Valley Vista Senior Living

Maintain separate complete record for each resident

General hygiene items required

First aid training requirements

Personal assistance and care for required daily activities

(a) In addition to the rights listed in Section 87468.1.... residents...shall have all of the following personal rights:(28) To request, refuse, or discontinue a service.This requirement is not met as evidenced by: Based on interview, the licensee did not comply as Resident #1 (R1)'s refusal requests were not being followed on multiple occasions which poses a potential personal rights risk to persons in care.

Document each PRN medication dose taken

Personal assistance and care for required daily activities

Label and preserve medicine compliance standards

Based on interview and record review, the licensee did not comply with the section cited above in resident medication records were not maintained which poses an immediate health, safety or personal rights risk to persons in care.

Maintain separate complete record for each resident

Based on record review, the licensee did not comply with the section cited above in resident records were not completed with signatures which poses/posed a potential health, safety or personal rights risk to persons in care.

Document each PRN medication dose taken

Based on interview and record review, the licensee did not comply with the section cited above in PRN medications were not documented accurately which poses/posed a potential health, safety or personal rights risk to persons in care.

General hygiene items required

First aid training requirements

Based on interview and record review, the licensee did not comply with the section cited above in first aid was not maintained for 1 staff which poses/posed a potential health, safety or personal rights risk to persons in care.

General hygiene items required

First aid training requirements

Document each PRN medication dose taken

Maintain separate complete record for each resident

Personal assistance and care for required daily activities

Obtain required California clearance or exemption

Criminal Record Clearance: All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department or..This requirement was not met as evidenced by: Antonio Aguilar(Hired 3/2/26) does not have evidence of a criminal record clearance and is present and working at the facility.

Obtain required California clearance or exemption

Criminal Record Clearance: All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department or..This requirement was not met as evidenced by: Antonio Aguilar(Hired 3/2/26), Erica Arredondo Vasquez(2/9/26) and Maria Ramirez Torres(2/20/26) do not have evidence of a criminal record clearance and are working at the facility.

Personal Accommodations and Services:The following provisions shall apply-Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. A bed for each resident, except that married couples may be provided with one appropriate sized bed. B) Bedroom furniture, which shall include, for each resident, a chair, night stand, a lamp, or lights sufficient for reading, and a chest of drawers. A bed and a dresser was not provided for Resident #1's use

General hygiene items required

Personal Accommodations and Services:The following provisions shall apply-Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident....if the resident is unable or chooses not to provide them, the licensee shall assure provision of D) Hygiene items of general use such as soap and toilet paper.

Facility personnel sufficiency and competence

(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet residents’ needs.This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above per interviews conducted, it revealed there are times when only one caregiver is on duty in the Assisted Living side of the operation with 46 residents. This poses a potential health and safety risk for residents in care.

1569.686 A licensee shall notify thedepartment, the State Long-Term CareOmbudsman, all residents, and, if applicable,their legal representatives, in writing, within two business days...(1) A notice of default...This requirement is not met as evidenced by: Based on interview, licensee failed to ensure The Department, LTCO, residents and their responsible parties were notified of the default received by licensee on 02/16/204, which caused an immediate health and safety risk to residents in care.

Label and preserve medicine compliance standards

Based on observation and record review, the licensee did not comply with the section cited above as in seven (7) residents centrally stored medications and destruction record (CSMDR) were not properly documented which poses an immediate health, safety or personal rights risk to persons in care.

Report serious outbreaks and major accidents

87211(a)(2) Reporting Requirements (2) Occurrences, such as epidemic outbreaks.. which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. This requirement is not met as evidence by:Based on interviews, the licensee did not comply with the section cited above, as the facility failed to report eight (8) staff and nineteen (19) residents positive for COVID to the licensing agency, which poses a potential health and safety risk to residents in care.