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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 275202817
Report Date: 10/13/2023
Date Signed: 10/19/2023 10:30:23 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/13/2023 and conducted by Evaluator Sarah Hurt
COMPLAINT CONTROL NUMBER: 24-AS-20230413155047
FACILITY NAME:VISTA HARDEN RANCHFACILITY NUMBER:
275202817
ADMINISTRATOR:CARTER, JOYFACILITY TYPE:
740
ADDRESS:290 REGENCY CIRCLETELEPHONE:
(805) 319-7370
CITY:SALINASSTATE: CAZIP CODE:
93906
CAPACITY:83CENSUS: 76DATE:
10/13/2023
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Administrator, Joy Carter TIME COMPLETED:
06:15 PM
ALLEGATION(S):
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Staff did not seek timely medical attention for resident.
Resident went AWOL due to lack of supervision.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on the above allegations. LPA Hurt met with facility Administrator, Joy Carter, and explained the purpose of today's visit.

Regarding the allegation Staff did not seek timely medical attention for residents. LPA Hurt reviewed facility records documenting Resident 1 had persistent coughing for several days beginning 03/01/2023. The care notes document a chest Xray was ordered on 03/11/23 for persistent cough. Facility records do not document Xray was given to Resident 1. LPA reviewed hospital records documenting Resident 1 was taken to the hospital after a fall at the facility on 03/24/2023. Hospital records document Resident 1 had several injuries resulting in hospitalization. Based on records reviewed, and LPA's observation during this investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED at this time.

Continued...
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sarah HurtTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 7
Control Number 24-AS-20230413155047
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: VISTA HARDEN RANCH
FACILITY NUMBER: 275202817
VISIT DATE: 10/13/2023
NARRATIVE
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Continued


Regarding the allegation Residents went AWOL due to lack of supervision. LPA reviewed facility Incident Report documenting Resident 2 did elope from the facility on 04/17/2022. LPA reviewed Monterey County Emergency Records confirming on 04/17/2022 Resident 2 eloped from the facility. Based on records reviewed during this investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED at this time.



Failure to correct the deficiency may result in civil penalties. At the time of the complaint inspection on 10/13/2023 , licensee was informed that violation is currently under review and a future civil penalty may apply based on Health and Safety Code § 1569.49.


The following deficiencies are being Cited Per Title 22 Regulations.

Exit interview conducted with Facility Administrator Joy Harden, and a copy of this report along with appeals rights provided.

SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sarah HurtTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 24-AS-20230413155047
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: VISTA HARDEN RANCH
FACILITY NUMBER: 275202817
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/13/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/16/2023
Section Cited
CCR
87465(a)(1)
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87465 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. The following requirement has not been met as evidenced by:

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Administrator will conduct training with facility staff on Incidental Medical care and submit proof to LPA by 10/16/2023 POC date.
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Resident 1 had a documented ongoing cough for several days without medical treatment, which poses an immediate health, safety, or personal rights risk to residents in care.
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Type A
10/16/2023
Section Cited
HSC
1569.2
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(c) “Care and supervision” means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. Assistance includes assistance with taking medications, money management, or personal care.
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Administrator Joy Carter will conduct staff training on Resident elopements and submit proof to LPA by 10/15/2023 POC date.
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Facility did not provide Care and Supervision for Resident 2 as he left the facility on 04/17/2022 which poses an immediate health, safety, or personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sarah HurtTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/13/2023 and conducted by Evaluator Sarah Hurt
COMPLAINT CONTROL NUMBER: 24-AS-20230413155047

FACILITY NAME:VISTA HARDEN RANCHFACILITY NUMBER:
275202817
ADMINISTRATOR:CARTER, JOYFACILITY TYPE:
740
ADDRESS:290 REGENCY CIRCLETELEPHONE:
(805) 319-7370
CITY:SALINASSTATE: CAZIP CODE:
93906
CAPACITY:83CENSUS: DATE:
10/13/2023
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Administrator, Joy Carter TIME COMPLETED:
06:15 PM
ALLEGATION(S):
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Staff does not ensure an adequate food supply is maintained on the premises.
Staff did not assess resident prior to admission.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on the above allegations. LPA Hurt met with facility Administrator, Joy Carter, and explained the purpose of today's visit.
Regarding the allegation staff does not ensure an adequate food supply is maintained on the premises. LPA interviewed several facility staff who stated the facility has plenty of food for all facility residents including Memory care residents. LPA reviewed documents verifying the facility orders an adequate food supply from several different vendors. The facility provides fresh fruit, ands vegetables ordered locally along with locally ordered breads. Based on interviews, and records reviewed during this investigation we have found that the complaint was unfounded, meaning that the allegation is false, could not have happened and/or is without reasonable basis, therefore, we have dismissed the complaint.


Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sarah HurtTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 24-AS-20230413155047
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: VISTA HARDEN RANCH
FACILITY NUMBER: 275202817
VISIT DATE: 10/13/2023
NARRATIVE
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Regarding the allegation Staff did not assess resident prior to admission. LPA reviewed records including documents titled “Resident Assessment” and “Physician’s Report” for Resident 2. The facility has all the documents required to admit Resident 2 into the facility. Based on interviews, and records reviewed during this investigation we have found that the complaint was unfounded, meaning that the allegation is false, could not have happened and/or is without reasonable basis, therefore, we have dismissed the complaint.


No deficiencies Cited today Per Title 22 Regulations.

Exit interview conducted with facility Administrator Joy Carter, and a copy of this report provided.
SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sarah HurtTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/13/2023 and conducted by Evaluator Sarah Hurt
COMPLAINT CONTROL NUMBER: 24-AS-20230413155047

FACILITY NAME:VISTA HARDEN RANCHFACILITY NUMBER:
275202817
ADMINISTRATOR:CARTER, JOYFACILITY TYPE:
740
ADDRESS:290 REGENCY CIRCLETELEPHONE:
(805) 319-7370
CITY:SALINASSTATE: CAZIP CODE:
93906
CAPACITY:83CENSUS: DATE:
10/13/2023
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Administrator, Joy Carter TIME COMPLETED:
06:15 PM
ALLEGATION(S):
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Call button not accessible to resident.
Staff not responding to residents call button.
Staff did not provide food service to residents.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on the above allegations. LPA Hurt met with facility Administrator, Joy Carter, and explained the purpose of today's visit.

Regarding the allegation Call button not accessible to resident. LPA reviewed care notes for Resident 1, and records titled "Initial Record of Incident." The care notes records document Resident 1's pendant was found broken on 06/08/2022. The records titled "Initial Records of Incident" mention Resident 1's pendant in September 2022. It is not clear if or when Resident 1's pendant was given back to them and if they had access to the pendant. Based on documentation obtained and reviewed during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.








Continued..
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sarah HurtTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 24-AS-20230413155047
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: VISTA HARDEN RANCH
FACILITY NUMBER: 275202817
VISIT DATE: 10/13/2023
NARRATIVE
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Regarding the allegation Staff not responding to residents call button. LPA reviewed facility care notes, and documents titled "Initial Record of Incident." The records document Resident 1 did use the pendant during a fall on 05/23/2022. The "Initial Record of Incident" record document Resident 1 being advised to use the pendant, and encouraged to use the pendant. It is not clear if resident pushed the alarm pendant during the fall incident on 03/24/2023. Based on documentation obtained and reviewed during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.



Regarding the allegation Staff did not provide food service to residents. LPA Hurt interviewed several facility care staff who stated there is plenty of food for all residents in both Memory Care and Assisted Living. The facility staff stated there has never been any incidents where the residents in Memory Care were not provided food. LPA interviewed facility kitchen staff who all stated there is always enough food for all residents and there has never been an incident where food was not provided. Based on interviews conducted, documentation obtained and reviewed during this investigation by Department of Social Services staff this allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.
SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sarah HurtTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023
LIC9099 (FAS) - (06/04)
Page: 7 of 7