Vista Esperanza

Type of visit: Annual/Random

On September 1, 2026, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct an annual inspection. LPA met with Administrator and explained the purpose of the visit. There are 48 residents in care, two (2) are non-ambulatory with no residents on hospice services. Facility is licensed for 54 residents which four (4) may be non-ambulatory, hospice waiver of ten (10). During today's inspection, LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured included but not limited to: activity room, medication room, bathrooms, shower rooms, dining room, laundry room, linen room, employee lounge, outside patio, phone booth, and the common areas. LPA observed residents present throughout the facility. LPA observed fire extinguishers present throughout the facility with service date of September 10, 2025. LPA observed medication room to be locked and inaccessible to residents. LPA observed laundry room to have multiple washer and dryer available, laundry room is locked for staff usage only. LPA observed facility to be clean and free of malodor. In areas toured, no immediate health, safety and personal rights violation observed. Emergency Disaster Plan was recently reviewed and updated by Administrator in April 2026. Administrator Certificate observed expires on September 6, 2026, Administrator has completed all requirement and renewal is pending. Fire Emergency and Disaster Drill was recently conducted on August 31, 2026. As a result of today's inspection, no deficiencies cited. Exit interview conducted and a copy of report was provided.the state’s words, verbatim · CDSS document, Sep 1, 2026

Type of visit: Collateral

On 7-8-2026 at 2:27pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a collateral visit regarding facility #392700109 and the associated complaint #27-AS-20260424151028. LPA met with Administrator Antonette Edwards and explained the purpose of the visit. The purpose of today's visit was to interview resident1 (R1) as part of the on-going investigation. Upon arriving at the facility, LPA learned that R1 is no longer residing at the facility. LPA received additional contact resources for R1 for purpose of continuing investigation. An exit interview and a copy of this report was provided to Administrator.the state’s words, verbatim · CDSS document, Jul 8, 2026

Type of visit: Case Management - Other

Licensing Program Analyst Hiratsuka, conducted this unannounced case management visit in response to the facility moving the residents back from a temporary hotel stay. The residents were temporarily relocated to a hotel between May 3, 2026 to May 29, 2026. LPA toured the facility. The floor is not yet complete. There are still some tests that are being conducted for the concrete. There is a plan for when the testing is done and when the flooring is going to be installed. LPA requested a plan to be submitted to Community Care Licensing Division regarding the flooring to be installed to ensue it minimizes the affects on the residents. No deficiencies cited.the state’s words, verbatim · CDSS document, Jun 3, 2026

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Hiratsuka, conducted this unannounced case management visit in response to an incident that was reported April 24, 2026 and April 27, 2026. The floor is having issues. There is water issue that is affecting the floor and is making the floor bubble in places. The facility is going to relocate temporarily to a hotel while the building is repaired. LPA toured the facility today. The residents have all been notified. The responsible parties have been notified. No hazards were observed today. No deficiencies cited.the state’s words, verbatim · CDSS document, Apr 28, 2026

Type of visit: Required - 1 Year

On September 30, 2025, Licensing Program Analyst (LPA) Cassie Yang arrived at the facility unannounced to conduct a required annual inspection. LPA met with Administrator and explained the purpose of the visit. LPA and Staff conducted a tour of the interior and exterior of the facility to ensure the health and safety. Areas toured observed the program office, dining room, men shower room, men bathroom, women shower room, women bathroom, clinical rooms, medication room, television room, resident bedrooms, and the common areas. LPA observed facility to have the mandated posters posted in the common area. LPA observed fire extinguishers present throughout the facility, extinguishers observed to be recently inspected. LPA observed bathrooms to have grab bars for residents usage. LPA observed telephone available in the hallway for residents in care. In areas toured LPA observed the facility to be clean, sanitary and in good repair. LPA did not observe any concerns during facility inspection. LPA and Administrator discussed the medication pass policy to ensure resident are assisted as needed with self administered medications. Additionally, LPA and Administrator discussed the concerns at the facility, Administrator stated she will be monitoring and reassessing residents in care to ensure needs are being met. At this time, LPA is requesting a copy of liability insurance and medication pass policy. No deficiencies cited today. Exit interview conducted, a copy of the report was provided.the state’s words, verbatim · CDSS document, Sep 30, 2025

Allegation investigated: Due to staff's neglect, Resident was physically and verbally abused by another resident.

On May 14, 2025, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to investigate the allegation of the complaint. LPA met with Administrator and explained the purpose of the visit. Allegation: Due to staff's neglect, Resident was physically and verbally abused by another resident. The Department conducted interviews and file reviews. Based on interview conducted with Administartor, it revealed R1 has had a change in antipsychotic medication which has caused behavioral change. File review revealed facility has been adjusting R1's medication to get R1 back to baseline. Interview conducted with R2 revealed the incident occurred "out of the blue" and that staff intervened immeidately. Based on information above, the Department concluded that the allegation is unfounded. A finding that an allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Nothe state’s words, verbatim · CDSS document, May 14, 2025 · control 59-AS-20250506211549

Allegation investigated: Staff withhold residents money. Facility does not provide safe furniture for residents to sit.

On February 7, 2025, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to open and deliver the allegations of the complaint. LPA met with Administrator and explained the purpose of the visit. Throughout the investigation, LPA conducted interview, file review, audit and observations of the facility. LPA obtained a copy of Facility Money Management policy and R1-R5's LIC 405 Record of Client's/Resident's Safeguard Cash Resources. LPA has determined the allegations cited above are unfounded. Please continue on LIC 9099-C. Unfounded LIC 9099-C Allegation: Staff withhold residents money. The Department conducted interview, audit and file review of the allegation. Based on interview, Administrator stated residents in care are given Personal and Incidental (P & I) money from their conservator. The monthly P & I is broken up to small increments as an incentive when good behavior is conducted throughout the week. Cash audit was conducted for R1, R2, R3, R4 and R5. Cash audit was aligned with the file review of resident's safeguard cash resource records. File review revealed money was distributed to residents in care multiple times for the month of January and February. Allegation: Facility does not provide safe furniture for residents to sit. The Department conducted a tour of the facility to observe the following allegation. Based on observation, LPA observed the clinical offices and the TV lounge room to have chairs for residents in care. LPA observed the following chairs are lower cushioned. The chairs observed appears to be safe and not a danger to residents in care. Additionally, LPA observed four-legged chairs to be available in the conference room, waiting room, dining room and patio for residents in care. LPA observed the facility to be clean, sanitary and in good repair for residents in care. Based on information above, the Department concluded that the allegations are unfounded. A finding that an allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. No deficiencies cited. Exit interview was conducted.the state’s words, verbatim · CDSS document, Feb 7, 2025 · control 59-AS-20250130103108

Type of visit: Case Management - Incident

On February 7, 2025, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a case management visit regarding an incident report the Department received. LPA met with Administrator and explained the purpose of the visit. The incident occurred on January 18, 2025, when night shift medication technician had marked a medication as given but it was later observed the medication was not administered. Administrator explained that S1 was in the middle of doing a medication pass when S1 was interrupted by another resident in care for assistance. Administrator stated corrective actions were taken and S1 will be retraining on medication administration through Relias. Administrator will submit S1's medication training to LPA Yang via email by February 14, 2025. Exit interview conducted.the state’s words, verbatim · CDSS document, Feb 7, 2025

Type of visit: Prelicensing

On August 29, 2024, Licensing Program Analyst (LPA) DeAnna Williams-Lyons arrived announced to conduct a Pre-Licensing Inspection. LPA met with Brandy Valencia Senior Administrator, who assisted in today's inspection. The Administrator's Certificate expires 1/26/2026. The facilities capacity is 54. The facilities Administrator’s Certificate, Emergency Disaster Plan, Resident’s Rights and Facility Sketch were available for viewing. The room temperature was 69 degrees F which is within range. This is a county funded specialized program that accommodates 54 dual diagnosed residents, and is set to open Mid-September 2024. The facility is a one-story building. LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, activity rooms, entertainment lounge, group conference rooms, and the kitchen. In the kitchen area, cabinets and drawers were reviewed. Knives and sharp objects were reviewed to make sure that they were locked and made inaccessible to the residents at all times. Hot water temperature was taken in the kitchen and measured at 119 degrees F, which is within the allowed range of 105-120 degrees. There’s appropriate lighting throughout the facility. To continue see 809-C... Bedrooms have all required items of furniture. Bathrooms are community used rooms and consisted of grab bars and non skid mats. All sinks, toilets and showers work properly. The facility has a sufficient supply of linens, towels, bedding, etc. for residents in care. Washer and dryer was present and operate properly. Toxic substances, laundry and cleaning supplies will be inaccessible. Several unopened first aid kits were present. Fire alarms, smoke alarms, and carbon monoxide detectors operate properly. Fire extinguishers are maintained and ready for emergency use. The facility was observed to have been annually inspected by Fire Code in June 2024 and is in compliance at this time. There’s a centralized area for resident’s medication. Medication room is secured and locked at all times. Medications will be dispensed right outside of the Med-Room. LPA inspected the exterior grounds of this facility. There are no bodies of water on the premises. There are 2 shaded areas in the backyard for lounging or eating. The perimeter fence, side gates, and latches are all in good repair. Passageways are free of obstruction and potential hazards. LPA's reviewed Personnel Policies, Abuse Reporting Procedures, In-Service Training and Medication Procedures with the applicant. The Disaster Plan is posted along with emergency numbers, complaint filing procedures facility theft and loss policy, and resident’s personal rights. LPA's conducted Component III-Operations and Records Keeping Orientation. This orientation consisted of review of compliance expectations, forms, facility visits, civil penalties, and inspection authority. Component III completed. Licensure pending approval from Central Application Unit . Per California Code of Regulations, Title 22 Division 6, Chapter 8, no deficiencies were observed today. An exit interview was conducted and a copy of this report was given to Brandy.the state’s words, verbatim · CDSS document, Aug 29, 2024

Type of visit: Office

COMP II by CAB successfully completed Facility Type: RCFE CCE Application Type: INTL Capacity: 54 Census : 0 Method: Teams Meeting with CAB COMP II Participants: Michael Weinstein (Licensee), Brandy Valencia (Administrator), & Tammy Edwards, (Analyst). Licensee & administrator participated in COMP II via Teams Meeting with CAB Analyst. Identification of licensee/ administrator was verified by confirming driver’s license numbers. During COMP II, licensee/ administrator confirmed the understanding of Title 22. Component II was successfully completed. Licensee/administrator were advised to email signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed licensee's/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 & Reportingthe state’s words, verbatim · CDSS document, Jun 20, 2024