Vista Elder Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Robert Campbell conducted an unannounced annual required visit. Upon entry, LPA was greeted by Norelia Lopez, Caregiver, and informed them of the purpose of the visit. At the time of the visit, there were two (2) staff member and four (4) residents present. Nino Subotic/Administrator, arrived later during the visit. Facility Overview: The facility is a one-story home with six (6) bedrooms and three (3) bathrooms, including an attached garage. There are no pools or known firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility has infection control plan in file. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 110°F. Fire extinguisher located at kitchen hallway had current inspection tag. Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Continued on LIC809-C.... Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate. Record Review and Resident/Staff Files: LPA reviewed files for four (4) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Four (4) resident files were reviewed and contained all the required documents. Health-Related Services/Incidental Medical Services: All resident medications were securely locked in hallway cabinet. LPA reviewed medications for four (4) residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. Personal & Incidental Funds: Facility doesn't handle Residents monies. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last emergency drill conducted on 7-07-2026, which met department requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed and provided.the state’s words, verbatim · CDSS document, Jul 7, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced annual required visit. LPA was granted entry and met with Licensee Nikola Subotic who was informed of the purpose for the visit. At the time of the visit there was two (2) staff and five (5) residents present. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted interviews. LPA observed the following: Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. LPA observed outdoor furniture and shaded area for clients. Detergents, cleaning solutions, and sharp and dangerous objects were observed to be locked and inaccessible to residents. The smoke detector and carbon monoxide was operational, and the hot water temperature met department requirements. Facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. LPA reviewed staff files and training. All staff have the required personnel records on file and criminal record clearance and updated annual training. Three (3) resident files were reviewed and possessed all required paperwork which included Admissions Agreement, Needs and Service Plan, and updated Physician's Report. The listed administrator possesses a current administrator's certificate that expires in 04/2025. Resident medication was centrally stored and locked in a medication cabinet located in the kitchen. LPA reviewed medications prescribed to residents and found all medication with required labeling found to be in place. LPA reviewed the facility's emergency and disaster plan and infection control plan. Facility conducts quarterly fire drills with the last fire drill being conducted in 10/2024. All facility exits were clear from obstructions. LPA observed emergency supplies, multiple charged fire extinguishers, and first aid kit with all required items. No deficiencies were cited at the time of the visit. An exit interview was conducted where a copy of this report was provided to Licensee Subotic.the state’s words, verbatim · CDSS document, Oct 11, 2024

The state marks this report as 4 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Allegation investigated: Staff handled resident in a rough manner. Staff force fed resident.

Licensing Program Analyst (LPA) Sara Martinez arrived unannounced to the facility to conclude the investigation into the allegations listed above. LPA concucted an interview with Administrator Nikola Subotic who was informed of the purpose of the call. The complaint investigation consisted of a tour of the interior/exterior areas of the facility, interviews with staff and residents, and records review of requested pertinent documents. Regarding the allegation “Staff handled resident in a rough manner” it was reported Staff One (S1) had put their hands around Resident One's (R1) neck and attempted to strangle R1 in the early morning of 07/15/2024. R1 reported incident to a Hospice staff during a scheduled visit on 07/15/2024. Administrator Ninoka Subotic was informed of the incident and had contacted R1’s responsible party. R1 was examined by paramedics and was sent to the hospital in the afternoon on 07/15/2024. Administrator Subotic conducted an internal investigation the same day that had yielded insufficient information to corroborate the allegation and S1 was dismissed from work. *This is an Amended Report* Unsubstantiated LPA conducted interviews with three (3) facility staff and (2) hospice staff who did not observe, have not observed, or have not previously heard of S1 handling R1 or the other residents in care in a rough manner. LPA conducted interviews with two (2) residents who denied being handled in a rough manner by S1 or other facility staff members. LPA conducted a records review of R1’s Physician Orders dated 06/17/2024 revealed R1 experiences confusion and/or is disoriented “sometimes”. R1’s Resident Appraisal dated 06/15/2024 states R1 “experiences episodes of confusion…”. LPA conducted an interview with R1 and determined R1 was not a reliable historian due to R1 stating the incident had occurred at a "well known hotel". S1 reported they did not handle R1 in a rough manner and had entered R1’s room multiple times throughout the night to conduct safety checks. Therefore based on interviews and records review the allegation “Staff handled resident in a rough manner” has been deemed Unsubstantiated at this time. Regarding the allegation “Staff force fed resident” it was reported S1 had forced food into S1’s mouth. Interview with two (2) residents denied hearing or observing S1 or other facility staff force feeding R1 or other residents in care. During the initial visit LPA observed staff preparing and serving lunch to the residents that did not indicate staff force feeding residents in care. Interview with three (3) staff reported they do not force feed residents and four (4) out of five (5) residents are capable of eating on their own without assistance. S1 reported they do not push food onto R1 and R1 does not need help with eating. Administrator Subotic reported R1 does not need assistance with eating. R1’s Physician Orders dated 06/17/2024 indicated R1 is capable of feeding self. R1’s Resident Appraisal dated 06/15/24 under “Services Needed” for “Help with eating (need for adaptive devices or assistance from another person)” is marked as “No”. LPA observed R1 eating a soup and a sandwich on their own with no staff assisting R1. LPA conducted an interview with R1 and determined R1 was not a reliable historian. Therefore based on observation, interviews, and records review the allegation “Staff force fed resident” has been deemed Unsubstantiated at this time. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted over the phone and a copy of this report was provided to Administrator Subotic. *This is an Amended Report*the state’s words, verbatim · CDSS document, Jul 30, 2024 · control 18-AS-20240716104536