VILLA GARDENS

Official classification

Type A

Official code

87464(f)(4)

Regulation authority

CCR

What the official deficiency says

(f)... (4)Personal assistance and care as needed by the resident...with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications,...This requirement was not met as evidenced by: Based on interviews the Licensee did not comply with the regulation above in R1 was not monitored while eating which poses an immediate health, safety and personal rights risk to residents in care.

Official plan of correction

Administrator is to make sure all R1’s forms are up to date to give a full account of R1’s current needs and services, provide a letter of understanding of R1’s needs and how the facility will meet R1’s needs. Train staff on regulation 87464 and provide proof of training to CCL.

Deadline recorded: Jun 19, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a)The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by: Based on interviews and observation the Licensee did not comply with the regulation above a dirty washcloth was left on residents bed, a dirty brief was left in the drawer with clean briefs, the bed linens were not clean and the facility had a odor of urine in the hallway which possess a potential health, safety and personal rights risk to residents in care.

Official plan of correction

Administrator agreed to clean and disinfect the residents rooms, have a trash can and a laundry hamper aviable for dirty items, provide clean linens on each bed,all linens meeting regulation requirements. Train all staff on regulations 87303 and 87470 and provide proof of training to CCL.

Deadline recorded: Jun 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(6)

Regulation authority

CCR

What the official deficiency says

(a)... (6)To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night....This requirement was not met as evidenced by: Based on interview and observation the Licensee did not comply with the regulation above in the residents door has a lock placed on the outside of the door to be locked when a resident is in the room which poses an immediate health, safety and personal rights risk to residents in care.

Official plan of correction

Administrator agreed to have the locked removed and the door knob to be re-installed with the lock on the inside of bedroom 5, statement from Licensee that residents will never be locked in rooms and training for all staff on regulation 87468.1 and 87468.2 provide proof of staff training with Lic. 500 to CCL.

Deadline recorded: May 7, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

(f)Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by: Based on interviews the Licensee did not comply with the regulation above in the staff on duty was on the couch with eyes closed looked to be sleeping with residents in care which poses a potential health, safety and personal rights risk to residents in care.

Official plan of correction

Administrator agreed to write a statement of understanding that staff can not sleep on the job and must be available and awake at all times for resident care. Train staff in 87464, 87705, 87706 and provide proof of training and an up to date LIC. 500 for staff to CCL.

Deadline recorded: May 6, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(d)(3)

Regulation authority

CCR

What the official deficiency says

(d)All personnel shall be given on the job training...This training...shall provide...(3)Skill and knowledge required to provide necessary resident care and supervision, including the ability to communicate with residents. This requirement was not met as evidenced by: Based on records the Licensee did not comply with the regulation above in the facility did not have on the job training for staff on resident in cares hoyer lift which poses a potential health, safety and personal rights risk to residents in care.

Official plan of correction

Administrator agreed to provide all staff training on residents hoyer lift, provide proof of training and up to date LIC. 500 to CCL.

Deadline recorded: May 13, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(a)(3)(D)

Regulation authority

CCR

What the official deficiency says

(a)...The following provisions shall apply: (3)Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident....(D)Hygiene items of general use such as soap and toilet paper. This requirement was not met as evidenced by: Based on interviews and observation the Licensee did not comply with the regulation above in the Staff removed toilet paper from the restrooms so a resident would not continue to clog the toilets which poses a potential health safety and personal rights risk to residents in care.

Official plan of correction

Administrator agreed to talk with residents doctor and get a update LIC 602A if it is a safety risk for resident to have personal grooming and hygiene items. Train all staff on regulation 87307 and provide proof of training and up to date LIC. 500 to CCL.

Deadline recorded: May 13, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a)The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by: Based on interviews and observation the Licensee did not comply with the regulation above room 5 bedroom bathroom had an odor of urine, the sink and floor were in need of cleaning which poses a potential health, safety and personal rights risk to residents in care.

Official plan of correction

Administrator agreed to clean the facility so no odor if urine is present make sure all sink and toilets are clean, safe and sanitary for the residents in care, train all staff in regulation 87303 and provide proof of training with an up to date LIC. 500 to CCL.

Deadline recorded: May 13, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(i)

Regulation authority

CCR

What the official deficiency says

(i) When there is significant change in condition, as defined in Section 87101, Definitions, or once every 12 months, whichever occurs first, the licensee shall arrange an in-person or virtual meeting or conference call to share the reappraisal with the resident, the resident's representative, if applicable, and appropriate facility staff, as specified in Section 87467, Resident Participation in Decision Making. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: Plan of Correction

Official classification

Type B

Official code

87303(b)(1)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (b) A comfortable temperature for residents shall be maintained at all times. (1) The facility shall heat rooms that residents occupy to a minimum of 68-degree F, (20 degrees C). This requirement was not met by evidence of W1 (reliable witness) recording facility livingroom and 3 of 3 residents rooms at a temperature of 64*(f) on 11/07/2024 which poses a potential risk to residents in care.

Official plan of correction

Licensee agrees to document for 2 weeks, of two temperature checks per day at residents desired room temperature. Additionally, Licensee to have all Staff do 1 hour of personal rights training by independent State authorized vendor. Results due back to LPA by 11/28/2024.

Deadline recorded: Nov 28, 2024. A deadline is not proof that correction was completed.