Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management Visit to cite deficiencies identified during a separate complaint investigation. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Assisted Living Director Annelie Damasco.

During his 05/06/2026 visit, LPA observed that the lobby’s front door was locked from both the outside and from the inside. People could not leave the building unless the receptionist buzzed them out (i.e. unlocked the door for them). Delayed-egress doors are also in use at the facility. Neither Stellar Care’s existing CCLD-issued facility license nor latest prior-approved fire clearance document (STD850 dated 08/30/2019) granted approval for use of secured perimeter doors or delayed egress doors. As of the date of deficiency issuance, the facility’s application related to a change in ownership (to become Vista del Sol Assisted Living and Memory Care, 374605041) is with CCLD’s Centralized Applications Bureau (CAB). However, even Vista Del Sol’s latest approved fire clearance document (STD850 dated 12/10/2025) does not yet grant approval for use of secured perimeter doors or delayed egress doors.

Records and interviews showed: Resident #1 (R1) moved into the facility on 04/13/2026 and was subsequently hospitalized starting 04/29/2026. [See LIC811 Confidential Names List for a description of person identifiers used in this report.] However, Licensee did not conduct a care conference/meeting with R1’s responsible person (RP) and hospice agency personnel for the purpose of reviewing the “written record of the care the resident will receive in the facility, and the resident’s preferences regarding the services provided at the facility.” This was required to be completed no later than two (2) weeks after move-in (i.e., by 04/27/2026, at the latest). R1 was under the care of Suncrest Hospice from the time of move-in to the facility. However, as of the commencement of CCLD’s investigation on 05/06/2026, Licensee still had not arranged for R1’s hospice agency personnel to “provide training specific to the current and ongoing needs” of R1, as required. [CONTINUED ON LIC 809-C]