F 0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Level of Harm - Minimal harm
or potential for actual harm
Based on interview and record review, the facility failed to implement their policy and procedure on abuse
for one of three sampled residents (Resident 1) when the financial abuse allegation was not reported to the
California Department of Public Health (CDPH) and the alleged perpetrator (SSA/Social Services
Assistant) was not placed on suspension. These failures had the potential for ongoing financial abuse
towards Resident 1.Findings:During a review of Resident 1's Insurance Letter Addressed to Facility (ILAF),
dated 6/2/25, the ILAF indicated, Dear Management . on 5/27/25, we [insurance company] received a
complaint from the above named member [Resident 1]. We require your assistance in the form of a written
response for your interpretation of the encounter stated by the member below . Member said she gave
[SSA] her cash aid and food stamp card to bring her back food and kept the card. [Resident 1] said cash
was also missing from her wallet and she [Resident 1] knows it was the [SSA] because she knew [Resident
1] was not able to get up to go into her purse.During an interview on 6/18/25 at 1:10 p.m. with Administrator
in Training (AIT), AIT stated on 6/12/25, a police officer came to the facility regarding an allegation of
financial abuse by Resident 1 towards the SSA. AIT stated the allegation was that SSA accessed Resident
1's bank account and took out money, was not sure of the amount. AIT stated a report of allegation of
financial abuse was not reported to the CDPH. During an interview on 6/18/25 at 1:29 p.m. with
Administrator, Administrator stated a police officer came to the facility on 6/12/25 regarding an allegation of
financial abuse by Resident 1 towards SSA. Administrator stated the facility did not report the allegation of
financial abuse to the CDPH. During an interview on 6/26/25 at 3:59 p.m. with SSA, SSA stated she was
made aware of an allegation of financial abuse by Resident 1 prior to the police officer coming to the facility
around 6/5/25 when Social Services Director (SSD) told her about the allegation. SSA stated she was not
placed on administrative leave pending an investigation of the allegation of financial abuse. During an
interview on 6/27/25 at 11:11 p.m. with SSD, SSD stated she was first made aware of an allegation of
financial abuse by Resident 1 on 6/2/25. SSD stated Resident 1's insurance company had sent a fax on
6/2/25 regarding multiple concerns presented to them by Resident 1 including an allegation SSA stole
money from her wallet. SSD stated SSA was not placed on administrative leave pending an investigation of
an allegation of financial abuse until 6/12/25 (10 days after the allegation was made). SSD stated she did
not report the allegation of financial abuse to the CDPH. During a review of the facility document titled
Employee Time Cards (ETC), dated 6/2025, the ETC indicated, SSA worked on the following dates after an
allegation of financial abuse was made on 6/2/25:a. 6/3/25 - 8:13 a.m. to 2:33 p.m.b. 6/4/25 - 7:05 a.m. to
2:33 p.m.c. 6/9/25 - 9:29 p.m. to 4:15 p.m.d. 6/10/25 - 8:27 a.m. to 8:41 a.m.e. 6/12/25 - 8:09 a.m. to 3:06
p.m. During an interview on 6/27/25 at 12:07 p.m. with AIT and Director of Nursing (DON), AIT stated he
was aware of the letter Resident 1's insurance company had sent that involved an allegation of financial
abuse. DON stated she was aware of a letter from Resident 1's insurance company regarding an allegation
of financial abuse on 6/5/25. AIT stated SSA was not placed on
Residents Affected - Few
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 2
Event ID:
555053
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
555053
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
06/18/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Valley View Care Center
729 Browning Road
Delano, CA 93215
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0607
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
administrative leave until after the police department came on 6/12/25 (10 days after Resident 1's
insurance company sent their letter). AIT stated the facility policy and procedure on abuse was not
implemented. During a review of the facility's policy and procedure (P&P) titled, Abuse, Neglect and
Exploitation, undated, the P&P indicated, It is the policy of this facility to provide protections for the health,
welfare and rights of each resident by developing and implementing written policies and procedures that
prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property. The facility will
designate an Abuse Prevention Coordinator in the facility who is responsible for reporting allegations or
suspected abuse, neglect, or exploitation to the state survey agency and other officials in accordance with
state law. Reporting/Response . The facility will have written procedures that include . Reporting of all
alleged violations to the Administrator, state agency, adult protective services, and to all other required
agencies . within specified time frames . Immediately, but not later than 2 hours after the allegation is made,
if the events that cause the allegation involve abuse or result in serious bodily harm . Not later than 24
hours if the events that cause the allegation do not involve abuse and do not result in serious bodily harm.
The Administrator will follow up with government agencies, during business hours, to confirm the initial
report was received . During a review of the facility's policy and procedure (P&P) titled, Abuse Investigation
and Reporting, dated 7/2017, the P&P indicated, All reports of resident abuse, neglect, exploitation,
misappropriation of resident property, mistreatment and/or injuries of unknown source ( abuse) shall be
promptly reported to local, state and federal agencies (as defined by current regulations) and thoroughly
investigated by facility management. Findings of abuse investigations will also be reported. The
Administrator will suspend immediately any employee who has been accused of resident abuse, pending
the outcome of the investigation. All alleged violations involving abuse, neglect, exploitation, or
mistreatment, including injuries of an unknown source and misappropriation of property will be reported by
the facility Administrator, or his/her designee, to the following persons or agencies . The State
licensing/certification agency responsible for surveying/licensing the facility.
Event ID:
Facility ID:
555053
If continuation sheet
Page 2 of 2