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Inspection visit

Follow-up

PACIFIC VISTA SENIOR LIVINGLicense 3318805724 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Lydia Martinez, made this Case Management visit in conjunction with complaint investigation visit for numbers 18-AS-20230130142356 and 18-AS-20230616162648. LPA met with Evangeline dela Rosa and reason for visit was shared. Administrator Jamie Teng was informed of LPA LPA's presence at the facility. There were six residents present during visits conducted on 11/21/2024, 12/10/2024 and 12/13/2024. Residents were observed clean and warm. Facility was maintained at a comfortable temperature for the residents in care. The needs of the residents in care appeared to be met. During the investigation, LPA toured the facility and observed the following: On 11/21/2024 LPA observed six (6) bottles of vitamins/medication (picture) in a Ziploc bag in the kitchen refrigerator. Staff removed the bag and locked it away. On 12/10/2024, LPA observed the same Ziploc bag of vitamins in the kitchen refrigerator and staff removed the bag. Same Ziploc bag with vitamins was again observed in the kitchen refrigerator on today's date. Staff removed the bag of vitamins. On 11/21/2023 and 12/10/2023, LPA observed the facility’s perishable food supply to be less than the requirement for the residents in care. On today's date, LPA observed plenty of fruits and vegetables for the residents. LPA observed Resident 1 (R1) with 3 half bed rails tied with a shoelace around R1’s bed (2 half bed rails to make a full rail and 1 half bed rail at the feet.) Per staff R1 is not receiving hospice care. LPA noted two (2) mounted Fire Extinguishers that were last services on 07/24/2017. On 11/21/2024 and 12/10/2024, and 12/13/2024, LPA observed the following old furniture in the backyard; commodes, wheelchairs, hospital beds, mattresses and two old recliners. LPA also noted 2 staff rooms in the three car garage that are not on the displayed facility floor plan. Based on the observations made on 11/21/2024, 12/10/2024 and 12/13/2024, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of LIC809, LIC809D, LIC9102 and Appeal Rights were sent to email on file.

Citations

4 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.

  • 87203Type A

    Maintain facilities for fire and panic safety

    Fire Safety: All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement was not met as evidenced by: LPA observed Fire Extinguishers mounted on the wall were last serviced on 07/24/2017. This poses an immediate Health & Safety risk to the residents in care.

  • 87465(h)(2)Type A

    Store centrally held medications in locked secure place

    Incidental Medical and Dental Care Services. Centrally stored medications shall be kept in a safe locked place that is not accessible to persons other than employees responsible for the supervision of the medication. This requirement is not being met as evidenced by: Licensee failed to ensure medications are inaccessible to residents in care. On 11/21/24 & 12/10/24 & 12/13/2024, LPA observed Ziploc bag with 6 bottles of vitamins in kitchen refrigerator. This poses an immediate health and safety risk to residents in care.

  • 87555(b)(26)Type B

    Onsite food stock levels for nonperishables and perishables

    General Food Service Requirements: Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement was not met at evidenced by: Based on LPA’s observation on 11/21/24 and 12/10/24, Licensee did not comply with the section cited in that there was not enough non-perishable and perishable food supply to sustain 7 days with 6 residents.

  • 87608(a)(5)(A)(B)Type B

    Postural Supports: (a) Based on the individual's preadmission appraisal, and subsequent changes...Postural supports may be used under the following conditions. (5) Under no circumstances shall postural supports...(A) A bed rail that extends from the head half the length of the bed and... (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care...This requirement was not met as evidenced by: Based on LPA’s observation, AD did not comply with the section cited in that R1’s bed has 3 half bed rails tied

FAQ · About this visit

Common questions about this visit

What happened during the December 13, 2024 inspection of PACIFIC VISTA SENIOR LIVING?

This was an other inspection of PACIFIC VISTA SENIOR LIVING on December 13, 2024. 4 citations were issued: 2 Type A (serious) and 2 Type B.

Were any citations issued to PACIFIC VISTA SENIOR LIVING on December 13, 2024?

Yes, 4 citations were issued (2 Type A, 2 Type B). The first citation was for: "Fire Safety: All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for..."

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.