Villa Descanso Senior Living

Food quality controls and rejected damaged goods

Based on observation, the licensee did not comply with the section cited above by having four food cans expired since August 2025 which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above by having the pantry storage shelves dirty/ stains along with the dinning chairs/ bench in the main kitchen area dirty. which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by having a baby monitor without written consent from R1 which poses an immediate health, safety or personal rights risk to residents in care.

Protection from punishment and intimidation

87468.1(a)(3) Personal Rights of Residents in All Facilities (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination Based on record review, the licensee did not comply with the section cited above by staff withholding R1 money which poses an immediate health, safety, or personal rights risk to persons in care.

87405(d)(3) Administrator - Qualifications and Duties (3) Ability to maintain or supervise the maintenance of financial and other records. Based on record review, the licensee did not comply with the section cited above by Administrator failing to maintain and supervise R1 financial records which poses an immediate health, safety, or personal rights risk to persons in care.

Living accommodations aligned with facility function

Based on observation and interview, the licensee did not comply with the section cited above by having (3) bedroom set up, on the second floor common area which poses an immediate health, safety or personal rights risk to persons in care.

Protection from punishment and intimidation

87468.1(a)(3) Personal Rights of Residents in All Facilities (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as.. interfering with daily living functions such as eating, sleeping, or elimination. Based on interviews, the Licensee did not comply with the section cited above by not ensuring residents are free from punishment, and intimidation which poses an immediate health, safety and personal rights risks to residents in care.

Submit and maintain current mailing address

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance... This requirement is not met as evidenced by: Based on observation and interview, the Licensee did not comply with the section cited above by not obtaining Staff #1 (S1) criminal record clearance before allowing S1 to work at the facility since 1/10/2025 which pose immediate health, safety and personal rights risk to residents in care.

Allowing diabetic residents based on self-management ability

Based on observation, interview and record review, the licensee did not comply with the section cited above by allowing Staff #3 (S3) to perform blood glucose testing to Resident #3 (R3) which poses an immediate health, safety or personal rights risk to persons in care.

Provide adequate lighting for room safety and comfort

Based on observation, interview, record review, the licensee did not comply with the section cited above by not having a bedroom light in Room #1 which poses a potential health, safety or personal rights risk to persons in care.

Passageways and stairways kept clear

Based on observation, interview and record review, the licensee did not comply with the section cited above not having the backyard free of obstruction as LPA Brown observed glass window, old fire pit, in disrepair metal chairs and table in the backyard which poses a potential health, safety or personal rights risk to persons in care.

Complete admission suitability appraisal

Based on observation, interview, record review, the licensee did not comply with the section cited above by not completing the required Pre-Admission Appraisal for Resident #2 (R2), Resident #3 (R3) and Resident #6 (R6) which poses a potential health, safety or personal rights risk to persons in care.

Maintain physician order documentation in resident record

Based on observation, interview and record review, the licensee did not comply with the section cited above by having Rsident #3 (R3) and Resident #5 (R5) bed rail without written order from R3 and R5 Physician indicating the need for half bed rail for mobility which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above by not scheduling a staff to work night (NOC) shift, awake and on duty due to having three (3) dementia residents which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by nit having an updated Physician Report for Resident #3 (R3) who has dementia which poses a potential health, safety or personal rights risk to persons in care.

Fire approval and staff access to unlock systems

Based on observation, interview, record review, the licensee did not comply with the section cited above by having two (2) gallons of paints in the backyard, not locked and accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Prohibition on using other rooms as bedrooms

Based on observation, interview, record review, the licensee did not comply with the section cited above by utilizing the 2nd floor loft as bedrooms as evidenced of three (3) beds observed and one (1) large sectional also being utilized as a bed and two (2) individuals sleeping during the visit on 03/11/2024 which poses/posed a potential health, safety or personal rights risk to persons in care.

87217(a) Safeguards for Resident Cash, Personal Property, and Valuables (a) A licensee shall not be required to handle residents' cash resources. handling his own cash resources, ..shall be safeguarded in accordance with the regulations in this section. Based on record review, the licensee did not comply with the section cited above by having access to R5 credit cards which poses which poses an immediate health, safety, or personal rights risk to persons in care.