Incident investigation·April 10, 2025

On 04/10/25 at 02:00 PM, Licensing Program Analysts (LPA) L. Holmes conducted a case management as a result of a complaint #15-AS-20250321171916 dated 03/21/25. LPA met with Staff Danilo "Sonny" Villar and explained the purpose of the visit. The Licensee/Administrator, Richard De Leon is not available at this time. On 03/21/25 at 01:15 PM, R3 advised LPA that S3 stated R3 was being evicted due to smoking in the facility but R3 had not received any written notice. On 03/26/25, LPA requested R3’s Eviction Notice from S3 as the notice had not been provided to Community Care Licensing. On 04/03/25, S3 responded to LPA’s email with an Eviction Notice dated 03/14/25 addressed to R3. On 03/21/25 at 12:00 PM, R3 advised LPA that S3 stated R3 was being evicted due to smoking in the facility but R3 stated he/she had not received any written notice. On 03/21/25 at 12:00 PM S2 advised LPA that R3 had beem smoking in the facility on several occasions and was also found unresponsive in R3’s room: dates unknown. On 03/26/25, LPA requested R3’s Eviction Notice from S3 as the notice had not been provided to Community Care Licensing. On 04/03/25, S3 responded to LPA’s email with an Eviction Notice dated 03/14/25 addressed to R3. ...continued on LIC809C. ...continued from LIC809. R3 was issued an eviction notice date 03/14/25, and S3 offered the following options if R3 wanted to stay at Angeleon Care Home “1. Get a POA (Power of Attorney) for his health and finances. 2. Angeleon Care Home staff will hold R3’s cigarettes and will dispense R3’s cigarette to R3 at any time providing R3 smokes only on the designated smoking area.” On 04/02/25, S3 stated that R3 agreed to these conditions so R3 could stay at Angeleon Care Home which goes against R3’s personal rights. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted, appeal rights and a copy of this report this report provided Staff, Danilo "Sonny" Villar.