Lakeview Lodge

On 4/3/2026, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Case Management Health and Safety Check. LPA Calandra was greeted by Zach Pilkerton, Administrator and Fe Arnaiz, Co-Administrator and explained the purpose of the visit. LPA Calandra toured the physical plant. This is a 1-story building. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. No accessible bodies of water or hazards were observed. LPA observed 2 days of perishables and 7 days of non perishables. No food was expired. LPA reviewed 3 resident's Centrally Stored Medications Records. All medications for the 3 residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. No deficiencies were cited during today's visit. An exit interview was conducted. A copy of the report was provided to the facility representative.

On 3/24/2026, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Health and Safety Case Management visit. LPA Calandra was greeted by Zach Pilkerton, Administrator and Fe Arnaiz, Co-Administrator and explained the purpose of the visit. LPA Calandra toured the physical plant. This is a 1-story building. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. No accessible bodies of water or hazards were observed. LPA reviewed 3 resident's Centrally Stored Medications Records. All medications for the 3 residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with facility representatives and a copy provided.

On 2/18/2026, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Case Management-Health and Safety Check. LPA Calandra was greeted by Eileen Doyle, Consultant and Fe Arnaiz, Co-Administrator and explained the purpose of the visit. Zach Pilkerton, Co-Administrator joined the visit later. LPA Calandra toured the facility with the Co-Administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Ten staff members including the Administrators were observed throughout the facility. Twenty-two residents were observed throughout the facility. LPA inspected random resident bedrooms and resident common spaces. LPA also reviewed 3 resident files. All were observed to be complete. No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with facility representatives and a copy of the report was emailed to the facility representative.

On 1/30/2026, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA Calandra met with Co- Administrator(ADM), Fe Arnaiz and explained the purpose of the visit. LPA Calandra toured the facility with the Co-Administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Ten staff members including the Administrators were observed throughout the facility. Sixteen residents were observed throughout the facility. LPA inspected random resident bedrooms and resident common spaces. LPA reviewed 3 resident's Centrally Stored Medications Records. All medications for the 3 residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. LPA also reviewed 3 resident files. All were observed to be complete. No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with facility representatives and a copy of the report was emailed to the facility representative.

On 11/07/2025, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA Calandra met with Co- Administrator(ADM), Fe Arnaiz and explained the purpose of the visit. LPA Calandra toured the facility with the Co-Administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Eight staff members including the Administrators were observed throughout the facility. Nineteen residents were observed throughout the facility. LPA inspected random resident bedrooms and resident common spaces. LPA reviewed 3 resident's Centrally Stored Medications Records. All medications for the 3 residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with facility representatives and a copy of the report was provided.

On 10/06/2025, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA Calandra met with Co- Administrator(ADM), Fe Arnaiz and explained the purpose of the visit. LPA Calandra toured the facility with the Co-Administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Eight staff members including the Administrators were observed throughout the facility. Twenty three residents were observed throughout the facility. LPA inspected random resident bedrooms and resident common spaces. LPA reviewed 3 resident's Centrally Stored Medications Records. All medications for the 5 residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with facility representatives and a copy of the report was emailed to the facility representative.

On 10/03/2025, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA Calandra met with Administrator(ADM), Fe Arnaiz and explained the purpose of the visit. LPA Calandra toured the facility with the Co-Administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Six staff members including the Administrators were observed throughout the facility. Twenty-five residents were observed throughout the facility. LPA inspected random resident bedrooms and resident common spaces. No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with facility representatives and a copy of the report was emailed to the facility representative.

On 10/01/2025, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA Calandra met with Administrator(ADM), Fe Arnaiz and explained the purpose of the visit. LPA Calandra toured the facility with the Co-Administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Eleven staff members including the Administrators were observed throughout the facility. Nineteen residents were observed throughout the facility. LPA inspected random resident bedrooms and resident common spaces. LPA reviewed 5 resident's Centrally Stored Medications Records. All medications for the 5 residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with facility representatives and a copy of the report was emailed to the facility representative.

On 9/25/2025, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA Calandra met with Administrator (ADM), Zach Pilkerton and explained the purpose of the visit. LPA Calandra toured the facility with the administrator, Zach Pilkerton. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Seven staff members including the Administrators were observed throughout the facility. Seventeen residents were observed throughout the facility. LPA inspected random resident bedrooms and resident common spaces. LPA reviewed 3 staff files. All were observed to be complete. No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with facility representatives and a copy of the report left at the facility.

On 9/24/2025, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA Calandra met with Administrator (ADM), Fe Arnaiz and explained the purpose of the visit. Zach Pilkerton, Co-Administrator joined the visit later. LPA Calandra toured the facility with the administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Seven staff members including the Administrators were observed throughout the facility. Eleven residents were observed throughout the facility. LPA inspected random resident bedrooms and resident common spaces. LPA reviewed 5 resident's Centrally Stored Medications Records. All medications for the 5 residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with facility representatives and a copy of the report left at the facility.

On 9/16/2025, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA Calandra met with Administrator (ADM), Fe Arnaiz and explained the purpose of the visit. Zach Pilkerton, Co-Administrator joined the visit later. LPA Calandra toured the facility with the administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Ten staff members including the Administrators were observed throughout the facility. Nineteen residents were observed throughout the facility. LPA inspected random resident bedrooms and resident common spaces. LPA reviewed 5 resident's Centrally Stored Medications Records. All medications for the 5 residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with facility representatives and a copy of the report left at the facility.

On 9/10/2025, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA Calandra met with Administrator (ADM), Fe Arnaiz and explained the purpose of the visit. Zach Pilkerton, Co-Administrator joined the visit later. LPA Calandra toured the facility with the administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Nine staff members including the Administrators were observed throughout the facility. Twenty six residents were observed throughout the facility. LPA inspected random resident bedrooms and resident common spaces. All soap, detergent, and sharp objects were observed to be locked and in-accessible to persons in care. LPA reviewed 3 resident's Centrally Stored Medications Records. All medications for the 3 residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with facility representatives and a copy of the report left at the facility.

On 9/8/2025, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA Calandra met with Administrator (ADM), Fe Arnaiz and explained the purpose of the visit. LPA Calandra toured the facility with the administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Nine staff members including the Administrators were observed throughout the facility. Twenty residents were observed throughout the facility. LPA inspected random resident bedrooms and resident common spaces. LPA reviewed 3 resident's Centrally Stored Medications Records. All medications for the 3 residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. No deficiencies cited during today's visit. An exit interview was conducted. A copy of the report was provided to the facility representative.

On 9/5/2025, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA Calandra met with Administrator (ADM), Fe Arnaiz and explained the purpose of the visit. Administrator, Zach Pilkerton arrived later during the visit. LPA Calandra toured the facility with the administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Eight staff members including the Administrators were observed throughout the facility. Twelve residents were observed throughout the facility. LPA inspected random resident bedrooms and resident common spaces. LPA reviewed 3 resident's Centrally Stored Medications Records. All medications for the 3 residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. LPA requested the following document by 9/15/2025: Copy of facility sketch showing where surveillance cameras are in the facility No deficiencies cited during today's visit. A copy of the report was provided to the facility representatives.

On 9/4/2025, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA met with Administrator (ADM), Fe Arnaiz and explained the purpose of the visit. LPA toured the facility with the administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Eight staff members including the Administrators were observed throughout the facility. Seventeen residents were observed throughout the facility. LPA inspected random resident bedrooms and resident common spaces. All door alarms were functioning. LPA reviewed 3 resident files. All were observed to be complete. No deficiencies cited during today's visit. A copy of the report was provided to the facility representatives.

On 8/29/2025, Licensing Program Analyst (LPA) John Calandra and Golden Gate Regional Center(GGRC) Quality Assurance Program Manager, Jennifer Smith arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA Calandra and Jennifer met with Administrator (ADM), Fe Arnaiz and explained the purpose of the visit. Administrator, Zach Pilkerton arrived later during the visit. LPA Calandra and Jennifer Smith toured the facility with the administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Eight staff members including the Administrators were observed throughout the facility. Twenty residents were observed throughout the facility. LPA inspected random resident bedrooms and resident common spaces. The facility's call button system was observed to be functioning. LPA reviewed 3 resident's Centrally Stored Medications Records. All medications for the 3 residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. No deficiencies cited during today's visit. A copy of the report was provided to the facility representatives.

On 8/26/2025, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA met with Administrator (ADM), Fe Arnaiz and explained the purpose of the visit. LPA toured the facility with the administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Eight staff members including the Administrators were observed throughout the facility. Five residents were observed throughout the facility. LPA inspected random resident bedrooms and resident common spaces. All door alarms were functioning and the facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility's call button system was observed to be functioning. LPA reviewed 3 resident's Centrally Stored Medications Records. All medications for the 3 residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. No deficiencies cited during today's visit. A copy of the report was provided to the facility representatives.

On 8/22/2025, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA met with Administrator (ADM), Fe Arnaiz and explained the purpose of the visit. LPA toured the facility with the administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Seven staff members including the Administrators were observed throughout the facility. Eighteen residents were observed throughout the facility. LPA inspected random resident bedrooms and resident common spaces. All door alarms were functioning and the facility's first aid kit was observed to be complete. LPA reviewed 3 staff files. All were observed to be complete. No deficiencies cited during today's visit. A copy of the report was provided to the facility representatives.

On 8/19/2025, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA met with Co-Administrator (ADM), Fe Arnaiz and explained the purpose of the visit. Administrator, Zach Pilkerton arrived later during the visit. LPA toured the facility with the administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Staff were in the dining room serving lunch to the residents and observed throughout the facility. LPA inspected random resident bedrooms and resident common spaces. LPA observed a tv monitor in the admission area showing views of hallways in the facility. LPA also observed all alarms in exit doors to be in good working order. All of the facility's fire extinguishers were observed to be fully charged and Carbon Monoxide detector was observed to be in working order. LPA reviewed 3 resident's Centrally Stored Medications Records. All medications for the 3 residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. No deficiencies cited during today's visit. A copy of the report was provided to the facility representatives.

On 8/15/2025, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA met with Administrator (ADM), Fe Arnaiz and explained the purpose of the visit. Administrator, Zach Pilkerton arrived later during the visit. LPA toured the facility with the administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature of 72 degrees Fahrenheit. No accessible bodies of water or hazards were observed in hallways or the property. Staff are currently cleaning the facility and some residents are in the living rooms watching TV. LPA inspected resident bedrooms 21, 20, 12, 14 and resident common spaces. LPA also observed all alarms in exit doors to be in good working order. LPA reviewed 3 resident files. All were observed to be complete. No deficiencies cited during today's visit. A copy of the report was provided to the facility representatives.

On 8/13/2025, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA met with Co-Administrator (ADM), Fe Arnaiz and explained the purpose of the visit. Administrator, Zach Pilkerton arrived later during the visit. LPA toured the facility with the administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Staff are currently cleaning the facility and some residents are in the living rooms watching tv. LPA inspected resident bedrooms, 2,10,18,19,21,16, and 9 and resident common spaces. LPA observed a tv monitor in the admission area showing views of hallways in the facility. LPA also observed all alarms in exit doors to be in good working order. LPA reviewed 3 resident's Centrally Stored Medications Records. All medications for the 3 residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. No deficiencies cited during today's visit. A copy of the report was provided to the facility representatives.

On 8/8/2025, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA met with Co-Administrator (ADM), Fe Arnaiz and explained the purpose of the visit. Administrator, Zach Pilkerton arrived later during the visit. LPA toured the facility. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Staff are currently cleaning the facility. LPA observed 22 residents throughout the facility, watching television in the front room and tv room located towards the back of the facility. LPA observed 8 staff members including a cook, caregivers, and two administrators on site. LPA inspected random resident bedrooms and resident common spaces were inspected. LPA requested and received copies of the facility's Administrators' certificates at the facility. LPA observed a tv monitor in the admission area showing views of hallways in the facility. The medications room was observed to be locked and medications in-accessible to persons in care. LPA also observed all alarms in exit doors to be in good working order. No deficiencies cited during today's visit. A copy of the report was provided to the Administrator.

On 8/6/2025, Licensing Program Analyst (LPA) John Calandra arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA met with Co-Administrator (ADM), Fe Arnaiz and explained the purpose of the visit. LPA toured the facility. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Staff are currently cleaning the facility. There were 10 residents in the front room near the dining room and 6 residents in the tv room watching tv. LPA observed 8 staff members on site. LPA inspected resident rooms 5,8,7,20,15,24, and 6 and resident common spaces were inspected. LPA observed a tv monitor in the admission area showing views of hallways in the facility. The medications room was observed to be locked and medications in-accessible to persons in care. LPA also observed all alarms in exit doors to be in good working order. No deficiencies cited during today's visit. A copy of the report was provided to the Administrator.

On 7/31/2025, Licensing Program Analysts (LPAs) Grace Donato arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA met with Co-Administrator (ADM), Zach Pinkerton and explained the purpose of the visit. LPA toured the facility with the other administrator, Fe Arnaiz. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Staff are currently cleaning the facility and some residents are in the living rooms watching tv. Random resident’s bedrooms and resident common spaces were inspected. LPA observed a tv monitor in the admission area showing views of hallways in the facility. LPA also observed all alarms in exit doors to be in good working order. No deficiencies cited during today's visit. A copy of the report was provided to the Administrator.

On 7/22/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct an unnanounced Case Management Health Check. LPA Calandra was greeted by Zach Pilkerton and Fe Arnaiz, Administrators and explained the purpose of the visit. LPA toured the physical plant. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Resident’s bedrooms, memory care unit and resident common spaces were inspected. A majority of residents were observed in the common areas with multiple staff present. LPA observed 10 staff on shift including the Administrators and a Medtech. LPA observed 19 residents in common spaces and walking around the facility. LPA toured the outside parameters of the facility and found the area to be free from any hazards. All sharp objects, soap, detergents, and poisons were observed to be locked and in-accessible to persons in care. LPA reviewed 33 resident files. No deficiencies were cited during the visit. An exit interview was conducted. This report was reviewed with facility representative and a copy of the report left at the facility.

On 7/21/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Case Management visit for the purpose of delivering an Amended report for a visit conducted on 7/19/2025. LPA Calandra was greeted by Fe Arnaiz and Zach Pilkerton, Administrators and explained the purpose of the visit. LPA reviewed the 809 and explained the reason for the Amendment. An exit interview was conducted. This report was reviewed with facility representative and a copy of the report left at the facility.

On 7/21/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct an unnanounced Case Management Health Check. LPA Calandra was greeted by Zach Pilkerton and Fe Arnaiz, Administrators and explained the purpose of the visit. LPA toured the physical plant. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Resident’s bedrooms, memory care unit and resident common spaces were inspected. A majority of residents were observed in the common areas with multiple staff present. LPA observed 8 staff on shift including the Administrators. According to Administrator, Zach Pilkerton, there were 10 staff working. LPA observed 24 residents in common spaces and walking around the facility. According to the Administrator, 9-11 staff stay at the facility. LPA toured the outside parameters of the facility and found the area to be free from any hazards. The facility's smoke alarms were observed to be fully charged and last serviced on 9/7/2024. No deficiencies were cited during the visit. An exit interview was conducted. This report was reviewed with facility representative and a copy of the report left at the facility.

On 7/20/2025, Licensing Program Analysts (LPAs) John Calandra and Jaime Vado arrived at the facility to conduct an unnanounced Case Management-Health and Safety Check. LPAs Calandra and Vado, were greeted by Clarence Balios, Administrator and explained the purpose of the visit. Administrator, Fe Arnaiz arrived later during the visit. LPA toured the physical plant. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Resident’s bedrooms, memory care unit and resident common spaces were inspected. A majority of residents were observed in the common areas with multiple staff present. Upon LPA's arrival, there were 7 staff on shift including the Administrators. LPAs observed 26 residents in common spaces and walking around the facility. According to the Administrator, 9-10 staff live at the facility. LPA toured the outside parameters of the facility and found the area to be free from any hazards. LPAs asked for the personal email address of the Licensee however, the Administrator did not know it and provided the facility's main email address as a means of reaching her. No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed and a copy of the report left at the facility with Clarence Balios, Administrator.

*** This is an amended document *** On 7/19/2025, Licensing Program Analysts (LPAs) Grace Donato and Jaime Vado arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPAs met with Co-Administrator (ADM), Fe Arnaiz explained the purpose of the visit. Upon arrival, ADM was dispensing medications to residents. LPAs toured the facility with the ADM. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Random resident’s bedrooms and resident common spaces were inspected. 4 residents in the TV room located lower than the front living. New hand rails and painting of hallways are observed. New reception area is observed in the main administration area as well. There are currently 2 care staff scheduled and the ADM. Letter for scheduled NCC was given to ADM and an email was also sent. No deficiencies cited during today's visit. A copy of the report was provided to the Administrator.

On 7/15/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Plan of Correction(POC) visit in regards to a citation issued during a visit on 6/26/2025. LPA Calandra was greeted by Zach Pilkerton, Administrator and explained the purpose of the visit. During a Case Management visit on 6/26/2025, LPA Calandra cited the facility for California Code of Regulations(CCR) 87207 False Claims. On 7/15/2025, the Department received a copy of a document all staff are being required to sign known as a Integrity in the workplace statement. Per interview with Administrator, this was drafted by the Licensee on 6/27/2025. No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with the facility representative and a copy of the report left at the facility.

On 7/15/2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Plan of Correction(POC) visit in regards to the citations provided on 6/24/2025 . LPA Calandra was greeted by Zach Pilkerton, Administrator and explained the purpose of the visit. On 6/24/2025, LPA Calandra cited the facility for California code of regulations(CCR) 87463(i) Reappraisals. On 6/24/2025, LPA reviewed a resident record and found that a care meeting had not been held to discuss the resident’s most recent reappraisal. On 7/15/2025, LPA observed that the facility had a meeting with the responsible party on 6/24/2025 and the reappraisal was signed by the responsible party. On 6/24/2025, LPA Calandra cited the facility for California code of regulations(CCR) 87468.1(a)(6) Personal Rights of Residents in All Facilities. During an investigation of a complaint received by the Department on 4/17/2025, it was found that two residents were being locked in their rooms by staff using a bed sheet tied to the door. On 7/15/2025, LPA Calandra observed that no resident rooms were tied shut/locked. 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 On 6/24/2024, LPA Calandra cited the facility for California code of Regulations 87405(d)(2) Administrator - Qualifications and Duties. During an investigation of a complaint on 4/17/2025, the facility could not locate a Do Not Resuscitate(DNR) order for a resident. On 7/15/2025, LPA Calandra observed Physician Orders for Life Sustaining Treatments(POLST) for 9 residents. All other residents per interview with Administrator are full code. No deficiencies were cited during today’s visit. An exit interview was conducted. A copy of this report was left at the facility.

On 7/15/2025, Licensing Program Analyst LPA) John Calandra arrived at the facility to conduct an unnanounced Case Management-Health and Safety Check. LPA Calandra was greeted by Zach Pilkerton and Fe Arnaiz, Administrators and explained the purpose of the visit. LPA toured the physical plant. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Resident’s bedrooms, memory care unit and resident common spaces were inspected. A majority of residents were observed in the common areas with multiple staff present. Upon LPA's arrival, there were 7 staff on shift including the Administrators. LPA toured the outside parameters of the facility and found the area to be free from any hazards. LPA conducted a spot check of medication and found the reviewed Centrally Stored medication records to be in order. No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed and a copy of the report left at the facility.

On 7/10/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Plan of Correction(POC) visit in regards to the deficiency cited on 7/10/2025. LPA Calandra was greeted by Zach Pilkerton, Administrator and explained the purpose of the visit. During the visit on 7/10/2025, LPA observed half bed rails in R1's bedroom. LPA reviewed R1's file but could not locate any written order from the physician indicating the need for the half bed rail. During the visit, LPA Calandra observed Administrator, Zach Pilkerton remove the half bed rail from R1's bed. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of the report left at the facility.

On 7/8/2025, Licensing Program Analyst LPA) John Calandra arrived at the facility to conduct an unnanounced Case Management-Health and Safety Check. LPA Calandra was greeted by Zach Pilkerton and Fe Arnaiz, Administrators and explained the purpose of the visit. LPA toured the physical plant. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Resident’s bedrooms, memory care unit and resident common spaces were inspected. A majority of residents were observed in the common areas with multiple staff present. Upon LPA's arrival, there were 6 staff on shift including the Administrators. LPA toured the outside parameters of the facility and found the area to be free from any hazards. LPA conducted a spot check of medication and found the reviewed Centrally Stored medication records to be in order. No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed and a copy of the report left at the facility.

On 7/4/2025, Licensing Program Analyst (LPA) Grace Donato arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA met with Administrator, Fe Arnaiz explained the purpose of the visit. LPA toured with the ground with the Administrator. The facility is currently serving breakfast to residents in the dining area. During the tour LPA observed how Med Tech is dispensing and assisting residents with medication. LPA also reviewed 5 resident medication records and everything was up to date and accounted for. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Random resident’s bedrooms and resident common spaces were inspected. There are currently 7 staff scheduled. LPA also delivered an amended report from 6/29/2024 visit. No deficiencies cited during today's visit. A copy of the report was provided to the Administrator.

On 7/3/2025, Regional Manager (RM) Isaac Taggart, Licensing Program Manager (LPM April Cowan and Licensing Program Analyst (LPA) Grace Donato conducted an Informal Meeting via Teams tele-conference in regards to the Health and Safety issues in Lakeview Lodge with facility #415600864 with Lawyers John Chow and Felix Hu representing the facility. It was discussed how a Non-Compliance Conference (NCC) is conducted per Licensing process. Issues will be addressed during the NCC, plans will be developed. Reports will be provided. During this meeting, the transparency website was provided It was agreed upon that by July 8, 2025, end of business day, a proposed scheduled date and time for the meeting will be provided by the Licensee/Lawyers. Proposed scheduled will be no later than July 18, 2025. This report is reviewed and provided to the Lawyers via email.

On July 03, 2025, Licensing Program Analyst (LPA) Kiran Jain arrived unannounced at the facility to conduct a unannounced Case Management – Health Check inspection visit. LPA met with the Administrators (ADM1) Zach Pilkerton and (ADM2) Fe Arnaiz and disclosed the purpose of the inspection. There were 33 residents in care and 10 staff members present at the time of the inspection. LPA initiated a walk-through of the facility, accompanied by the ADM1. LPA inspected a centrally stored medication cart in the medication room. Med tech was preparing for the med pass at that time. Centrally Stored Medication Records were reviewed for random residents. Narcotics medication count was performed for two (2) residents (R1 and R2), and the count was found to be complete. LPA inspected common areas and observed two (2) residents sitting in the dining room with their visiting families. LPA observed residents watching TV in the TV room. LPA toured the outside areas and observed two (2) residents sitting on the front deck. LPA observed that the facility didn’t have any auditory devices to monitor exits on the exterior doors of the facility building. LPA observed a delayed egress rolling iron gate controlling the driveway entrance / exit, next to the perimeter fence. This gate was the only way cars and people can come in and out of the facility. An auditory alarm was observed in the front office / lobby area when this gate was opened. The exterior perimeter of the facility was observed to be fenced. No deficiencies were cited during today's visit. An exit interview was conducted with the Administrator. A copy of this report was provided to the Administrator, Zach Pilkerton, whose signature on this form confirms receipt of the report.

On 6/30/2025, Licensing Program Analyst (LPA) Tobola arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA met with Administrator, Fe Arnaiz and explained the purpose of the visit. LPA toured with the ground with the Administrator. Residents are in living rooms watching television. Some residents are out on Day Program. LPA observed the residents to be happy and smiling and are comfortable. LPA checked random rooms and everything was good. Beds were made up, bathrooms are clean. All the residents personal belongings are in tact. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. There are currently 9 staff scheduled. No deficiencies cited during today's visit. A copy of the report was provided to the Administrator.

*** This is an Amended Report *** On 6/29/2025, Licensing Program Analyst (LPA) Grace Donato arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA met with Administrator, Fe Arnaiz and explained the purpose of the visit. LPA toured with the ground with the Administrator. The facility is currently prepping for dinner. Residents were at 2 different living rooms watching television. During the tour when LPA visited one of the TV rooms, LPA observed the residents to be happy and smiling and are comfortable. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Resident’s bedrooms, memory care unit and resident common spaces were inspected. There are currently 7 staff scheduled. LPA reviewed 3 resident records and everything is updated. No deficiencies cited during today's visit. A copy of the report was provided to the Administrator.

On 6/28/2025, Licensing Program Analyst (LPA) Tobola arrived unannounced for the purpose of conducting a Case Management, Health & Safety visit. LPA was greeted by Administrator, Fe Arnaiz and conducted a tour of the facility. The facility currently provides care for 32 residents, 1 of which was out of the community due to medical center admission. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Resident’s bedrooms, memory care unit and resident common spaces were inspected. A majority of residents were observed in the two common areas with multiple staff present. Upon LPA's arrival, there were 6 staff on shift including the Administrator. LPA toured the outside parameters of the facility and found the area to be free from any hazards. LPA conducted a spot check of medication and medication records of 3 residents and found the reviewed medication records to be in order. LPA reviewed staff schedule and confirmed coverage for overnight shifts. No deficiencies cited during today's visit. A copy of the report was provided to the Administrator.

On 6/27/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Case Management Health and Safety check. LPA Calandra was greeted by Fe Arnaiz, Administrator. Zach Pilkerton, Administrator arrived later during the visit. LPA toured the physical plant inside and outside. No accessible bodies of water or hazards were observed in the hallways or throughout the facility. LPA conducted 3 resident interviews and reviewed 3 files. All files were observed to be complete. No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with Zach Pilkerton, Administrator and a copy of the report left at the facility.

On 6/25/2025, Licensing Program Analysts(LPAs) John Calandra and Jaime Vado arrived at the facility to conduct a Case Management visit in regards to a complaint received by the Department on 4/17/2025. LPAs Calandra and Vado were greeted by Fe Arnaiz, Administrator and explained the purpose of the visit. LPAs toured the physical plant. This is a 1-story building with 25 bedrooms, a tv room, dining area, lobby, receiving room, etc. LPAs observed no residents in common spaces. All were in their bedrooms at time of visit. No rooms or bathrooms were observed to be locked from the outside hallway with any type of restraint device. Two staff members were observed going into resident rooms to take care of residents. No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with Fe Arnaiz, Administrator and a copy of the report left at the facility.

On 6/24/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Case Management visit to deliver an Amended report for a visit on 6/18/2025. LPA Calandra was greeted by Zach Pilkerton, Administrator and explained the purpose of the visit. During today's visit, LPA Calandra reviewed the amended report with the Administrator and provided a copy of the report. No deficiencies cited during today's visit. An exit interview was conducted and a copy of this report was reviewed and left with facility representative.