VINEYARD RESIDENTIAL II, THE

21292 CHARDONNAY DRIVE, Apple Valley CA 92308

Facility 366424426 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Mar 6, 2026Licensed

Additional info
Licensee
ARNOLD P. MANSAT; ROMELLA D. MANSAT
Administrator
ARNOLD P. MANSAT
Contact
ARNOLD P. MANSAT
License first date
Mar 17, 2010
License effective date
Mar 17, 2010
District office
SAN BERNARDINO ASC · (951) 248-2222
Regional office
56
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 1 Type A and 5 Type B deficiencies for this facility.

Most recent inspection
Mar 6, 2026
Most recent deficiency
Mar 6, 2026

No later report is available, so the records do not show what happened afterward.

What Type A and Type B mean
Type A
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
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 229 San Bernardino County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 1 Type A and 5 Type B deficiencies.

1 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
4

About the same as most this size

1 in the last 12 months

Recorded deficiencies
6

Well above the typical 1

1 in the last 12 months

Type A deficiencies
1

Most this size have none

0 in the last 12 months

Type B deficiencies
5

More than the typical 1

1 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
0

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Medication handling and storageType B
Official classification
Type B
Official code
87465(c)(2)
Regulation authority
CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above by no staff verification of R1's SBP readings being taken prior to administration of medication to ensure that R1’s SBP is below 130 as required by the physician’s directions. Which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/19/2026 Plan of Correction The Licensee shall retrain Administator and staff on medication management and provided documentation of inservice training to the Licensing Division by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87411(f)
Regulation authority
CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observations, the licensee did not comply with the section cited above by staff #1 (S1) did not have record of tuberculosis (tb) results on file for review; which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/30/2025 Plan of Correction The Licensee shall provide to the licensing agency, documentation of TB or chest x-ray results for (S1) by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87458(c)(1)(A)
Regulation authority
CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observations, the licensee did not comply with the section cited above by not maintaining record of Resident #1 (R1) tuberculosis results on file for review; which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/30/2025 Plan of Correction The Licensee shall provide to the licensing agency documentation of resident's tuberculosis results or chest x-ray by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87463(a)
Regulation authority
CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observations, the licensee did not comply with the section cited above by not maintaining a reappraisal conducted within the last 12 months for (R1) on file for review; which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/30/2025 Plan of Correction The Licensee shall provide to the licensing agency documentation of reappaisal for (R1) by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Fire safety and emergency preparednessType A
Official classification
Type A
Official code
87202(a)(2)
Regulation authority
CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: (2) Bedridden persons This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA and Administrator observations and resident records reviewed, the licensee did not comply with the section cited above as two bedridden residents are occupying the approved bedridden room, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/03/2024 Plan of Correction Licensee shall submit a request to increase bedridden capacity to the Department no later than end of POC date. Licensee shall provide proof to LPA no later than end of POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Dementia careType B
Official classification
Type B
Official code
87705(f)(2)
Regulation authority
CCR

What the official deficiency says

87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above, which poses a potential health and safety risk to persons in care. LPA Williams observed several over-the-counter medication, which the Administrator stated belonged to staff members, in one of the resident's bedroom closet. LPA Williams also observed several cleaning supplies, which were accessible to residents in care, in two facility restrooms.

Official plan of correction

POC Due Date: 04/05/2022 Plan of Correction Licensee shall remove staff member's over-the-counter medication from the resident's bedroom and place it to where the medication is inaccesible to residents in care. Licensee shall also ensure cleaning supplies/toxins are removed and placed inaccesible to residents in care. POC cleared at the time of visit.

Official record says corrected or clearedOn or before Mar 29, 2022
Plan of correction recorded
View official report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology