Parkview Memory Care at Paradise Village.

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced Required Annual Inspection. LPA identified himself and discussed the purpose of the visit with Executive Director Katrina Jimenez. The facility is licensed for a maximum capacity of 70 non-ambulatory residents, 6 of which may be bedridden. The facility has a waiver for 15 hospice residents. LPA, accompanied by Executive Director toured the interior and exterior of the facility, and inspected several random resident rooms. The entire facility serves as a memory care unit. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. Hot water temperature was measured in the facility at 111 degrees F. The ambient temperature inside the facility was measured at 76 degrees F. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, as required, and stored in locked areas. Their are no bodies of water on the premises. Per Executive Director, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. [CONTINUED ON LIC 809-C] 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 LPA reviewed multiple staff and resident records/files. LPA file review did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in locked areas. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Executive Director Katrina Jimenez whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Interim Executive Director Nicole Long. The facility is licensed for a maximum capacity of 70 non-ambulatory residents, 6 of which may be bedridden. The facility has a waiver for 15 hospice residents. During today’s visit, the facility had a census of 42 non-ambulatory residents. The Administrator for the facility is Katrina Jimenez and their certificate was valid and current. During today’s visit, LPA toured the facility and inspected a random sampling of resident bedrooms and bathrooms, common bathrooms for general use, facility kitchen, common areas, and outside space. LPA observed small water fountains located within the facility's enclosed courtyards. LPA observed delayed egress on facility exit doors in accordance with the facility's fire clearance approval. LPA did not observe any aspects of secured perimeter. The facility was found to be clean, safe, and in good repair with no pathway obstructions. The facility’s water temperature was measured at 118.0, 118.4, and 118.6 degrees Fahrenheit in a random sampling of resident bathrooms. The facility’s internal temperature was measured at 70, 72, and 74 degrees Fahrenheit across the facility. LPA observed locked storage for all hazardous and/or toxic chemicals and were stored separately from food supplies. According to Nicole Long, no firearms or weapons are stored on the premises. LPA also observed locked storage for resident medications and resident and staff files. Resident medications are stored in their original container and labelled. LPA observed a minimum of a 2-day supply of perishable food and a 7-day supply of non-perishable food present at the facility. The facility refrigerator was kept at 40 degrees Fahrenheit, and the facility freezer was kept at -2 degrees Fahrenheit. Continued on LIC809-C page… 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 LPA observed linens and hygiene products provided to the residents that are in good repair and sufficient to meet their needs. Staff present at the facility during the time of the inspection had a criminal background clearance, were associated to the facility, and had a first aid certificate. LPA reviewed multiple resident and staff records. Each resident record was complete and contained a signed admission agreement, initial medical assessment, updated annual reappraisal, documents regarding safeguarding personal property and personal rights. Each staff file was complete and contained a personnel record, first aid certificate, fingerprint clearance and association, and a health screening. LPA provided Interim Executive Director with consultation and guidance regarding the regulation changes that became effective 1/1/2025. LPA also provided guidance regarding reporting requirements and updating facility information. No deficiencies were cited on today’s date. An exit interview was conducted with Interim Executive Director Nicole Long, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted a case management visit. LPA was greeted by, Interim Executive Director, Nicole Long to whom she identified herself and discussed the purpose of the visit. During today's visit, Interim Executive Director, Nicole Long signed a complaint report delivered during a compliant visit conducted on 4-11-2025. An exit interview was conducted with Interim Executive Director, Nicole Long, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.

(Continue from LIC9099) Based on records review and interviews with relevant witnesses it was indicated that on December 14, 2023, there was an incident involving R1 and R2. At 6:15 a.m. during safety checks, staff observed R1 lying on the floor in R2’s room. Per staff interviews, there were no witnesses of the incident. Staff obtained immediate medical attention by emergency medical responder personnel for R1 who was transferred to the hospital via ambulance. A detailed review of R1 and R2’s medical records indicated that both residents were diagnosed with dementia and were under memory service care plans. In addition, both residents had a history of “sundowning” (confusion, anxiety, agitation, or aggression that can occur in the late afternoon or early evening) behavior. R1 was non-ambulatory and needed assistance to transfer in and out of bed. R1’s primary diagnosis was Parkinson’s disease; R1 did not have inappropriate or aggressive behavior but was confused/disoriented. R2 was ambulatory and able to independently transfer in and out of bed. R2’s medical records under “mental condition” the box for “Confused/Disoriented” was marked as “yes”. For inappropriate and aggressive behavior, the box was marked as “no”. In addition, both residents were in neighboring rooms, sharing a “Jack and Jill” adjoining bathroom. A review of the admission agreements and the pre-admission assessments for R1 and R2 indicated that they both were new residents (R1 was admitted on 11/18/2023 and R2 was admitted on 11/29/2023), to the facility with no history of aggressive or violent behavior. All the staff that worked on December 14, 2023, were interviewed on the date of the incident. The responsible parties of both residents were interviewed as well as an attempted interview with R2 was conducted on December 14, 2023. Due to R2’s documented dementia medical condition, they were not able to provide relevant details of the incident. Based on interviews with the assigned investigator with the County of San Diego Medical Examiner’s Office, the incident was ruled as “accidental” by the Medical Examiner’s Office. A review of relevant medical reports indicated that R1’s physician stated that R1’s cause of death was determined as blunt force trauma to their head. It was determined there were no witnesses to what, if anything, had occurred directly between residents R1 and R2, such as a physical altercation. According to interviews conducted with facility staff safety check protocols were adhered to during the shift when the event occurred. Safety check logs were obtained and reviewed which confirmed the required documentation of the safety checks. (Continue at LIC9099C) 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 (Continue from LIC9099C) The Department has investigated the above-mentioned allegation and based on interviews with staff, residents, outside sources, and records review, the preponderance of the evidence has not been met, therefore, this allegation is deemed unsubstantiated. An exit interview was conducted with Interim Executive Director, Nicole Long, to whom a copy of this report, LIC811 Confidential Name List, and the Licensee Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit.

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced Case Management - Incident visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Health Services Director Alyssa Ukaj. Administrator Geovanni Aguilar later arrived to meet with LPA. Today's visit was in response to an LIC624 Incident Report, which licensee self-submitted to the CCLD San Diego Regional Office. According to the LIC624: on 7/10/24, Resident #1 (R1) eloped from the facility (left without staff supervision). [See LIC 811 Confidential Names List for a description of R1.] R1 was located on facility grounds. During today’s visit, LPA performed a facility tour / welfare check, collected records, and interviewed staff and client. According to R1’s latest LIC602 Physician’s Report their doctor determined that R1 is unable to safely leave the facility unassisted. Interviews and records showed that Licensee had a written Absentee Notification Plan as part of R1’s record of care, and that staff followed this plan. No deficiencies were cited for this incident. No deficiencies were observed or cited during today's visit. An exit interview was conducted with Aguilar, to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Administrator Geovanni Aguilar. According to the facility’s license, the facility is licensed for seventy (70) non-ambulatory residents, six (6) of whom may be bedridden. Facilities current census is fifty-two (52). LPA, accompanied by Administrator, toured the interior and exterior of the facility, and inspected client bedroom’s. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Extra linens and hygiene supplies were present. Hot water temperature was in compliance. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water on premises. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher and first aid kit present. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and clients and reviewed multiple staff/client files. The files which LPA reviewed contained all required documents. No deficiencies were cited during today's annual inspection. An exit interview was conducted with Administrator to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management - Incident visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Executive Director Geovanni Aguilar. Today's visit was in response to an LIC624 Incident Report, which licensee self-submitted to the CCLD San Diego Regional Office (received on 11/28/2023). According to the LIC624: on 11/27/2023, Resident #1 (R1) briefly eloped (left without staff supervision) from the facility building. [See LIC 811 Confidential Names List for a description of R1.] R1 was quickly located and escorted back to the facility unharmed. During today’s visit, LPA performed a brief facility tour and welfare check, verifying that R1 was unharmed. LPA reviewed and collected copies of pertinent care records. LPA also interview R1 and relevant staff. According to R1’s latest LIC602 Physician’s Report (dated 11/01/2023): R1 was diagnosed with Dementia, and their doctor determined that they were not able to safely leave the facility unassisted. Interviews and care records showed: R1 had moved into the facility about a week before the incident. On 11/27/2023 around 10:45 AM, a staff person saw R1 in the facility’s parking lot and redirected R1 back inside, unharmed. Ten to twenty minutes prior, R1 was seen inside the facility by multiple staff. Camera footage showed R1 exited from a corner of the facility where there were no doors. Staff observed within this immediate area was a vacant resident room, where there was a broken window stop (designed to prevent the window from being fully opened) and a dislodged window screen. The parking lot where R1 was located was immediately adjacent to this window. Although R1 could not recall details of the elopement incident, circumstantial evidence showed that R1 forcibly exited the facility via this window. [CONTINUED ON LIC 809-C] 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 [CONTINUED FROM LIC 809] LPA observed: Licensee had since repaired the above referenced window stop and window screen. Staff alert and delayed-egress devices on exit doors (where residents diagnosed with Dementia reside) were operational. Licensee possessed a written Absentee Notification Plan as part of R1’s record of care. Licensee had since updated R1’s Plan of Care to increase routine observation for them. Training records shows: On 11/28/2023, Licensee educated direct care staff on how to respond to residents’ “Wandering Behavior” and “Exit Seeking Behavior.” During today’s visit, LPA reviewed data on R1’s biography and likes and dislikes, which Licensee had obtained as part of its pre-admission appraisal. LPA provided Licensee with Technical Assistance (TA) on how to make this information more accessible and actionable to the direct care staff. No deficiencies were observed or cited during today's visit. An exit interview was conducted with Aguilar, to whom a copy of this report, the LIC9102-TA, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.

Licensing Program Analyst (LPA) Riza Alvarez conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was greeted and allowed entry into the facility by front desk staff Ailani Perez, to whom LPA discussed the purpose of the visit. Administrator Geovanni Aguilar joined LPA Alvarez shortly. According to the facility’s license, the facility has a maximum capacity of seventy (70) non-ambulatory residents, six (6) of whom may be bedridden. During today’s inspection, there was a total of fifty-five (55) residents in care. LPA, accompanied by Administrator Aguilar, toured the interior and exterior of the facility, and inspected several rooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, visitation, meetings, and resident activities. The facility’s ambient internal temperature was compliant at 72 F. Hot water temperature at taps accessible to clients were all compliant: All bathrooms (shared or open to use by residents) deliver hot water at 110 F to 115 F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to residents. Medications were labeled, as required, and stored in locked areas. [CONTINUED ON LIC 809-C] 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 [CONTINUED FROM LIC 809] No pools or bodies of water on the premises. Per Administrator Aguilar, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Facility's twelve (12) fire extinguishers were serviced within the last 12 months. First aid kits were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and clients. LPA interviews did not raise any licensing concerns. LPA reviewed multiple staff and client records/files. Files reviewed contained required documents. Confidential records were stored in locked areas. Administrator Aguilar presented proof of current/active business liability insurance. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Administrator Aguilar to whom copies of this report and the Applicant/Licensee Rights (LIC9058 03/22) were provided at the conclusion of the visit.