Buena Vista Manor House.

On 1/29/2026, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Case Management visit in regards to a self-reported incident involving two residents and a staff member. LPA Calandra was greeted by Angie Guzman and Hazel Castro, Co-Administrators and explained the purpose of the visit. According to the Administrator, R1 and R2 were sitting together when S1 asked R1 if they would like to go to their room as it was time for R1's medications. S1 reportedly spoke in a non-professional manner to R1 and shoved R2 when R2 was about to follow R1 to go back to their room. According to the Administrator, no injuries were sustained. During the visit LPA collected the following documents: -Facility Roster -Staff schedule Deficiencies are cited under the California Code of Regulations. Failure to correct the deficiencies by the POC due date may result in Civil Penalties. An exit interview was conducted. A copy of this report along with Appeal Rights were provided.

On 12/24/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a case management visit in regards to an elopement that occurred on 12/22/2025. LPA Calandra was greeted by Angie Guzman, Administrator and explained the purpose of the visit. David Wall, Licensee/Co-Administrator arrived later during the visit. According to the Administrators, R1 left the facility on 12/22 in the evening and is known to wander around the facility often. Staff searched the grounds of the facility for the resident but could not find them and contacted the police and responsible party for R1. The resident was found nearby uninjured and transferred to a local hospital to be checked on. No injuries were reported after the hospital visit. Based on record review, the LIC 602: Physician's report says that the resident is not allowed to leave the facility unassisted. In addition, the facility was also experiencing a power outage at the time of the incident. Based on interviews and record review, the Licensee was following their emergency and disaster plan and elopement policy. No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with facility representative and a copy provided.

On 10/28/2025, Licensing Program Analyst (LPA) Yi Sam Jian conducted an unannounced Annual Required – 1 yr. inspection for this facility and was greeted by Executive Director, David Wall. LPA explained the purpose of the visit. LPA continued with a tour of the facility with staff, facility found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers inspected and charged. Smoke and carbon monoxide detectors and fire safety systems were present and serviced by fire inspection agency. There was a sufficient supply of both perishable and nonperishable foods as required, with food stored in the kitchen, sufficient for residents in care. Food supply is replenished constantly throughout the week and stored properly. Facility provides a variety of meal preferences and preparation while also ensuring proper dietary restrictions are followed. Cleaning supplies and other toxins are safely stored in locked closets throughout each floor all of which were secured upon inspection. There was a supply of hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings and bedding items. There is a large garden area equipped with appropriate shading and two additional outdoor balcony patios for resident use. No Deficiencies cited. Report reviewed and discussed with executive director, a copy of report left at facility.

On 7/9/2025, Licensing Program Analyst (LPA) Tobola arrived unannounced for the purpose of conducting a case management on a facility reported incident. The facility reported that on 7/6/2025, a resident (R1) had not been observed on the facility grounds and had eloped. R1 was located, returned to the facility within hours and the level of care was increased. LPA found that R1 had recently moved into the facility as of 6/10/2025 and was transitioning to the new level of care and facility. Upon review of R1's records, LPA found that R1 is not able to leave the facility unassisted. Facility had responded to the incident by updating R1's care with 24 hour 1:1 private care services. In addition, it was agreed upon with R1's conservator to utilize an air tag to determine R1's location. LPA found that the facility had responded appropriately to the incident to ensure R1's transition to the facility and prevent any further incidents. During the visit LPA observed R1 out in the facility common areas with their private caregiver and additional staff providing supervision. LPA observed staff redirecting and implementing individualized methods to help with R1's transition and encourage engagement in facility activities and community. No deficiencies cited during today's visit.

Lastly, upon review of photo evidence provided of R1, LPA found that there is not a clear indication of any signs of distress or injury or R1 to have fallen. Due to a lack of corroborating evidence the allegation is found to be unsubstantiated. A finding that the complaint allegation lack of supervision resulting resident falling off bed is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No deficiency cited.

On 10/25/2024, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. inspection for this facility and was greeted by Front Desk Staff, Elizabeth Palle. Executive Director, David Wall and Co-Administrator, Hazel Castro were contacted and arrived later in the visit. The facility currently provides care for 67 residents, 7 of which are receiving hospice services and some of which with a diagnosis of dementia. LPA continued with a tour of the facility with staff, facility found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers located on each resident floor, kitchen and common spaces were found to be charged. Smoke and carbon monoxide detectors and fire safety systems were present and serviced by fire inspection agency within the year. Additional inspection is expected to be completed in the following month. There was a sufficient supply of both perishable and nonperishable foods as required, with food stored in the kitchen, sufficient for residents in care. Food supply is replenished constantly throughout the week and stored properly. Facility provides a variety of meal preferences and preparation while also ensuring proper dietary restrictions are followed. Cleaning supplies and other toxins are safely stored in locked closets throughout each floor all of which were secured upon inspection. There was a supply of hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings and bedding items. The facility is equipped with two elevators, one of which is currently under service awaiting additional parts for repair. There is still one elevator that is fully operational for resident use. Residents that were out in the community during the inspection were observed interacting with staff, fellow residents and visitors in the common areas. LPA found that staff and resident engagement is well practiced with activity calendars developed on a monthly basis. Residents are encouraged to participate in activities, well observed during the tour. Residents were also observed to have a positive and personable relationship with staff and Executive Director. There is a large garden area equipped with appropriate shading and two additional outdoor balcony patios for resident use. Continued onto LIC809-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 conducted a sample file review for residents and 4 out of 5 residents require updated appraisals. Technical Violations issued. Upon a spot check of staff files, LPA found that caregiver staff have current 1st aid and CPR and annual training completed. Lastly, A spot check of medications was conducted and found that all medication counts and records to be in order. Angelina Guzman's Administrator Certificate is currently active through 7/17/2025. LPA requested the following documents be sent to CCL by COB 11/8/2024: LIC 308 Designated Facility Responsibility LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan Liability Insurance No deficiencies cited during today's visit.

On 6/20/2023, Licensing Program Analysts (LPA) Murial Han conducted an unannounced Case Management - Legal/Non-compliance visit. LPA completed the passive COVID-19 screening at the front desk. LPA met with Administrators, Hazel Castro, Angelina Guzman and, co-administrator David Wall. LPA explained the purpose of the visit. During today's visit, LPA review staff training records in the areas of Observation and Assessment of Residents, Residents' Personal Rights, Reporting Requirements, Types and Symptoms of Infectious Diseases, and Prevention/Mitigation and Care of Residents with Infectious Diseases and LPA observed records to be sufficient. During the facility tour, LPA observed COVID-19 signs are posted by the main entrance and around the facility. Facility appeared to be cleaned and tidy. Residents in the living room mingling with each other. Activity room was set up for an activity. Multiple hand sanitizing stations are observed. Kitchen storage room appeared to be cleaned, and tidy. The walking refrigerator temperature was observed to be at 39 degrees Fahrenheit (F) and freezer was at -0 degrees Fahrenheit(F). Fire extinguisher was last serviced on Nov 21, 2022. PPE supply is adequate. A comfortable temperature is maintained, lighting is sufficient for comfort and safety. No deficiency cited today. This report is reviewed and discussed with Administrator. A copy is provided.