Corona Rcfe.

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced Case Management Incident visit and conduct a Health and Safety check. LPA met with Administrator Jennifer D Montgomery and explained the reason for the visit. The visit is in response to the death of resident (R1), who passed away on 1/29/2026. During the visit, LPA reviewed R1's file and obtained copies of the following: ID/emergency Information, Admission Agreement, Physician's reports, Medication List, Care Plan and PACE documents. LPA requested a copy of R1’s death certificate when it is made available. An exit interview was conducted, and a copy of this report was provided to Administrator Jennifer Montgomery.

Based on the evidence found during the investigation, the one (1) allegation listed above is deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Jennifer Montgomery.

Licensing Program Analyst (LPA) Mary Rico conduct an unannounced case management to obtain records from the facility pertaining to Compliant Control Number # 56-AS-20250527170216. LPA Rico met with Administrator Jennifer Montgomery and explained the purpose of the visit. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Jennifer Montgomery.

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Jennifer D. Montgomery and was granted entry to the facility. Licensed capacity is (49) current census (27). LPA was accompanied by Administrator Jennifer Montgomery to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately.LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated office for resident/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (5) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (5) resident medications and (2) hospice files. LPA also reviewed (4) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Jennifer Montgomery.

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Jennifer D. Montgomery and was granted entry to the facility. Licensed capacity is (49) current census (18). LPA was accompanied by Administrator Jennifer Montgomery to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated office for resident/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (10) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (6) resident medications and (3) hospice files. LPA also reviewed (6) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Jennifer Montgomery.

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Jennifer D. Montgomery and was granted entry to the facility. Licensed capacity is (49) current census (13). LPA was accompanied by Administrator Jennifer D. Montgomery to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated office for client/staff files. The facility is on a 24-hour fire watch until their Fire Clearance has been approved. During today’s visit LPA observed a fire panel install at the facility. Administrator informed LPA, the facility has a schedule appointment with Corona Fire Department on 12/14/2023 for their pending Fire Clearance. Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a variety of food available for clients. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. 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 26 27 28 29 30 31 32 Record Review: LPA reviewed (13) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (13) client medications. LPA also reviewed (4) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. LPA Rico informed Administrator that Community Care Licensing Department has not received the following documents: 1. Property Agreement between Property Owner (Landlord) and Licensee (Corona RCFE, LLC) 2. Written Agreement between Vista Cove, INC and Corona RCFE LLC which removes Vista Cove, INC as the Licensee. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Jennifer D. Montgomery

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced case management visit to indicate who is the new Administrator. During today’s visit, LPA obtained documents of the Designated Administrator. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Jennifer D. Montgomery.

Licensing Program Analyst (LPA) Mary Rico, Licensing Program Analyst Manger (LPM) Efren Malagon and San Bernardino Regional Manager Leslie Mendiveles conducted a meeting with Administrator Courtney Barreto via Microsoft Office. The additional attendees were Dovy Raskin and Fernando Rodriguez. During today’s meeting, the following matter was discussed: · Compliance with the Fire Marshall · Property Lease Agreement · Bedridden Residents · Beecan Management Agreement During today’ meeting, Administrator agreed to send Community Care Licensing ; Beecan Management Agreement with Corona RCFE LLC, Documentation of removing Vista Cove from License, written update regarding Property Lease Agreement, Copy of Contract with Troy Alarm. LPA Rico emailed a copy of the report for signature and requested the signed copy to be emailed back. The Administrator agreed to provide a signature and mail back to Community Care Licensing.

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced case management visit regarding the facility fire clearance status and providing care for one (1) bedridden resident. LPA Rico met with Administrator Courtney Barreto and explained the reason for today's visit. During today’s visit, LPA discovered the facility has not relocated the one (1) bedridden resident. LPA toured R1 bedroom and confirmed that R1 residences at the facility. Resident received their 30day notice on 8/2/2023. During interview with Administrator, Administrator stated facility does not have their fire clearance from Corona Fire Department. Administrator informed LPA the facility has an office meeting on 9/20/2023 with HCAI. Based on today's observation, two (2) civil penalties in the amount of $5,600 and $4,800 dollars will be issued for failure to correct the two (2) violations within a specified length of time that result in a civil penalty. The facility will be issued two (2) civil penalties per Title 22, Division 6, of the California Code of Regulations, An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Courtney Barreto along with a copy of the two(2) LIC421IM and along with the appeal rights.

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to conduct a Case Management visit regarding facility fire clearance. LPA Rico met with Administrator Courtney Barreto and explained the reason of today's visit. During a prior visit on 8/22/2023, LPA observed one (1) bedridden resident. Administrator stated R1 received an updated physician report on 8/15/2023 indicating resident is non-ambulatory and no longer bedridden. LPA requested physician notes on why resident was transition from bedridden to non-ambulatory. During today’s visit, Administrator informed LPA that R1 had received a revised physician report on 8/24/2023 indicating R1 is back to being bedridden. Administrator stated R1 will be relocated. LPA received copies of R1 physican report. During the facility tour, Administrator stated the seal doors are on pause because facility no longer has a maintenance employee. On the first week of September 2023, facility will be receiving a substitute to assist with their maintenance. Administrator informed LPA the facility should receive their city approvals the first week of September 2023 to begin their fire alarm. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to Administrator Courtney Barreto.