Senior Care Records.

Facility Evaluation Report

Vista Care Center, Apple Valley05/10/2023Licence 366425828

Capacity5
Census4
Date signed05/10/2023 12:59:32 PM
The inspector’s account

Licensing Program Analyst (LPA) Victoria Chitgian arrived to the facility unannounced for a Case Management- Deficiencies visit.

In reference to Complaint # 56-AS-20230306110239; Upon review of client documents, LPA discovered Client 1 required supervision at all times due to a behavioral condition indicated on record.

Based on interviews with Staff and records review, Client 1 was not provided Staff supervision on 2/1/2023 when taken to Victor Valley Emergency Department. He was unattended in the lobby and waiting room at 9:25PM, and returned home at 2/2/2023 at 12:43AM.

Based on the observations made during today’s visit, one deficiencies was cited per Title 22, Division 6, of the California Code of Regulations. At exit interview was conducted and a copy of this report LIC 809, LIC 809-D and appeal rights was provided to Lead Staff Paulino Esquillo.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction