Vista Prado

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Magdaleno arrived unannounced to conduct a case management - other visit and met with Executive Director Jeremy Cleek and Resident Care Coordinator Jocela Ayson.. The purpose of this visit was to follow up on an incident report (IR) submitted by the facility on 09/04/2026. IR indicates a resident (R1) was observed with skin discoloration on their cheek during a visitation. R1 was then taken to the hospital by their DPOA and was diagnosed with a maxilla fracture. Follow up visits were scheduled and R1 was placed on 72 hour monitoring. Interviews with staff indicated that R1 did not have any observed falls and was a new resident who had moved in a few days prior. LPA made observations, gathered documents, and conducted interviews. Further investigation may be necessary. No deficiencies cited. Exit interview conducted with Resident Care Coordinator whose signature on form confirms receipt.the state’s words, verbatim · CDSS document, Sep 15, 2026

Type of visit: Case Management - Other

At approximately 1:35 PM, Licensing Program Analyst (LPA) Magdaleno arrived unannounced for a Case Management - Other visit and met with Executive Director Jeremy Cleek and Assisted Living Director Veronica de Leon-Tan The purpose of this visit was to follow up on a Death Report (DR) regarding resident (R1) received by Community Care Licensing (CCL) on 6/19/2026 and two (2) Incident Reports (IRs) regarding resident (R2) received on 6/23/2026. LPA gathered First Aid/CPR certifications for staff present during the passing of R1, conducted interviews, and requested further documentation. IRs indicated that R2 spilled hot liquids on themselves resulting in blisters that were later diagnosed as second-degree burns. LPA gathered documents and conducted interviews. Further investigation may be necessary. No deficiencies cited. Exit interview conducted with Executive Director whose signature on form confirms receipt.the state’s words, verbatim · CDSS document, Jun 29, 2026

Type of visit: Case Management - Other

At approximately 10:20AM, Licensing Program Analyst (LPA) Magdaleno arrived unannounced to conduct a case management - other visit and met with Executive Director Jeremy Cleek. Facility is a Residential Care Facility for the Elderly (RCFE) with forty two (42) residents in care. The visit reason was to discuss management structure at the facility as well as to update facility contact information. Executive Director explained management structure and updated contact information was received. LPA requested an updated liability insurance be submitted to CCL. No deficiencies cited. Exit interview conducted with Executive Director, whose signature on form confirms receipt.the state’s words, verbatim · CDSS document, Jun 16, 2026

Type of visit: Required - 1 Year

At approximately 10:30 AM, Licensing Program Analyst (LPA) Elias Magdaleno arrived unannounced to conduct a required 1-year annual inspection and was greeted by Veronica de Leon-Tan, Assisted Living Director (ALD). Facility is a Residential Care Facility for the Elderly (RCFE) with thirty-six (36) residents in care. At approximately 10:50 AM, LPA initiated a tour of the facility with ALD and observed the following: Facility consists of one (1) story, was a comfortable temperature, and passageways were free from obstructions. Fire extinguishers were last inspected 9/2024. Smoke detectors are hardwired and last serviced by third party vendor 8/25. Carbon Monoxide detectors were tested and operational during this inspection. Water temperature measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. LPA observed at least a two (2) day supply of perishable and seven (7) day supply of non-perishable food, as well as an emergency water supply. Food was found to be stored in a safe manner with open items covered. Temperatures for freezer and walk-in refrigerator were with the allowable range per Title 22 regulations. Facility telephone was observed operational during today's inspection. LPA observed all required postings were placed in prominent and visible areas. Continued LIC809C... Continued from LIC809... There is a shaded seating area in the yard with outdoor space for activities. LPA observed a closet containing board games, equipment for outdoor activities, and season decorations. During this inspection LPA observed constant staff led activities and was informed activities occur daily from 9:00 AM to 4:30 PM or as long as there is resident interest. Throughout visit LPA observed activities director to regularly take items out of the activities closet to ensure there were activities that fit all resident preferences. Facility conducts quarterly disaster drills, and the most recent drill was conducted 5/25. LPA observed facility's infection control plan and emergency disaster plan which was last updated 5/25. LPA observed a supply of PPE, emergency supplies, a first aid kit, and flashlights. At approximately 11:40 AM LPA conducted a review of six (6) resident records. All required documentation present. At approximately 1:00 PM LPA conducted review of five (5) staff records. All required documentation present. At approximately 2:00 PM LPA and Health Services Director conducted a spot check of medication and medication records. Medication is centrally stored and locked. Linda Cho Administrator Certificate 7000882740 expires 4/18/27. Updated copies of the following documents shall be submitted to CCL by 9/24/2025: Liability Insurance LIC308 - Designation of Responsibility LIC400 - Affidavit Regarding Client Cash Resources No deficiencies cited. Exit interview conducted with Assisted Living Director, whose signature on form confirms receipt.the state’s words, verbatim · CDSS document, Aug 25, 2025

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: -Resident sustained unexplained injury while in care. -Residents do not have reasonable access to the facility telephone to receive confidential calls.

Licensing Program Analysts (LPAs) Cuadra and Stevenson arrived unannounced to conduct a complaint investigation and deliver findings regarding the above allegations and met with Veronica De Leon, Assisted Living Director. The Department received an allegation of resident sustained unexplained injury while in care. Per reporting party, on 10/1/24 staff from the facility reported to resident’s (R1) responsible party that R1 had a bruise over their eye. On 10/2/2024 after inquiring about R1’s black eye and eye was swollen, the facility supposedly investigated, but none of the staff could explain what happened. On 10/10/2024, LPA conducted complaint visit, LPA reviewed records, conducted interviews, and made observations at the facility. Based on records review, the facility provided LPA with charting narrative entered as follow: On 10/1/24 at approximate 1:30pm, R1 was seen with discoloration of their left eye and above, no pain was noted, and R1’s physician was notified for guidance and next day there was an appointment for x-rays to be done. Continued on LIC9099C... Unsubstantiated Continued from LIC9099A... Also, R1 is not able to eat on their own, decreased their engagement with other residents for activities and willingness to perform ADLs. On 10/10/24 during LPA’s annual visit, the facility printed R1’s care plan, which did not indicate any change of condition. However, the facility provided LPA with ADL’s log for the months of September 2024 and October 2024 revealing that R1 have been assisted with ADLs, but they were not able to provide evidence that R1’s responsible parties were notified about R1’s change of condition. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is cited on the attached LIC 9099D. Appeal Rights Given. Continued from LIC9099... On 10/7/24, R1’s physician recommended to have MRI of the spine and the facility notified R1’s responsible party. On 10/20/24 R1 was admitted to home health and responsible parties were notified. After reviewing incident reports log from the facility, LPA was unable to find any reports made to the Department about this incident and no further details were documented regarding any investigation been conducted by the facility. LPA will address reporting requirements in a case management. According to R1’s physician report dated 3/1/24, R1 has a diagnosis of dementia and did not have a history of skin condition prior to this incident. Based on confidential interviews conducted by LPA with staff, residents, and outside parties, R1’s cause of injury is undetermined, the investigation revealed the facility seek timely medical attention and responsible parties were notified. A finding that the complaint allegation occurs of resident sustained unexplained injury while in care is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Another allegation about residents do not have reasonable access to the facility telephone to receive confidential calls. According to the reporting party, the main phone number to the facility has been out of service for a month. The only way to get a hold of residents is by contacting the facility Director on their work phone, which doesn’t ensure the confidentiality of the calls. Based on records review, the facility provided LPA with an email dated 8/29/24 at 9:18am showing a mass email sent to various resident’s responsible parties including R1’s responsible party. During interviews conducted by LPA with outside parties it was confirmed that the facility has sent them written notifications via e-mail about new facility number. A finding that the complaint allegation occurs of resident do not have reasonable access to the facility telephone to receive confidential calls is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.the state’s words, verbatim · CDSS document, Dec 10, 2024 · control 21-AS-20241010100627

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87463 · Plan of correction due date: Dec 24, 2024

87463 Reappraisals (c) The licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff…when there is significant change in the resident’s condition…This requirement has not been met as evidence by: Based on records review, the facility did not notify resident’s (R1) responsible party about R1’s change of condition, which possess potential health, safety, personal rights risk to clients in care.the state’s words, verbatim · CDSS document, Dec 10, 2024

Plan of correction: Facility to submit a plan of how facility will ensure future compliance regarding notifying resident's responsible parties after a change of condition is noticed by POC due date to clear the deficiency.

Type of visit: Case Management - Deficiencies

Licensing Program Analysts (LPAs) Cuadra and Stevenson conducted a case management visit to cite deficiencies discovered during a complaint investigation and met with Assisted Living Director, Veronica De Leon. LPA learned through records review and interviews that facility staff did not submit incident reports to the Department after incident of resident (R1) had a bruise on their left eye. According to facility narrative charting the facility reached out to R1’s physician on 10/1/24 after noticing R1 had a discoloration on their left eye and next day there was an appointment for x-rays to be done. LPA was unable to find any incident reports made to the Department about this incident and no further details were documented regarding any investigation been conducted by the facility. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted with Assisted Living Director and a copy of this report was given.the state’s words, verbatim · CDSS document, Dec 10, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1) · Plan of correction due date: Dec 24, 2024

87211 Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency & to the person responsible for the resident within 7 days of the occurrence of any of the events specified in (A) through (D) below: This requirement has not been met as evidence by: Based on interview & records review the facility failed to submit written incident report to licensing agency for resident (R1) after noticing skin discoloration on their left eye, which possess potential health, safety, personal rights risk to clients in care.the state’s words, verbatim · CDSS document, Dec 10, 2024

Plan of correction: Facility to submit a plan of how facility will ensure future compliance regarding required written reports by POC date to clear the citation.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cuadra arrived unannounced for the purpose of conducting Required 1 Year inspection and met with Veronica De-Leon (Assisted Living Director). Annual fees are current. Contact information was reviewed. Required postings were observed. There are residents with a diagnosis of dementia and receiving hospice services. LPA/Staff toured the buildings and grounds were found to be of a comfortable temperature, clean, in good repair and well organized including; living room, mobile kitchen, dining room; bathrooms; and laundry room, where walkways and exits were unobstructed. Water temperature measured 106.3 (room #3), 105.4 (room #6), 105.4 (room #9), 103.8 (room #20), 111.4 (room #23), 104.7 (room #15), 109.8 (room #31) and 112.1 (room #33) which a couple of them were not within regulation between 105 and 120 degrees F at faucets accessible to residents. Bathrooms have required grab bars and skid mats. Resident's rooms that have a sign of "No smoking-oxygen in use" have reports of notification to the fire departments on file. However, resident's bedroom (#3, #9, #15, #23 and #33) needs garbage cans to have a tight-fitting cover lids to prevent the transmission of any communicable disease or odor (technical violation issued). Resident room #15 needs a chair (technical advisory issued). Resident room #33 needed toilet paper (technical violation issued). Emergency lighting was observed. LPA pulled several cords in resident's rooms, which were found operational by alerting staff and staff responded within two to three minutes in average. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Modified diets prescribed by doctor were posted on kitchen refrigerators to alert staff of special food needs. Toxins are stored in a locked storage closet. Continues on LIC809C... Continued from LIC809... Fire extinguishers were charged and service as of September 2024. Facility has fire sprinklers throughout and wired smoke detectors that are serviced yearly by outside company. Last fire inspection report dated 8/8/24 was found within compliance. Disaster and Fire Drills are conducted, last drill was on 9/19/2024. Carbon monoxide detectors were tested and operational. Medication is centrally stored and locked. Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has supplies enough to operate for more than 72 hours in an emergency. The facility has auditory system and 15 second delayed egress. There are surveillance cameras installed in common areas and two outside, facility understands surveillance cameras may not violate residents privacy. Residents were observed engaged in activities. Activity and menu calendar was observed. LPA initiated file review at approximately 10:30AM, LPA reviewed 10 resident records and 5 staff files. Residents have updated medical assessments. However, two out of ten resident's (R1 & R2) care plans has not been updated within the last 12 months as indicated per regulation. Four out of five staff (S1, S2, S3 & S4) do not have a current CPR/1st aid certificate and do not have complete required training hours as stated per regulation. Administrator's certificate for Linda Cho #6003642740 expires 4/18/2025. Medication and medication records were reviewed. Facility will submit updates of the following to CCL by 10/31/2024: LIC 500- Personnel Report, LIC 308- Designation of Responsibility and Current certificate of liability insurance. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted with Assisted Living Director and copy of this report was given.the state’s words, verbatim · CDSS document, Oct 10, 2024

The state marks this report as 7 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Facility is not properly cleaning a resident in care. Facility is not giving resident water.

Licensing Program Analyst(LPA) Leibert arrives unannounced for the purpose of delivering findings on this complaint. Complainant alleges that facility has not been bathing the Resident (R1) and has not given R1 water which has resulted in R1 contracting an UTI. This investigation has included a review of documents, taking statements from witnesses and making site visits to the facility. The following determinations are made: Staff state that R1 is encouraged to drink water at regular intervals; LPA has observed water stations through out the facility set up for the residents; Staff state they have followed R1's care plan regarding hygiene; Care logs (ADL) indicate R1's care plan has been followed and that R1 has refused hygiene activities on 10 occasions in December 2023 and January 2024. Although the allegations may be true, based on statements and documents, there is not a preponderance of evidence to prove or, disprove, the allegations. Therefore, the allegations are UNSUBSTANTIATED. Report left. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 28, 2024 · control 21-AS-20240109113344

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(b)(2) · Plan of correction due date: Feb 28, 2024

87705(b)(2) Care of Persons with Dementia. … Safety measures to address behaviors such as wandering, aggressive behavior and ingestion of toxic materials. ***Based upon review of documents, this requirement not met as evidenced by: On 4/11/2022, R1 wandered off facility property alone until returned an hour later. This posed an immediate risk to safety of R1.the state’s words, verbatim · CDSS document, Feb 28, 2024

Plan of correction: Cleared at time of visit. This issue was addressed on 7/14/2022 on a case management basis when it was determined that facility had modified fencing in response to the elopement.

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.269(a)(16) · Plan of correction due date: Mar 1, 2024

1569.269(a)(16) Enumerated Rights. To reasonable accommodation of individual needs and preferences in all aspects of life in the facility, except when the health or safety of the individual or other residents would be endangered.*** Based on statements, this requirement not met as evidenced by: R1’s visitors were told by staff not to bring outside food to R1 at the facility. This posed an immediate violation of R1’s enumerated rights.the state’s words, verbatim · CDSS document, Feb 28, 2024

Plan of correction: Administration will review 1569.269 and will submit a declaration of completion to CCL by POC date in order to clear the deficiency.

Type of visit: Post Licensing

At approximately 11:15AM, Licensing Program Analyst (LPA) Chris Arnhold made an unannounced Post Licensing inspection of this licensed senior care facility. LPA met with Assisted Living Director Veronica de Leon-Tan. At approximately 11:30AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a highly visible area. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in a locked storage closet. Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to residents. Fire extinguishers inspected were charged. Smoke detectors were found to be in working order. Facility has fire sprinklers throughout. Carbon Monoxide detectors were present. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure. At approximately 11:45AM, LPA reviewed 6 resident records and found 4 of 6 residents did not have current physician's reports or care plans. 6 of 6 records contained current and signed admission agreements and medication records are thorough and contained physician's orders for each resident. At approximately 1:25PM, LPA reviewed 7 staff records. All records contained documentation of completed training as required. Evidence of current first aid and CPR training were present. At approximately 1:50PM, LPA reviewed the facility emergency disaster plan with staff. Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducts and documents disaster drills quarterly. Continued on LIC809-C... LPA received evidence of Liability Insurance during this visit. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Veronica de Leon-Tan and Appeal rights were given.the state’s words, verbatim · CDSS document, Jan 5, 2024

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Prelicensing

On 9/29/2023 Licensing Program Analyst (LPA) Tobola arrived unannounced for the purpose of conducting a pre-licensing inspection and was greeted by Licensee Applicant, Linda Cho and Administrator, Veronica De-Leon Tan. This pre-licensing inspection is being conducted due to a change of ownership. Fire Clearance has been approved for a capacity of 68 residents; all of which may be non-ambulatory and none of which are bedridden. The facility was also granted a hospice waiver capacity of 20. There are currently 30 residents in care some of which with a diagnosis of dementia and 7 of which are on hospice. Licensee Applicant is in the process of transferring or re-admitting residents to the new facility ownership and will be completed upon issue of license. LPA conducted a tour and inspection of the indoor and outdoor portions of the facility. Facility was found to be clean and comfortable temperature with all doors and exits free from obstruction. Fire extinguishers found throughout the facility were last serviced on 9/5/2023. Smoke detectors and carbon monoxide detectors in resident bedrooms and throughout the facility were interconnected, tested and found to be operating. Emergency exits along the both sides of the facility and front entrance have appropriate auditory alarm systems and found to be functioning. Water at faucets accessible to residents was measured in several bedrooms throughout the facility. Water was measured between 109.9 & 117.1 degrees F in faucets used by residents which falls within Title 22 Regulation between 105 & 120 degrees F. There was an ample supply of fresh linens, continence care and hygiene products available with staff providing assistance on usage. A tour of the kitchen and food supply was inspected and found to be clean and orderly. Food supply is delivered once per week and food items were properly labeled. Information regarding resident dietary orders was observed on the kitchen bulletin with additional monthly menus. Residents are provided various nutritious meals with alternate options and snacks readily available upon request with a sufficient amount of food for the number of residents in care. Continued onto LIC809-C Cleaning supplies, laundry products and other toxins were properly secured in designated storage closets and laundry room, along with housekeeping staff observed cleaning resident bedrooms during inspection. Medications are centrally stored in secured medication room with additional locked medication carts and refrigerators. A spot medication review was conducted and Centrally Stored Medication Records were found to be in order. The facility also conducts monthly medication audits and reconciles all records through an electronic database. The Emergency Disaster Plan has been updated with appropriate evacuation sites, emergency procedures and templates for continuous emergency disaster drills all on file. Single facility van was inspected and found to be equipped with charged fire extinguisher and first aid kit. LPA was informed that the vehicle insurance and registration have been updated and Licensee Applicant is to provide copies of documentation. Licensee will also be sending a copy of the updated liability insurance to CCLD once completed. Component III orientation was conducted with the Licensee Applicant. The pre-licensing evaluation has been completed. License will be granted upon completion of a final review and approval from the Licensing Program Manager. This report was reviewed with applicant and a copy was provided.the state’s words, verbatim · CDSS document, Sep 29, 2023