402 Surety Bond LIC 500 Personnel Report LIC 610E Emergency And Disaster Plan For Residential Care Facilities For The Elderly LIC 9020 Register of Facility Clients/Residents Copy of current Liability Insurance Copy of current Administrator Certificate Alternate contact information including name, telephone number, & email address. Please submit the above forms/information to Fresno CCL by: 07/07/2026 As an operator of a Community Care Licensed facility it is your responsibility to be aware of and in compliance with all regulations, including Chaptered Legislation. Go to www.ccld.ca.gov to stay updated and informed. No deficiencies issued during this inspection. An exit interview was conducted with the ED A copy of this report was given to ED whose signature on this form confirms receipt of these reports.the state’s words, verbatim · CDSS document, Jun 18, 2026

Type of visit: Required - 1 Year

On 8/11/25, Licensing Program Analysts (LPAs) M. Medina and L. Salazar conducted an unannounced Annual Inspection. LPAs introduced selves, stated purpose of visit, and were allowed entry. LPAs conducted facility tour with Executive Director, Louis Gebbia. LPA Salazar did file review for residents and documented on a separate report. Facility observed to be clean, odor free and a comfortable temperature. Residents observed throughout the community in library, common lounge areas participating in various activities, or relaxing in their rooms. Facility has adequate seating available for all residents. Kitchen toured, facility receives food delivery 2 times per week. LPAs observed a 2-day supply of perishable and 7-day supply of non-perishable food available as well as Emergency Supply food. Daily menus are posted in dining areas with alternate options available. During facility tour, LPAs observed oxygen tanks unsecured and placed under table in Medication Room. LPA toured resident bedrooms #124, #135, #214, #224 and #233, water temperature measured and ranged from 117 degrees F to 119 degrees F. LPAs observed grab bars and non-skid surfaces in all of the resident bathrooms toured. Facility is equipped with fire pull stations throughout both buildings. Fire extinguisher all have current service dates of 06/04/2025. Carbon monoxide detectors observed operational during today's visit. Fire drills conducted monthly, last fire drill conducted on 7/18/25 according to facility records. Outside of facility toured, all exits open free of obstruction. Facility has shade and seating available for residents, Staff files reviewed. Staff files for R2, R3, and R5 were fingerprint cleared but not associated to facility, all 3 staff were not present at time of inspection visit. Staff files for R1, R2, R4, R5, and R6 did not contain health screenings. Resident files reviewed by LPA Salazar are documented on 809 Annual Continuation deficiencies will be cited on inspection tool. Facility does not have a current plan of operation on site or Emergency Disaster binder for review. Facility exit plans observed to be missing information and need to be updated. Based on today's visit, deficiencies are being cited, per California Code of Regulations, Title 22, Division 6, Chapter 8 on the attached 809D. If not corrected, this poses and immediate and potential risk to the health, safety and or personal rights of residents in care. Immediate Civil penalties in the amount of $500 are being assessed for fingerprint transfer clearance. Exit interview conducted. Appeal rights provided. A copy of report provided to Administrator via e-mail.the state’s words, verbatim · CDSS document, Aug 11, 2025

Type of visit: Case Management - Annual Continuation

On 08/11/25, Licensing Program Analysts (LPAs) L. Salazar and M. Medina arrived to the facility unannounced to conduct the required 10 day site visit and annual inspection. LPAs were greeted by staff, stated the purpose of the visit and were allowed entry into the facility. LPAs met with Executive Director. LPAs toured the facility inside and out with the Executive Director. LPA Salazar reviewed a sample of resident records. 3 out of 5 records included Hospice Care plans. Medical assessments, reappraisals and plans of care were outdated on 4 out of 5 records. No deficiencies cited on this report. Deficiencies are being cited on a separate LIC 809 - annual required report, completed by LPA Medina. An exit interview was conducted with Executive Director and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 11, 2025

Type of visit: Case Management - Incident

On April 8,2025 Licensing Program Analysts, (LPAs) Rachel Bruce and Jimmy Duarte conducted an unannounced visit to the facility for the purpose of conducting a case management visit to discuss transportation issues that were recently brought to the attention of CCL. Specifically the transportation issue discussed was the impact of having limited staff with a class C license and still ensuring that appropriate and adequate transportation was provided to the residents. A review of the facility's admission agreement and residents handbook was recently conducted. It appears the language in the admission agreement is appropriate when discussing transportation indicating that the facility will arrange or provide medical transportation. However the language in the Resident Handbook dated 2014, is not accurate or up to date in relation to transportation provided by the facility. Administrator was in agreement and since discussion has made the appropriate changes to the document. LPAs reviewed today and agree with the changes. A copy will provided to all resident through their mailbox. LPA and AD also discussed the need for increased communication when there is a change that effects residents such as medical appointment transportation and transportation being more limited for outings. AD and LPA agreed that AD should attend the next resident council and address the transportation concerns that have been raised and make himself available to answer questions and address their concerns. No citations issued at today's visit or follow up needed.the state’s words, verbatim · CDSS document, Apr 8, 2025

Allegation investigated: Staff do not provide proper transportation assistance to residents’ medical appointments

On 4/3/2025, Licensing Program Analyst (LPA) Rachel Bruce conducted an unannounced complaint investigation visit to the facility. During this visit LPA delivered investigation findings regarding the above allegation. Staff do not provide proper transportation assistance to residents’ medical appointments- Specifically there are issues regarding the residents who travel for dialysis and the need to wait and accommodate other residents being transported to regular medical/dental appointments. The driving and coordination of multiple patients, locations and appointments can sometimes result in the patients waiting long hours due to patients being dropped off and picked up in various locations. Interviews and record review reveal that despite there being occasional long wait times, the facility is doing everything possible to schedule appointments that would mitigate that wait time and still ensure that residents have transportation to appointments. Appropriate and timely transportation is being provided. Unfounded During the course of this investigation it was determined that the above allegation regarding transportation is UNFOUNDED. Residents are provided transportation with wait times that may be impacted by scheduling. This agency has investigated the complaint and has determined that the allegation was unfounded, therefore we have dismissed the complaint.the state’s words, verbatim · CDSS document, Apr 3, 2025 · control 24-AS-20241226112130

Type of visit: Case Management - Deficiencies

On October 11, 2024, Licensing Program Analyst (LPA) Rachel Bruce conducted an unannounced Case Management inspection and met with Administrator, Louis Gebbia. A prior visit was attempted on October 10, 2024, but due to computer issues, LPA was unable to produce a report. The purpose of the visit was to discuss late incident reporting. On September 15, 2024 four incident reports were submitted by Vintage Gardens to Community Care Licensing (CCL) and all four were past the seven day reporting requirement. Administrator was aware of the issue and as a result conducted a training review for the staff that generate reports. Going forward staff will submit all incident reports timely, will fax and utilize the phone line to report to CCL and copy the Administrator for his review. A citation will be issued at today's visit and Plan of Correction will be cleared as well.the state’s words, verbatim · CDSS document, Oct 11, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Oct 11, 2024

(1) A written report shall be submitted to the licensing agency... within 7 days of the occurrence of any of the events specified... below...(D) Any incident which threatens the welfare, safety or health of any resident... This requirement was not met as evidenced by On September 15, 2024, CCL received four Incident reports that were past due and incomplete. This poses a potential threat to the health, safety and welfare of residents in care.the state’s words, verbatim · CDSS document, Oct 11, 2024

Plan of correction: Administrator stated that as soon as he was aware of the issue, he provided refresher training regarding reporting requirements to the three staff that submit reports. He will review all reports for timeliness and content going forward. POC to be cleared at today's visit.

Type of visit: Case Management - Other

On October 10, 2024, Licensing Program Analyst (LPA) Rachel Bruce arrived at Vintage Gardens facility and met with Administrator, Louis Gebbia. Due to computer issues during this visit, LPA was unable to record signatures or print, and LPA was unable to produce a report while at the facility.the state’s words, verbatim · CDSS document, Oct 10, 2024

Type of visit: Case Management - Incident

On September 27 2024, Licensing Program Analyst, (LPA) Rachel Bruce arrived at the facility for the purpose of conducting an unannounced case management inspection. LPA was greeted and signed in at front desk. After explaining the purpose of the visit, the receptionist called Wellness Coordinator, Salvador De La Pena (SD) to assist. SD provided a tour of the facility. Everything appeared to be in order and no obvious issues were noted. LPA explained to SD the purpose of the visit and he explained that the Administrator was out ill due to COVID and the facility nurse was not present but on call. A phone call was made to the Administrator informing him of visit and he provided authorization for SD to sign the LIC 809 and provide any and all documentation requested. Discussion was had with SD regarding recent incident reports submitted to CCL via fax on September 15, 2024. Four reports were received regarding the same client and all four reports were not submitted timely and lacked necessary information. SD reviewed the reports and provided supplemental information. LPA discussed regulatory requirements related to incident reporting and SD acknowledged his understanding. A review of the resident's file was conducted and documents copied. The resident involved was relocated to a six bed facility as of September 13, 2024 due to her need for increased care. Resident's husband remains placed at this facility. Discussion of Incident Reporting also included details of when and why an incident report is required to be submitted. It was learned that three residents have tested positive for COVID and one is in the hospital None of these incidents had been reported as of today's date. SD will ensure that incident reports regarding COVID will be submitted for those who have tested positive and will continue to do so going forward. LPA will return to the facility to meet with the Administrator next week to further discuss the facility's reporting protocol and to issue a citation at that time for failing to meet regulatory reporting requirements. LPA will call first to ensure that the Administrator is no longer testing positive for COVID.the state’s words, verbatim · CDSS document, Sep 27, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Lissett Padgett arrived unannounced to conduct the Annual inspection. LPA introduced herself and explained the purpose of the visit. Administrator was unavailable to met with LPA. LPA met with and toured the Facility with Wellness Coordinator, Koreena Kirkendall. During this visit, LPA toured the facility and grounds. LPA observed residents participating in activities. This facility has 2 floors with Resident rooms and a basement level floor with activity center, kitchen and dining. Ambient temperature was 72 degrees F. LPA entered 6 resident bedrooms. LPA observed rooms were appropriately furnished. Bathrooms contained grab bars in shower and around toilet, non skid mat in showers, shower chair, trash can with lid. Windows and screens in good condition. Water temperature was observed as follows: Room #120 at 130.3, Room #127 129.4 Room #238 at 129.0, Room #219 at 129.4 Room #208 at 100.6. The kitchen was toured observed in good repair with necessary items and appliances and sharps/knives are stored appropriately. Refrigerator was observed to be at 42 degrees F and Freezer at 0 degrees F. LPA observed 2 day perishable and 7 day non perishable food supply available. No expired food observed. Dining area has daily menu posted. Tables and chairs appeared clean in good condition. Medications are centrally stored in locked room. Med Carts are used by Med Tech when distributing medications. Facility has designated visitation areas available inside and out. Doors and passageways are unobstructed throughout the facility including outdoors. First aid kit found to contain required items. Rear Patio area is well maintained, trees, bushes and yard decorations are in good condition. There is a seating areas with umbrellas or shaded by trees. Patio furniture is clean and ready for use. The exterior walkways are free from obstructions and debris. Maintenance room observed to contained tools and supplies. Fire Extinguishers are located throughout the facility and were serviced in on 5/21/2024. Smoke and Carbon Monoxide detectors observed. Fire inspection completed by Jorgensen on 9/18/2023 and received passing grade. LPA conducted resident and staff file reviews. An exit interview was conducted with Koreena Kirkendall, whose signature on this form confirms receipt of these documents. LPA is requesting the following documents be submitted to the Fresno CCL office by 7/12/24 Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610D) Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), Surety Bond, updated facility sketch.the state’s words, verbatim · CDSS document, Jul 5, 2024

The state marks this report as 6 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.