Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Complaint

VILLA LORENALicense 3746037503 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

(continued from LIC9099) It is alleged that the Licensee did not provide records to R1's responsible party upon request.  Records reviews of written correspondence reveal that R1's responsible party requested R1's medical records, including a wound care document and progress notes, after an incident involving R1 on 2/13/2022.  R1's responsible party further reports that after they verbally requested the records, two emails were sent, a few weeks apart,  to the executive director requesting copies of R1's records. On 3/18/2022, the executive director provided some documents, but not the requested documents.  It was further reported that R1's responsible party contacted the executive director by phone, and they denied having any wound care notes or progress notes for R1. I was also alleged that the Licensee staff did not notify the resident’s responsible party of an incident.  The department interviews with staff revealed that R1 was involved in an incident on 2/13/2022 that caused injury to their arms and hands. After the incident, the condition of R1 was not communicated in writing to R1 responsible person.   Based on a review of records and multiple interviews with staff, there was sufficient information to determine a written report was not submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence. It was also alleged that the licensee staff did not update R1 records to reflect the incident on 2/13/2022.  A review of written correspondence dated 3/24/2022 reveals that R1's reporting person requested a file review and was physically shown a file that did not contain documentation for R1's incident on 2/13/2022 or any other relevant documentation. The department requested records for R1 on 2/15/2022 and did not receive records of illness, injury, medical or dental care, or information on R1's function or needs. Based on interviews with staff, records review and written statements to CLL, a preponderance of evidence exists supporting that Licensee staff did not provide records to resident's responsible person, did not notify resident’s responsible person of an incident, and did not update resident's records. The allegation is, therefore, Substantiated. Three (3) deficiencies were cited per the California Code of Regulations, Title 22 (refer to the LIC 9099-D pages). A Plan of Correction was jointly developed with the Licensee and their staff.. An exit interview was conducted with Administrator Nora Garza, to whom a copy of this report, the LIC 9099-D pages, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

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.

  • 87468.2(a)(8)Type A

    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.

  • 87468.1(a)(9)Type B

    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.

  • 87211(a)(1)Type B

    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.

  • 87468.2(a)(19)Type B

    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. 3 citations were issued: 3 Type B.

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

Yes, 3 citations were issued (0 Type A, 3 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.

SourceView on CCLDView original report

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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