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Inspection visit

Follow-up

VILLA ANTONIOLicense 4352000852 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On December 19, 2023, Licensing Program analysts (LPA's) Manuel Monter, Mita Partoza and Licensing Program Manager (LPM) Romeo Manzano conducted a case management visit/inspection during a complaint investigation. LPA's observed 6 residents in the facility with 3 staff members. As a result of the complaint investigation, the Department issued an immediate exclusion letter to exclude a staff (S1) who is currently works and resides at the facility. The letter was given to and reviewed to S1 and Administrator/Licensee. This report is reviewed and discussed, and a copy is provided. During a complaint investigation interview with the staff, LPA's and LPM observed staff S2 and his/her spouse exit from the backyard storage area. S2 and his/her spouse was observed folding blankets and storing them at adjacent storage unit. S2 stated he/she was staying in the storage area with his/her spouse while waiting for S2 to leave work and stays until 2PM when his/her child goes out of school daily (Monday to Friday) since the school year began, sometime in August 2023. Staff S1 and S3 confirmed that S2's spouse comes to the facility, and waits for S2 to finish his/her night shift. S1 and S3 confirmed S2's spouse other also enters the facility to use the restroom as well. LPA's reviewed Guardian, and S2's spouse is not fingerprinted. S2's spouse went to obtain his/her livescan, and was informed to refrain from being present in the facility. On October 24, 2023, the facility was cited under code 87202(a) by having staff members use the storage area in the backyard as a rest area/living quarter. LPA also inspected the storage area, which contained electric wires. Based on interviews and LPA's observations, facility staff continue to use the backyard storage space as a rest area. A civil penalty is being assessed for the amount of $1,000 for a repeat violation within the same year. Page 1 out of 2. Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 9099-D. A civil penalty is being assessed for the amount of $100 ($100 per day x 5 day = $500) for S1's spouse staying at the facility without fingerprints. During todays visit, LPA's and LPM explained the exclusion letter to S1. LPA's and LPM observed S1 leave the facility effective immediately. This report was reviewed with Administrator Joseph Anthony Oliva and a copy of the report was provided. Appeal Rights was provided. Page 2 out of 2.

Citations

6 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.

  • 87202(a)Type A

    Maintain fire clearance before retaining specified persons

    87202(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. ...This requirement was not met as evidenced by Based on observation & interview, the ADM did not comply with the section cited above. LPA observed S2 leaving the storage unit with his/her spouse. S2 admitted that he/she was resting in the storage area. This poses a potential health, safety or personal rights risk to persons in care.

  • Submit and maintain current mailing address

    (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 or a criminal record exemption ... This requirement is not met as evidenced by: Based on interviews, record review and observation the ADM did not ensure S2's spouse received a fingerprint clearance from the Department pior to S2 residing at the facility, which poses an immediate health, safety, and personal rights risk to persons in care

  • 1569.50(a)(3)Type A

    1569.50 Denial, suspension or revocation of license; ...exclusion from licensee without right to petition for reinstatement (a)(3) Conduct that is inimical to the health, morals, welfare, or safety ... from the facility or the people of the State of California. This requirement was not met as evidenced by; Based on interviews conducted, and evidenced reviewed, the facility staff verbally abused a resident in care. 2 Out of 3 staff admitted a staff member verbally abused a resident. This poses an immediate threat to residents health, safety and personal rights.

  • 1569.625(b)(1)Type B

    1569.625 Staff training; legislative findings; contents (b)(1)The department shall adopt regulations to require staff members of residential care facilities for the elderly ...This training shall consist of 40 hours of training....This requirement was not met as evidenced by; Based on staff training records review & interviews, Staff did not receive training on mandated reporting/elder abuse & filling out SOC341. ADM also acknowledged he/she did not provide training on mandated reporting of elder abuse. This poses an immediate threat to residents health, safety & personal rights

  • 87211(a)(1)(D)Type A

    87211 Reporting Requirements (a)(1)(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidenced by Based on evidence reviewed & interviews with conducted, 2 Out of 3 staff admitted that S1 verbally abused resident R1. 2 Out of 3 staff acknowledge the verbal abuse occured a month ago & they did not report it. This poses an immideate threat to health, saftey & personal rights risk to persons in care.

  • Dignity in personal relationships

    87468.1 Personal Rights of Residents in All Facilites (a)(1) To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement was not met as evidenced by; Based on evidence reviewed and interviews with conducted, 2 Out of 3 staff admitted that S1 verbally abused resident R1. The facility staff did not acccord dignity to residents in care. This poses an immideate threat to health, saftey and personal rights risk to person in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 19, 2023 inspection of VILLA ANTONIO?

This was an other inspection of VILLA ANTONIO on December 19, 2023. 2 citations were issued: 2 Type A (serious).

Were any citations issued to VILLA ANTONIO on December 19, 2023?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87202(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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