CIELO VISTA SENIOR LIVING

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

87355(e)(2) Request a transfer of a criminal record clearance... This requirement is not met as evidence by: Based on record review and interview, the licensee did not comply with the section cited above in LPA observing Staff #2 did... not have a criminal record clearance or association.This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee to background clear and associate staff and send LPA the clearance transfer paperwork and have all staff in management send a statement of understanding on regulation cited by POC due date Licensee to confirm clearance prior to staff working in the facility. Civil Penalty was assessed at the time of the visit.

Deadline recorded: Aug 21, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

(a)(2) Personal Rights of Residents in All Facilities ... To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidence by: Based on record review, interviews and observation, the licensee did not comply with the section cited above. LPA identified resident #1-#9 were relocated at this facility with an active scabies outbreak from former Hayworth Terrace facility on 8/14/2026. This violation poses an immedeiate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee to ensure that all residents are accorded with a safe and healthful environment. The licensee will notify CCLD RO of the intake of these residents and contact the Department of Public Health to cross report. Proof of correction to CCLD by POC due date at ernand.dabuet@dss.ca.gov

Deadline recorded: Aug 18, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

87355(e)(2)Request a transfer of a criminal record clearance as specified in Section 87355(c). This requirement is not met as evidence by: Based on record review, the licensee did not comply with the section cited above. LPA identified Staff #1 did not have a criminal record clearance in the CDSS Guardian Background Clearance Ssytem. This violation poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee is to ensure that all staff prior to working in the facility obtain a Criminal Background Clearance and Criminal Background Transfer Request and provide POC to CCLD by POC due date to ernand.dabuet@dss.ca.gov A $400 civil penalty was assesed at the time of the inspection and LPAs observed S1 leaving the facility.

Deadline recorded: Aug 18, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87457(c)

Regulation authority

CCR

What the official deficiency says

87457(c) Pre-Admission Appraisal Prior to admission a determination of the prospective resdient's suitability for admission shall be completed and shall include an appraisal of their individual services needs in comparison with the admission criteria... This requirement was not met as evidence by: Based on record review, the licensee did not comply with the section cited above in 4 of 9 residents not having the proper intake admissions or service files when admitted on 8/14/26. This violation poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee is to ensure that all resdients prior to admission must conduct the proper intake according to Title 22 section 87457(c) before admission into the facility. POC due 8/25/26 with residents completed service files including resident appraisal at ernand.dabuet@dss.ca.gov.

Deadline recorded: Aug 25, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. 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 LPA observing medications in the front reception office and old medication room to be unlocked with medications accessible, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/29/2026 Plan of Correction LPA observed staff used a metal gate that can lock across the front of the room and locked the door that is accessible behind the gate ensuring all medications are secure as well as locking the old medication room door. Licensee stated they will conduct an in service with staff and send to LPA by POC due date.

Official classification

Type B

Official code

87405(b)

Regulation authority

CCR

What the official deficiency says

Administrator Qualifications and Duties ...The administrator of a facility or facilities shall have the responsibility and authority to carry out the policies of the licensee. This requirement was not met as evidenced by: The Department determined that the Administrator was reporting to Justin Lee, an associate new prospective Licensee, rather than to the current Licensee, Rona Lomeda.This poses as a potential health and safety risk to residents in care.

Official plan of correction

Licensee shall submit a signed statement acknowledging an understanding of the cited regulation and provide a written organizational chart identifying the facility's chain of command, including reporting relationships and the responsibilities of each staff position by POC due date to LPA.

Deadline recorded: Jul 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87205(a)

Regulation authority

CCR

What the official deficiency says

Accountability of Licensee Governing Body ...The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves. This requirement was not met as evidenced by: The current Licensee acknowledged that she was no longer exercising effective oversight of the facility's day-to-day operations and stated that the Administrator was reporting to Justin Lee rather than to her. This poses as a potential health and safety risk to residents in care.

Official plan of correction

Licensee shall submit a signed statement acknowledging an understanding of the cited regulation and conduct an in-service training with all current staff regarding the authority of the current Licensee and the facility's reporting structure. Documentation of the completed training, including staff signatures, shall be submitted to LPA by POC due date.

Deadline recorded: Jul 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: A review of records shows R1 did not receive Levothyroxine 25mcg on January 19 and January 23, 2026, which poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee agrees to train all staff who administer medication to residents on CCR 87465 and to provide proof of training to LPA by the POC due date. Licensee submitted proof of training request on 05/06/2026.

Deadline recorded: May 13, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

78633(d)

Regulation authority

CCR

What the official deficiency says

78633(d) Hospice Care of Terminal Ill Residents The licensee shall ensure that the hospice care plan is current, accurately matches the services actually being provided, and that the client’s care needs are being met at all times. This requirement is not met as evidence by: R1's hospice plan for mobility was not followed accurately which poses a potential health and safety risk to persons in care.

Official plan of correction

AD stated specific training on repositioning resident and documenting times will be completed and submitted to LPA by POC due date.

Deadline recorded: Feb 17, 2026. A deadline is not proof that correction was completed.