VALLEY VIEW CARE HOME III

Official classification

Type B

Official code

87203

Regulation authority

CCR

What the official deficiency says

87203 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 is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by not replacing or servicing the fire extinguisher within 12 months, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 07/27/2026 Plan of Correction The Licensee will replace the existing fire extinguisher with a new one and provide picture proof to LPA Sampair.

Official classification

Type B

Official code

1569.311

Regulation authority

HSC

What the official deficiency says

Every residential care facility for the elderly shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above because the carbon monoxide detector was not working, which poses/posed a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 07/27/2026 Plan of Correction The Licensee will get a working carbon monoxide detector.

Official classification

Type B

Official code

87303(e)(5)

Regulation authority

CCR

What the official deficiency says

(5) Slip-resistant mats, strips, or flooring shall be used in all bathtub and shower floors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in the shower, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 07/27/2026 Plan of Correction The Licensee will provide a slip-resistant mat, strips, or flooring in every resident shower/bath.

Official classification

Type B

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in the exterior passageways, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 07/27/2026 Plan of Correction The Licensee agreed to clear and to keep clear the exterior passageways.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) 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 is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPAs observed various items in the front yard of the facility: broken dreeser, land mower, garbage, etc. which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/28/2025 Plan of Correction Licensee will have the front yard cleaned of debris.

Official classification

Type B

Official code

87303(e)(6)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (6) Toilet, handwashing and bathing facilities shall be maintained in operating condition. Additional equipment shall be provided in facilities accommodating physically handicapped and/or nonambulatory residents, based on the residents' needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPAs observed the toilet in the upstairs bathroom to be filled with waste and out of order, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/28/2025 Plan of Correction Licensee will have the toilet repaired

Official classification

Type B

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPAs observed the fire exit off the second floor to be blocked by tree overgrowth which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/28/2025 Plan of Correction Licensee will have the tree trimed so the fire exit is clear

Official classification

Type B

Official code

87464(f)(6)

Regulation authority

CCR

What the official deficiency says

87464 Basic Services (f) Basic services shall at a minimum include: (6) Arrangements to meet health needs, including arranging transportation, as specified in Section 87465, Incidental Medical and Dental Care Services. -This requirement has not been met as evidenced by: Based on LPAs records review and interviews, Licensee/Administrator failed to ensure R2’s vaccinations were current and provide proof of residents dental and ophthalmology exams.

Official plan of correction

Licensee/Administrator agreed to review regulation 87464 and resident records in order to make arrangements to meet health needs of residents in care. Submit written proof of self-certification to CCL by POC date.

Deadline recorded: Apr 19, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation (a) 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. Based on record review, Licensee failed to organize and clean the facility which poses potential health and safety risk to clients in care.

Official plan of correction

Administrator agrees to cut the overhanging branches at the second-floor porch and organize the porch. Administrator agreed to send a picture as proof of correction to CCL by POC date.

Deadline recorded: Oct 10, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

80087(g)

Regulation authority

CCR

What the official deficiency says

80087(g): Buildings and Grounds: Disinfectants, cleaning solutions, poisons, firearms and other items that could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement was not met as evidence by: Based on LPAs observation, Administrator failed to ensure cleaning products are was inaccessible to clients, which poses an immediate health and safety risk to clients in care.

Official plan of correction

Staff locked chemical products and moved to locked cabinet. Deficiency was cleared during the visit,

Deadline recorded: Feb 4, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

80087(a)

Regulation authority

CCR

What the official deficiency says

80087 Buildings and Grounds (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. This requirement is not met as evidence by: Based on LPAs observation, Administrator failed to ensure that kitchen cabinet, faucet sink and second floor screen door by the patio is in good repaid, which poses an potentia health and safety risk to clients in care.

Official plan of correction

Administrator agreed to repair the kitchen cabinet, faucet sink and screen door by POC date, proof of correction need to submit to CCL by POC date.

Deadline recorded: Feb 15, 2022. A deadline is not proof that correction was completed.