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Inspection visit

Follow-up

POLLY'S PLACELicense 3060061781 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On March 2, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct a Case Management inspection. Licensee Polly Valencia was notified via telephone and later arrived to assist with the inspection. This visit is being conducted in conjunction with complaint #22-AS-20240227123453. During the complaint investigation, Licensee Polly Valencia was interviewed on two separate occasions, regarding the complaint allegations of staff handles residents in a rough manner, and staff spoke in an inappropriate manner to resident. During both interviews, Licensee Polly Valencia denied the complaint allegations and stated that she has not handled a resident in a rough manner and has not spoken to a resident in an inappropriate manner. However, during the complaint investigation, the Department obtained a video recording, which contradicted Licensee Polly Valencia’s statements. In the video recording, Licensee Polly Valencia is observed to be handling a resident in a rough manner when transferring a resident into her bed. The resident is heard groining in the video recording, which suggests it may have caused them a level of discomfort. Licensee Polly Valencia is also heard speaking to the resident in an inappropriate manner. Licensee Polly Valencia is heard telling the resident, "I am disgusted with you", "I am absolutely disgusted with you", and "Shame on you". The video recording directly contradicts the statements that Licensee Polly Valencia made to the Department during two separate interviews. Additionally the actions on the video recording by Licensee Polly Valencia were in itself, inimical to the health and safety of the resident in care. Based on the information gathered, a deficiency is being cited on the attached LIC809-D page. An exit interview was conducted with Licensee Polly Valencia. A copy of the report and Appeal Rights were provided.

Citations

3 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87408(a)(6)Type A

    87408 Denial or Revocation of a Certificate: (a) The Department may deny or revoke any administrator certificate ... (6) The certificate holder engaged in conduct which is inimical to the health, morals, welfare, or safety of ... an individual ...This requirement was not evidenced by: Based on evidence gathered, the Licensee engaged in conduct inimical to the health and safety of a resident in care. The Licensee also provide false statements on two occasions to the Department. This poses an immediate health, safety, and personal rights risk to persons in care.

  • Dignity in personal relationships

    87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement was not evidenced by: Based on evidence gathered, the Licensee did not ensure Resident #8 was treated with dignity. LPA observed a video recording in which the Licensee spoke to R8 in an inappropriate manner. This poses an immediate health, safety, and personal rights risk to persons in care.

  • Protection from punishment and intimidation

    87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall ...:(3) ...be free from punishment, humiliation, intimidation, abuse...This requirement was not evidenced by: Based on evidence gathered, the Licensee did not ensure Resident #8 was free from intimidation and abuse. LPA observed a video recording in which the Licensee handled R8 in a rough manner. This poses an immediate health, safety, and personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 2, 2026 inspection of POLLY'S PLACE?

This was an other inspection of POLLY'S PLACE on March 2, 2026. 1 citation were issued: 1 Type A (serious).

Were any citations issued to POLLY'S PLACE on March 2, 2026?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87408 Denial or Revocation of a Certificate: (a) The Department may deny or revoke any administrator certificate ... (6)..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.