Atria Park of Vintage Hills

In regard to the allegation” Facility failed to check on the safety of resident”, It is alleged that after three days of calling R1 with no answer family went to facility and found R1 on floor and had to tell staff for help. During interview with Executive Director, staff three (3) out of seven (7) stated that R1 required no level of care and was independent. Executive director stated that meal checks are the only way to check on residents for the day and that the meal checks have not being done properly in the past. S3 stated that R1 was marked as refused on 06/09/2002 and 06/10/2022 because he/she did not see R1 at mealtime and assumed R1 did not want to eat. S4 stated they were responsible for verifying and signing off the meal attendance report but had not been doing that. During interviews with residents nine (9) out of ten (10) stated that staff comes and checks on them. R2 stated it may take them awhile but they come eventually. Based on record review and conducted interviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are being cited according to California Code of Regulations, Title 22 and Health and Safety Code. An exit interview was conducted, and a copy of this report was given to Crissy Panganiban. 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 In regard to the allegation “Resident was found on the floor in his room with feces and urine”, it is alleged that staff failed to check on R1 and was found by family covered in feces and urine on the floor. During interviews with Executive Director and staff three (3) out of seven (7) stated that they never observed feces or urine on R1. Three (3) staff did not see R1 at time of incident. During record review LPA did not obtain any document that could collaborate this allegation. During interviews with residents nine (9) out of ten (10) residents stated they have never been left in urine or feces, and staff helps them with their incontinence needs. Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was provided.

On 05/15/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct a 1 year required inspection. LPA met with Executive Director Mariano Hernandez, where LPA explained the purpose of the visit. The facility is licensed with an approved fire clearance to serve 81 non ambulatory and 62 bedridden. There is a delayed egress in Building A (Life Guidance/memory care). The facility has an approved hospice waiver for (21) with (19) residents currently receiving hospice services. The facility currently has zero (0) bedridden residents. During today's visit LPA verified facility contact information and will update accordingly. Below is a summary of observations made during today's inspection of Assisted living census: (73) and Memory Care, census (28). In Assisted living the building consists of an Ice cream parlor, Nurse's station, library, kitchen, multi purpose room, beauty salon, art and crafts room and laundry room. LPA observed for there to be a missing screen on the window inside the laundry room located on the second floor. There was no citation issued as it was put back on during LPAs visit. In memory care (building A), consists of three wings (Wisteria court, Magnolia court and Rose court). LPA observed for there to be a dining area, salon, laundry room, and a kitchen- serves beverages and warms the food that is prepared in the main kitchen. LPA conducted a tour of the interior and exterior areas of the facility. The facility was observed to be clean, clutter and odor free. The food supply was observed to be sufficient as there was a two day supply of perishable and a seven day supply of nonperishable food items. The facility does have a pool located on the independent living side/building. It is open to all residents for use however, it is rarely used. The facility 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 elevators were recently inspected February 2025. The facility has operable smoke and carbon monoxide detectors. LPA observed for there to be (4) fire extinguishers on each floor, that were last inspected on 12/22/24. Emergency disaster drills are being conducted on a quarterly basis, last drill was conducted on 2/26/25. In assisted living the medications were observed to be locked inside a medication cart that is stored inside the medication room located on the second floor. The facility utilizes an electronic Medication Authorization Record System. The same applies for memory care, as LPA observed to be locked inside a cart inside the medication room. The pull cords were tested in random resident rooms and were found to be operable. The hot water was tested in assisted living measuring at 111-113 degrees Fahrenheit. In memory care the water was tested and ranged from 116-120 degrees Fahrenheit. A file review was conducted and resident files were reviewed and were observed to have current resident assessments, and admission agreements. LPA reviewed random staff files and observed for the staff to have obtained criminal record clearance and to be associated to the facility. The staff files reviewed were observed to possess valid CPR certification, and training that is completed online and in person. In addition the Executive Director Mariano was observed to possess a valid administrator's certification that expires on 12/09/25. During today's visit LPA gave a reminder of the amount for the facility annual fees, that are due on or before 06/30/25, and provided PIN 809985, should the licensee wish to pay electronically. Based on today's inspection no citations were issued. An exit interview was conducted and a copy of this report and the LIC811-confidential names list was reviewed and provided to Mariano "Quinn" Hernandez, Executive Director.

Resident notes, and there is nothing noted regarding the symptoms noted that are related to the alleged change of condition, there was some preexisting conditions. In addition LPA conducted a review of R1s prescriptions and Medication Authorization Record for February and March 2025 that revealed R1 was prescribed medications associated with other medically related diagnoses. LPA conducted an interview with R1 whom denied the allegation, as they stated they were great and they have not recently experienced what was reported. R1 stated that they receive care when they need it, and stated that they do not have a problem as they let their needs be known to the staff. Based on observation, interviews and records review the allegation of staff are not addressing a change in resident's condition is unfounded. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted and a copy of this report, LIC811-Confidential names list was reviewed and provided to Mariano Hernandez, Executive Director.

On June 07, 2024, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Required Annual Inspection and met with the Administrator, Mariano Hernandez. The facility file review was conducted in the Regional Office and additional forms were reviewed and requested on site. The facility is licensed for 143 ambulatory residents and is currently serving about 120 residents. LPA Mixson toured the facility and inspected the facility inside and outside, and there were no obstructions to the indoor or outdoor passageways at the time of this visit. The facility is a three floored facility located at 41780 Butterfield Stage RD. Temecula, CA. 92592. Physical Plant: The facility phone number is(951) 506-5555. The LPA observed a sampling of the residents’ living units, and they were equipped with required furniture as per Title 22. LPA Mixson inspected a sampling of the facility restrooms, and the hot water temperature tested within regulations. The restrooms were clean, and appliances were operating appropriately currently at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. The LPA observed required postings such as "If you See Something, Say Something" the "Personal Rights" and the Ombudsman postings. There was a designated storage space for the residents and staff files, and it was locked and inaccessible to residents in care currently at the time of this visit. There was a pool and jacuzzi present which was fenced in meeting the height requirements, and has a key pad. Medications : were locked and inaccessible to residents in care and located in the "Nurse's Station." The overall facility is clean, the furniture is in good condition. The facility cooling system and other appliances were operable currently at the time of this visit, and there were safety lights throughout the building. Food Service: Non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents. Kitchen utensils were in sufficient supply and stored properly, and sharps are locked. Care & Supervision : Facility has sufficient staff on site at the time of this visit. Records Review: The LPA reviewed resident and staff files, conducted staff and resident interviews. Previous Community Care Licensing forms were reviewed. There were no Title 22, Division 6 Regulation violations observed or cited during today’s visit. An exit interview was conducted, and a copy of this report was given to the Administrator, Mariano Hernandez.

Licensing Program Analyst (LPA), Cheryl Goodrich made an unannounced visit to the facility to conduct an annual inspection focused on the annual inspection. LPA was greeted and granted entry by Executive Director, Quinn Hernandez who was informed of the purpose of the visit. At the time of visit there was 97 staff and 142 residents present. Infection Control: The LPA observed the hand washing signs in and handwashing stations the facility restrooms. LPA observed gloves and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan and found all required infection control measures. LPA observed than a 30-day supply of PPE found in the basement. Physical Plant: LPA observed the client bedrooms. Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards. LPA observed pool and a jacuzzi which was fenced in which met the height requirements. LPA observed the facility outdoor furniture available for the residents use. Laundry room was observed to be locked and was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to clients. The Backup generator has been inspected and in good condition with the next inspection date of 10/11/23. Buildings and Grounds: The facility consists of memory care facility and adult living facility. Memory Care consists of one floor for memory care with waiver in place. Each bedroom in memory care has community showers. The Adult Living consists of 3 floors for residential living with single and double bedroom with private showers. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. 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 Care & Supervision / Administration: Adequate staff are present for the supervision of clients. Emergency exiting plans, telephone numbers and personal rights were found posted in the facility. The listed administrator possesses a current administrator's certificate. Storage and Supplies: Medications are be stored in the medication rooms on the second floor, inaccessible to any unauthorized individuals. Secured areas are available for administrative facility files and client files are in the business office and medical files are available in the medication staff office. The first aid kit was observed to be available and complete. Cleaning supplies will be stored away in a secured closet, adjacent to kitchen, staff carts and maintenance office. Linens, and equipment appeared to be in good repair and sufficient for approved census. A Fire extinguisher was available and fully charged. Forms : The following signs were observed to be posted at the facility: Emergency Disaster Plan (LIC 610E), Personal Rights, and Facility Sketch (LIC 999). An exit interview was conducted, and a copy of this report was reviewed and provided to Executive Director, Quinn Hernandez

Licensing Program Analyst (LPA), Chinwe Nwogene made an unannounced visit to the facility to conduct an annual inspection focused on infection control. LPA was greeted and granted entry by Executive Director, Quinn Hernandez who was informed of the purpose of the visit. At the time of visit there was 93 staff and 140 residents present. The facility currently has three (3) Covid-19 positive cases. During today's visit, LPA toured the facility and made observations regarding the infection control measures that the facility has implemented. LPA did not observe Covid-19 postings posted throughout the facility. Quinn agreed to post Covid-19 posters throughout the facility before the end of the day. The facility has an adequate amount of hand hygiene supplies (soap, hand sanitizer and paper towels) in all restrooms. LPA observed an adequately secured pool within the premises. LPA was informed that no weapons or ammunition is maintained at the home. The facility has a plan in place to monitor residents regularly for any changes in condition, which includes daily temperature checks. The Facility will contact the resident's physician should there be any event of COVID-19 related illnesses. The facility has a designated infection control lead. The facility also cleans and disinfects the highly touched surfaces during each shift, and as needed. LPA observed PPE supplies. No deficiencies noted at the time of visit. An exit interview was conducted, and a copy of this report was reviewed and provided to Executive Director, Quinn Hernandez.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated at this time. No deficiencies were cited during this visit. An exit interview was conducted where this report was discussed and provided to the caregiver.

Based on interviews conducted and information obtained there is not enough evidence to corroborate the mentioned allegations. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED

Licensing Program Analyst (LPA) Javier Prieto conducted an unannounced annual inspection. LPA met with Administrator Bryce Matthews. The facility is licensed for 143, 81 non-ambulatory and 62 bedridden residents with a hospice waiver of 18. The facility was toured inside and out with a common rooms, dining rooms and kitchens. All bedrooms are furnished with bed, night stand, dresser and chair. Bedrooms have adequate lighting for residents’ use. The facility currently has linens, towels and a sufficient amount of hygiene products for residents. The facility is equipped with med tech rooms and staff to administer medications. Outdoor area has shaded tables and sitting for residents. During the visit LPA Prieto discussed infection control procedures and practices with Mr Matthews . The facility appeared to be in compliance and no deficiencies were observed or cited. An exit interview was conducted and a copy of this report was reviewed with and provided to Mr Matthews

Allegation #2 – Facility did not follow resident’s care plan. A review of R1’s Functional Needs Assessment indicated resident required “stand-by/remind assistance” because of a low fall risk and that R1 required “limited assistance” of up to 6 times per day for transfer ability. Per interviews with staff, resident was receiving assistance with transferring and standing as indicated in her Functional Needs Assistance. Based upon the information obtain during the investigation the allegations are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed with and provided to Bryce Matthews, Administrator.