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Inspection visit

Complaint

VILLA LORENALicense 3746037501 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

(continued form LIC9099) Further review of the written correspondence reveals that during a roundtable discussion with residents and the executive director, R1 specifically requested information from the executive director regarding the laundry service schedule. However, the executive director did not respond to inquiries regarding the laundry service during the roundtable discussion or give a personal response to R1. Based on interviews with residence and records review and written statements to CLLD, a preponderance of evidence exists supporting that Licensee staff did not respond to resident's communication requests . The allegation is, therefore, Substantiated. One (1) deficiency was cited per the California Code of Regulations, Title 22 (refer to the LIC 9099-D page). A Plan of Correction was jointly developed with the Licensee. An exit interview was conducted with Administrator Nora Garza, to whom a copy of this report, the LIC 9099-D page, and the Licensee/Appeal Rights (LIC9058 03/22) were provided. (continued from LIC9099) Page 2 of 3 It was alleged that the Licensee did not assist a resident with medication administration. More specifically,  Resident #2(R2)  wanted to smoke prescribed THC, and the facility refused to allow smoking on campus.  Records review reveals that R2 and  R2's responsible party were aware of the no-smoking policy before admission to the facility. A records review from the sales director's documentation confirmed that R2 was advised to seek other non-smoking methods of prescribed THC prior to moving to the facility.. It was further alleged that residents were charged for items never provided, and the Licensee did not provide an itemized statement for charges. More specifically, Resident #1(R1) financial advisor has not received an itemized bill for the non-medical charges paid to the facility by R1 account..  Written reports submitted by another Resident responsible party reveal the facility charged the resident services never provided.   Further information in the report states that after making a complaint to the facility regarding the services, the facility refunded the questionable charges without presenting an itemized statement.   Written reports by another family member reveal that some financial discrepancies were noted, including being charged for services not rendered. However, interviews and records could not provide additional evidence to support the allegation. It was further alleged that the Licensee did not meet the resident's transportation needs. More specifically, Resident #1 (R1) was promised open-ended transportation services provided by the facility.  Review of records, more specially the Villa Lorena Flyer- Services and Amenities state: Utilities: Weekly housekeeping and laundry services, maintenance, utilities, basic cable and internet, on staff driver up to 10 miles are all included in rent. A records review of an email from the sales office to a prospective resident as well as a folded advertised flyer state: Monday-Sunday transportation is available (Shopping days every Monday and doctor's appointments on Tuesday through Thursday). A review of records as well as the licensee printed material reveals that the Licensee does not provide open-ended transportation. (continued on LIC9099-C) (continued from LIC9099-C) page 3 of 3 It was further alleged that the Licensee's housekeeping services did not meet the resident's needs, and the Licensee did not meet the resident's dining needs. More specifically, R1 reports they have no idea who is in charge of doing their laundry or how it is to be collected or returned. R1 also reports that there is an increasing amount of prepackaged, pre-prepared food being served. A review of records reveals housekeeping was scheduled for service every Tuesday for R1. The menu collected by the department during the time of the allegations was reviewed, and it included a variety of choices, such as poultry, beef, seafood, salads, sandwiches, and other balanced, healthy options. Based on the Department's investigation, there is not a preponderance of evidence to prove the alleged violations occurred. Therefore, the allegation are unsubstantiated. An exit interview was conducted with Administrator Nora Garza to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) will be provided at the conclusion of today's visit .

Citations

8 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    87303 Buildings and Grounds (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. This requirement was not met as evidence in; Based on observations and interviews the licensee did not treat for mold in 1 of XX (GET CENSUS) persons in care which posed a potential Health and Safety risk to persons in care.

  • Right to freedom from abuse and neglect

    87468.2 (a)(8) Additional Personal Rights of Residents in Privately Operated Facilities (a)(8) In addition to rights listed in Section 87468.1, Residents shall have the following personal rights…to be free from physical abuse. This requirement was not met as evidenced by: Based on interviews with staff and outside sources, records review, and photographs, Facility staff handled resident roughly resulting in bruises. Licensee did not comply with regulation for 1 of 69 residents. This caused an immediate health and safety risk to residents in care.

  • 87470(a)Type B

    87470 Infection Control Requirements (a) A licensee shall ensure that infection control practices are maintained as follows: This requirement was not mer as evidenced by: Based on interviews, the licensee did not ensure staff followed COVID-19 guidance, which posed a potential Health, Safety, and Personal Rights risk to all persons in care.

  • Prompt responses to resident communications

    87468.1 Personal Rights of Residents in All Facilities (a) Residents...shall have... the following personal rights:(9) To have communications to the licensee from their representatives answered promptly and appropriately. This requirement was not met as evidence in; Based on interviews and records review the licensee did not communicate with residents promptly and appropriately in 3 of of XX persons in care which posed a potential Personal Rights risk to persons in care.

  • Report specified resident events within seven days

    Reporting Requirements.(a) Each licensee... reports as the Department may require...(1) A written report shall be submitted to the licensing agency and to the person responsible... within seven days of the occurrence..This requirement was not met as evidenced by: This requirement is not met as evidenced by: Based on record review and interviews, the licensee did not ensure an incident report was completed forX out of X residents [R1], which poses a potential health and safety risk to residents in care.

  • Right to access and copy personal medical records

    87468.2(a) In addition to the rights listed in Section 87468.1…personal rights:(19)To have prompt access to review all of their records…2 business days..This requirement was not met as evidenced by: Based on records review and interviews, the licensee did not provide prompt access to review records in 1 of 63 persons in care, which posed a potential Personal Rights risk to persons in care.

  • 87506(b)(13)Type B

    Resident records.(b) Each resident’s record .... information:(13)Continuing record of any illness, injury, or medical or dental care, when it impacts the resident's ability to function or needed services. Based on records review and interviews, the licensee did not update records in 1 of 63 persons in care, which posed a potential Personal Rights risk to persons in care.

  • 87207Type B

    Prohibit false or misleading facility statements

    False Claims.No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement.....the services provided by the facility. This requirement was not met as evidenced by: Based on interviews and record reviews, The licensee staff faslified documents for COVID-19 results for R1. This posed a potential personal rights risk to all residents in in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 5, 2025 inspection of VILLA LORENA?

This was a complaint inspection of VILLA LORENA on June 5, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to VILLA LORENA on June 5, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87303 Buildings and Grounds (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safe..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.