Senior Care Records.

Facility Evaluation Report

Knolls West Assisted Living, Victorville05/04/2026Licence 366426335

Capacity64
Census58
Date signed05/04/2026 02:18:44 PM
Name of licensing program analystEldin Serrano
Name of licensing program managerKaren Clemons
The inspector’s account

On 5/4/2026 at 11:15 AM, Licensing Program Analyst (LPA) Eldin Serrano conducted an unannounced case management visit to the facility to follow up on Client #1 (C1)'s death which occurred on 4/29/2026. LPA met with the Assistant Administrator Janeth Gonzalez.

LPA spoke with the Assistant Administrator Janeth Gonzalez to obtain additional information regarding the death. LPA reviewed C1’s facility file. LPA requested copies of the following documents: Client ID/emergency information, admission's agreement, physician's report, client care plan/individual services and support plan, centrally stored medication log, and special incident report/death report.

The Department is requesting a copy of C1's death certificate and police report once it becomes available. Further investigation may be required depending on the cause of death.

No deficiencies were cited during the visit. An exit interview was conducted where this report was discussed and provided to Assistant Administrator Janeth Gonzalez.

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