435201796-7-28-2026-26-AS-MPAA-DWF3C5-20260728180723

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 435201796
Report Date: 07/28/2026
Date Signed: 07/28/2026 06:08:43 PM

Document Has Been Signed on 07/28/2026 06:08 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

FACILITY NAME:	NUEVA VISTA		FACILITY NUMBER:	435201796
ADMINISTRATOR/ DIRECTOR:	WEINSTEIN, MICHAEL		FACILITY TYPE:	735
ADDRESS:	18225 HALE AVENUE		TELEPHONE:	(408) 465-8280
CITY:	MORGAN HILL	STATE: CA	ZIP CODE:	95037
CAPACITY: 72		CENSUS: 70	DATE:	07/28/2026
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:15 AM
MET WITH:	Kathleen Alcala		TIME VISIT/ INSPECTION COMPLETED:	02:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced annual required inspection and met with administrator (ADM) Marie Kathleen Alcala and stated the purpose of the visit. The facility has a capacity of 72 and is licensed to serve all ambulatory only. During today's visit LPA observed residents are lined up to received their medication, some residents were in the courtyard, the dining room, their respective rooms, activity room, smoking area, and some were signing off to leave for their respective appointment. The facility has clinic that is separate from the resident's building. LPA inspected the facility inside and outside with ADM. LPA inspected 7 resident bedrooms (rooms 205, 202, 113, 117, 235, 231 and 224). Smoking area, the kitchen and dining room, medication room, therapy area, office area, bathrooms, shower rooms. LPA inspected that exit doors and observed exit doors were not obstructed, has ramps, and no tripping hazard. LPA observed a help desk person at the entry way. ADM stated the help desk staff assists resident with roll over phones, monitors residents who are leaving and coming in to the facility, reminds residents of their medical appointments and assist residents with any other request they may need. LPA inspected the dining area, and kitchen and observed dining is on a first-come-first save basis 3 residents lined up and waits for their turn to have their breakfast. LPA inspected the kitchen area and observed 2 days of perishable food and 7 days of non-perishable food supply. LPA observed facility chef/cook and one kitchen assistant busy preparing and serving breakfast plate for all residents -- See LIC 809C for continuation page 1 of 3

Romeo Manzano
Maria Partoza
	DATE: 07/28/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

FACILITY NAME: NUEVA VISTA	FACILITY NUMBER: 435201796
	VISIT DATE: 07/28/2026

NARRATIVE

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LPA observed that the facility test their water temperature on a daily basis and logs the water temperature of each bathroom fixture identified used by residents. The water temperature ranges from 105 degree F to 118 degree F. The kitchen faucet delivers higher than the resident's and have warning signs that the faucet delivers water higher than 125 degree F.

LPA and ADM took an hour break at 12:15 pm and resumed at 1:15 p.m.

LPA randomly reviewed 6 resident file record such as but not limited to appraisal needs and services plan, physician's report, personal and incidental, centrally stored medication and destruction record. LPA observed that resident records are updated and no missing information was observed. LPA reviewed 5 staff record and verified 5 out of 5 staff record have required criminal background clearances, certificates and training.

The facility conducts disaster, fire and earthquake drill once every quarter and for each shift. Training was administered to staff and residents on 06/05/2026, and planned training for the night shift on 07/30/2026. LPA requested copies of the LIC 500, Surety and Liability insurance and a copy of the fire department's inspection, including water temperature log, staff training record and resident roster.

No deficiencies were cited during today's visit based on Title 22 of the California Code of Regulations (CCR). An exit interview was conducted with Administrator Kathleen Maria Alcala, and a copy of the report was provided.

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end of report

NAME OF LICENSING PROGRAM MANAGER: Romeo Manzano
NAME OF LICENSING PROGRAM ANALYST: Maria Partoza
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/28/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

FACILITY NAME: NUEVA VISTA	FACILITY NUMBER: 435201796
	VISIT DATE: 07/28/2026

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LPA observed the kitchen is sanitary and organized, the freezer is at negative 6 degree F and the refrigerator temperature is at 29 degree F. LPA observed that the kitchen staff logs the refrigerator and freezer temperature twice daily. LPA observed that the kitchen is not accessible to residents in care, no sharps were observed in the dining area except for common dining utensils. The facility has a commercial grade freezer, refrigerator, cooking equipment and prep area which is organized and sanitary.

LPA inspected the exterior perimeter of the facility and observed a courtyard that has outdoor kitchen set-up. ADM stated that they use the outdoor kitchen to hold BBQ for residents and staff if the weather permits. The outdoor walkways were free from tripping hazard are not obstructed. The facility's parking area is compliant with the American Disability Act (ADA) and has designated parking for person with disability. Across the courtyard leads to the therapy room, dining area, laundry and multipurpose room.

LPA observed that the indoor temperature range is at 70 to 72 degree F. The facility is equipped with a wall pull alarm fire system, fire extinguishers are placed strategically in the entire facility including the kitchen area, lastly the facility is equipped with a fire sprinklers. Based on record review, Morgan Hill Fire Department have inspected the facility for compliance on 02/06/2026. Hallways were free from tripping hazards and obstructions. LPA observed that a portion of the hallway floor next to the therapy area is being repaired at the time of the visit and caution tapes were placed to prevent residents from walking towards the area that is being repaired.

LPA entered 7 resident rooms and observed housekeeping were actively doing their rounds, cleaning, changing bedsheets, rooms were kept sanitary and had adequate storage for resident's personal belongings. Shared bedrooms have water closet that is shared by either 2 or 4 people. LPA inspected the common shower area with 6 shower stalls. The shower stall have locking doors for privacy, and equipped with non-slip floors and grab bars and a foldable seating shower bench. The shower stalls have scheduled cleaning days and shower days.

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NAME OF LICENSING PROGRAM MANAGER: Romeo Manzano
NAME OF LICENSING PROGRAM ANALYST: Maria Partoza
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/28/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026

LIC809 (FAS) - (06/04)

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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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