Vita Bella Elderly Care

Arrange appropriate medical and dental care

87465(a)(1) Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above. Resident 1 (R1) had three scheduled medical appointments that were missed, and the facility did not attempt to reschedule any of them. This poses an immediate health, safety or personal rights risk to people in care.

Right to personal privacy in daily care

Additional Personal Rights of Residents in Privately Operated Facilities: To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. This requirement was not met as evidenced by LPA observations of the bedroom door for Bedroom #3 has a window with no coverings and the residents who share the bedroom have no privacy in their bedroom which poses an immediate health, safety or personal rights risk to residents in care.

Freedom to leave and not be locked in

Personal Rights of Residents in All Facilities: To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department. This requirement was not met as evidenced by LPA observations of the facility gate continuing to be manipulated in a way that prevents the gate from being opened as designed which poses an immediate health, safety and personal rights risk to residents in care.

Update reappraisal at required intervals

87463(a) Reappraisals(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by:Based on observation, interview and record review, the licensee did not comply with the section cited above. LPAs learned that Resident 2 (R2) was sent to the hospital on 10/22/2025 and discharged with a special mechanical-soft diet. A review of R2’s LIC 603A (Resident Appraisal) and LIC 625 (Needs and Services Plan) indicated that the special diet was not updated to reflect this change in condition. This poses a potential health, safety or personal rights risk to people in care.

Give PRN medication by physician order

87465(c)(2) Incidental Medical and Dental Care(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for non-prescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met:(2) Once ordered by the physician the medication is given according to the physician's directions.This requirement is not met as evidenced by: Based on observation, interview and record review, the licensee did not comply with the section cited above. LPAs reviewed Resident 1 (R1)’s Medication Administration Record (MAR) and observed missing initials for medication administration on 02/01/2026 and 02/02/2026. LPAs reviewed R1’s medication, Amlodipine 10 mg (take one tablet by mouth daily), with a quantity of 30 tablets. A review of the Centrally Stored Medication Destruction Record (CSMDR) showed a start date of 11/05/2025. Care staff Qadroka conducted a pill count and reported ten (10) tablets on hand, indicating discrepancies in R1’s medication count. This poses an immediate health, safety or personal rights risk to people in care.

Freedom to leave and not be locked in

Based on observation and interview, the licensee did not comply with the section cited above. LPAs observations the facility gate was manipulated in a way to prevent residents from opening the sliding gate at the driveway and preventing them from leaving the facility. which poses immediate health, safety and personal rights risk to residents in care.

Onsite food stock levels for nonperishables and perishables

Based on observation, interview and record review, the licensee did not comply with the section cited above. which poses an immediate health, safety or personal rights risk to people in care. LPAs observed insufficient seven-day non-perishable and two-day perishable food supplies. Care staff Misivono Qadroka stated that he put in an order for food delivery yesterday and that the delivery should be delivered today around 2:05 PM to 2:35 PM. Moreover, during a complaint control Number # 27-AS-20251231102322 on 01/05/2026, LPAs inspected the facility’s food inventory and there was also not sufficient food supplies maintained on the premises, specifically a minimum of two days of perishable food and seven days of non-perishable food, sufficient for ten residents.

Maintain facility in clean, safe, sanitary condition

Based on observation and interview, the licensee did not comply with the section cited above. LPAs observations the facility gate was manipulated in a way to prevent residents from opening the sliding gate at the driveway and preventing them from leaving the facility. which poses immediate health, safety and personal rights risk to residents in care.

Freedom to leave and not be locked in

87468.1(a)(6) 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:(6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night…This requirement is not met as evidenced by: Based on observations and interviews the administrator did not comply with residents’ personal rights by locking the front door with a key at night so that residents can’t leave the premises.

Maintain facilities for fire and panic safety

87203 Fire SafetyAll 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 is not met as evidenced by: Based on observations and interviews, it was learned that the administrator did not comply with Fire Safety requirements by locking the emergency front door at night. This posed an immediate health and safety risk to residents in care.

7468.1 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... (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment This requirement was not met as evidenced by interviewees that reveal that staff consumed residents foods. Staff stated resident, Michelle Fine, purchased three large pizzas on 9/3/25, in which residents and staff had for dinner. Staff admitted no dinner was prepared for residents on 9/3/25, this poses an immediate health, safety and personal rights risk to residents in care.

Night supervision when dementia residents require it

87705 Care of Persons with Dementia (b) Licensees shall ... (2) ... ensuring there is at least one night staff person awake and on duty if any resident with dementia is determined through... observation to require awake night supervision. .. This requirement was not met as evidenced by staff interviews and record reviews that show there no wake staff at night time and residents with dementia wondering around the facility during day and night time hours, which poses an immediate health, safety and personal rights risk to residents in care.

87555 General Food Service Requirements .(b) The following food service requirements shall apply... (1) ... at least three meals per day... (15) hours shall elapse between the third and first meal. Staff do not ensure meals are properly prepared for residents in care, as no dinner was prepared on ___ .LPA observed there was not enough food supplies for ten residents in care on 8/22/25,9/4/25,9/8/25, and 9/23/25.

Care and supervision as defined by statute and rules

87464 Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Codesection 1569.2(c). This requirement was not met as evidenced by staff not preventing residents from entering other residents rooms which poses an immediate health, safety and personal rights risk to residents in care.

Maintain cleanliness and prevent incontinence odors

87625(b)(3) Managed Incontinence(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence.This requirement is not met as evidenced by: In resident bedroom #2, LPAs observed that the room was unoccupied and had a noticeable incontinence odor. On resident bed B, LPAs observed that an incontinence pad with visible urine had not been disposed of. According to Staff #1, the room had not been cleaned all day, as they believed it was locked. which poses an immediate health, safety, or personal rights risk to persons in care.

Maintain records of centrally stored medication dosages

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care...(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Based on observation and records review the licensee/admin did not comply with the section cited above. 1 of 1 residents on 8/31/2025 and for 10 of 10 of the resident's medications in the Medication Administration Records from 9/1/2025- 9/4/2025 were not recorded and given per physician's orders according the facility's Plan of Operation which poses an immediate health, safety or personal rights risk to persons in care.

Personal rights of residents in all facilities

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.(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. Based on observation and records review the licensee/admin did not comply with the section cited above in which the pantry closet has a locking mechanism which poses an immediate health, safety or personal rights risk to persons in care.

Right to personal privacy in daily care

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents... shall have all of the following personal rights:(1) To have a reasonable level of Personal privacy in accommodations... This requirement was not met as evidenced by LPA observations of residents opening other residents room doors without knocking/permission to do so which poses an immediate health, safety and personal rights risk to residents in care.

Report specified resident events within seven days

87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency ...(1) A written report shall be submitted to the licensing agency and to the person responsible... within seven days of the occurrence of ... in (A) through (D). This requirement was not met as evidenced by staff do not ensure reporting requirements are followed. Record review and interviews timely reporting was not completed when residents have gone to the hospital or emergency care was needed

Maintain facility in clean, safe, sanitary condition

Maintenance and Operation: The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by LPA observations of insects/insect feces in every kitchen cabinet drawer, windows in need of repair that do not fit the window frame and have exposed glass edges, and floors in need of routine cleaning which poses an immediate health, safety and personal rights risk to residents in care.

Freedom to leave and not be locked in

Personal Rights of Residents in All Facilities: To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department. This requirement was not met as evidenced by LPA observations the facility gate was manipulated in a way to prevent residents from opening the sliding gate at the driveway and preventing them from leaving the facility. which poses an immediate health, safety and personal rights risk to residents in care.

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 requirements was not met as evidenced by LPA observation that the facility does not have a 2 day perishable food supply to meet the needs of residents which poses an immediate health, safety and personal rights risk to residents in care.

Maintain required personnel records for staff

87412Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. This requirement was not met as evidenced by two staff not having a file to review which includes training information, TB test clearance verifications, and other required documents. This poses an potential or immidiate threat to the Health, Personal Rights, and/ot Safety onto residents in care.

Request a transfer of criminal record clearance

87355 Criminal Record Clearance (e) All individuals subject to a criminal record ....shall prior to working, residing or volunteering in a licensed facility... (3) Request a transfer of a criminal record clearance ... This requirement was not met as evidenced by one staff member not being associated to the facility. This poses an immediate threat to the Health, Personal Rights, and/or Safety unto all residents in care.

Maintain required personnel records for staff

87412Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. This requirement was not met as evidenced by two staff not having a file to review which includes training information, TB test clearance verifications, and other required documents. This poses an potential or immidiate threat to the Health, Personal Rights, and/ot Safety onto residents in care.

Maintain separate complete record for each resident

87506 Resident Records(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staffThis requirement is not met as evidenced by: Based on observation and records review by this LPA, the licensee did not comply with the section cited above. LPA Lee observed 3 out of 6 resident’s files incomplete which posed a potential health, safety or personal rights risk to persons in care.

1569.312(a) Basic services requirementsEvery facility required to be licensed under this chapter shall provide at least the following basic services:(a) Care and supervision as defined in Section 1569.2.This requirement is not met as evidenced by: Based on interviews and records review, the facility did not comply with section cited above when (R1) AWOL'D from facility. The LIC 602 states the resident is not allowed to leave the facility unassisted. This posed an immediate health and safety risk to the resident in care.

§1569.312 Basic services requirementsEvery facility required to be licensed under this chapter shall provide at least the following basic services:(a) Care and supervision as defined in Section 1569.2.This requirement was not met as evidence by: Based on interviews and records review: the licensee did not ensure that a staff assisted (R1) with attending medical appointments and that (R1) was supervised. (R1) was drop off unsupervised at (R1)'s doctor's appointment. This posed an immediate health and safety risk to R1.

Assist residents with self-administered medication

87465(a)(4) Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(4) The licensee shall assist residents with self administered medications as needed. This requirement was not met as evidence by:Based on interviews and records review: the licensee did not ensure that (R1) received (R1)’s medications as prescribed. Based on medication audit it was learned that there were discrepancies in (R1)’s medication. Moreover, 3 out of 4 residents’ MAR logs were incomplete and are missing staff initialed; therefore, it is uncleared if residents received their medications as prescribed. This posed an immediate health and safety risk to residents in care.

Required administrator qualifications listed in this subsection

87405(d) Administrator - Qualifications and Duties(d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply…This requirement is not meet as evidenced by: Based on record review and interview the licensee/administrator did not comply with the section cited above. The licensee did not ensure that licensee complied with all title 22 regulations knowledge of and ability to conform to applicable laws, rules and regulations, which this poses a potential health and safety risk to residents in care. This posed a potential health and safety risk to residents in care.

Facility personnel sufficiency and competence

87411(a) Personnel Requirements - GeneralFacility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required… This requirement was not met as evidence by:Based on interviews and records review: the licensee did not ensure that a staff assisted (R1) with attending medical appointments and that (R1) was supervised. This posed an immediate health and safety risk to R1.

Limit operations to licensed capacity

87204Limitations - Capacity and Ambulatory Status(a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including specification of the maximum number of persons who may receive services at any one time...This requirement is not met as evidenced by: Based on observations, interviews and record review, the licensee did not comply with the section cited above. The licensee did not ensure that resident bedroom #5 is only for ambulatory resident. LPA Lee observed resident 1 (R1) residing in bedroom #5 who is non-ambulatory.

Assist residents with self-administered medication

Based on observation, interviews and record review, the licensee did not comply with the section cited above. The licensee did not maintain (R2) MAR log. (R2) Lipitor 40mg 8:00 PM medication was not marked as being given to residents from 01/01/2024 to 01/08/2024, which poses a potential health, safety, or personal rights risk to persons in care.

Facility must clear fire safety for nonambulatory persons

Based on observation, interviews and record review, the licensee did not comply with the section cited above. The licensee did not maintain a fire clearance by having a (R1) non-ambulatory resident in bedroom #5 which is fire clearance and licensed for only ambulatory residents, which poses an immediate health, safety, or personal rights risk to persons in care.

Safe, healthful, comfortable accommodations

87468.1(a)(2) Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations... This requirement was not met as evidence by: Based on observation and file review, the facility did not provide a safe and comfortable accommodation to R1, as staff were not able to transfer R1 out of bed and was confined to their bed. This posed an immediate health and safety risk to R1.

Provide assistance for residents medical needs

87465(a)(2) Incidental Medical and Dental Care: A plan for incidental medical and dental care shall be developed by each facility. The licensee shall provide assistance in meeting necessary medical and dental needs. This requirement was not met as evidence by: Based on observation and file review, the facility was not able to meet R1's mobility care needs, and did not develop a plan to meet R1's mobility needs and did not follow up with R1' hoyer lift needs. This posed an immediate health and safety risk to R1.

Care and supervision as defined by statute and rules

87464(f) (1) Basic Services: (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Codesection 1569.2(c). This requirment was not met as evidence by: Based on observation and record review R1 is not being provided adequate basic care. This poses an immediate health and safety risk to R1.

Facility must clear fire safety for bedridden persons

Fire Clearance 87202(a)(2) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department..Bedridden persons. This requirement is not met as evidence by: Based on observation and record review The facility admitted a bedridden resident. This poses an immediate health and safety risk to R1.

Restrict nonambulatory residents from ambulatory rooms

87204(b) Limitations - Capacity and Ambulatory Status: Resident rooms approved for 24-hour care of ambulatory residents only shall not accommodate nonambulatory residents...This requirement was not met as evidence by: Based on observation and file review, the licensee accepted a bedridden resident (R1). This poses an immediate health and safety risk to R1.

Coverage for absent regular staff members

Based on observation,interview, record review, the licensee did not comply with the section cited above. Adminsitrator indicated there has not been night shift staff for 3 consecutive days. The live in staff are sleep at night and other staff are not on shift which poses an immediate health, safety or personal rights risk to persons in care.

Resident access to hazardous items with safety review

Based on observation, the licensee did not comply with the section cited above. Licensee did not ensure the medication was locked and stored inaccessible to persons in care which poses an immediate health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above. The licensee did not ensure all disinfectants were stored and locked away which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview,(record review, the licensee did not comply with the section cited above in licensee did not ensure all reports and records for all 9 residents were properly filled out and filed for clients needs which poses an immediate health, safety or personal rights risk to persons in care.

Modified diets for medical necessity

Based on observation, interview, record review, the licensee did not comply with the section cited above. Administrator did not ensure all resdients meal plan needs are met which poses an immediate health, safety or personal rights risk to persons in care.

Immediate disposal of contaminated food

Based on observation, interview, record review, the licensee did not comply with the section cited above in the licensee did not ensure all food in freezer were properly labled. LPA observed meat in freezer inproperly packaged and containing freezer burn which poses an immediate health, safety or personal rights risk to persons in care.

87355(b)Criminal Record Clearance. (b) Prior to the Department issuing a license, the applicant,administrator and any adults other than client, residing in the facility shall have a criminal record clearance or exemption.This is not met by evidence by: Based on observation and review licensee did not ensure that all staff have fingerprint clearance in order to work in the facility which poses an immediate health, safety, and personal rights risk for persons in care.

Kitchen sanitation against contamination sources

Based on observation, interview, record review, the licensee did not comply with the section cited above in licensee did not ensure that kitchen area and microwave were clean. Kitchen area contained dead flys on counter top which poses an immediate health, safety or personal rights risk to persons in care.

Onsite food stock levels for nonperishables and perishables

Based on observation,interview,record review, the licensee did not comply with the section cited above in licensee did not ensure non perishable and perishable stored for up to 7 consecutive days which poses an immediate health, safety or personal rights risk to persons in care.

Personal Rights(d) The following space and safety provisions shall apply to all facilities:(3) All persons shall be protected against hazards within the facility through provision of the following:(B) Information and instruction regarding life protection and other appropriate subjects. This requirement is not met as evidenced by: During a facility visit by CCL, Staff observed staff and residents not wearing mask and screening not being conducted. Based on observations licensee did not ensure visitors screening was conducted and that staff or residents were wearing mask as stated in PIN 20-46-ASC.This violation poses an immediate health, and safety risk to residents in care.