Anaheim Villa

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility for the purpose of conducting a Plan of Correction inspection for a deficiency issued during the required annual inspection on March 11, 2026. LPA was greeted and granted entry by staff. LPA met with Health and Wellness director Sandra Arze and discussed the purpose of the visit. LPA reviewed staff documentation for Staff #1 and observed updated 20 hours of annual training has been conducted, thus fulfilling the Type B deficiency for CCR 1569.625(b)(2). During the visit LPA gathered documentation for a change of administrator for the facility. An exit interview was conducted and a copy of this report along with a letter of cleared deficiency was provided at the time of the visit.

Licensing Program Analyst (LPA) Hanna Gough made an unannounced health and safety case management visit to follow up on a fax received by the Orange County Regional Office on September 30, 2025, stating that the facility will be adding central air conditioning to the facility hallways. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Darlene Lindley and discussed the purpose of the visit. LPA toured and inspected the facility and conducted health and safety checks on residents in care. LPA observed that the air conditioning installation is not impeding on residents care or taking up space in the resident hallways causing disruption with resident movement throughout the facility. Residents are allowed access to the hallways and can move around the facility as normal. LPA observed air conditioning technicians around the facility doing maintenance work and have informed AD that they are near completion. No health and safety concerns were observed. An exit interview was conducted and a copy of this report was left at the facility.

R1 was referred to hospice due to a diagnosis of cachexia. LPA obtained R1s physicians report that states that R1 was receiving hospice care due to cachexia with a date of September 30, 2024. LPA observed hospice intake papers signed by R1s responsible party. LPA observed R1s LIC625 Needs and Services Plan was updated on September 30, 2024, stating that R1 would be receiving hospice comfort care due to R1s diagnosis as part of their new care plan. The Needs and Services Plan was signed by R1s responsible party. Interviews with 3 of 3 staff stating that they do not evaluate, intake or assist with hospice care plans. 3 of 3 staff informed LPA that they will give families information on different hospice programs and nothing more. Interviews with 9 of 9 residents in care stated that they go to the day care by choice and if they decide not to go the facility staff do not force them, it is entirely their decision. LPA interviewed staff and 3 of 3 staff stated that if a resident declines to go, the facility staff honors their choices and makes note of it so they know who was left at the facility. Interview with day care staff informed LPA that they have not heard any complaints from the residents. Based upon LPAs observations, interviews and information gathered during the investigation and review of all documents obtained, the preponderance of evidence standard has not been met, therefore the above allegations are deemed UNFOUNDED. Meaning that the allegations staff do not allow residents to make decisions regarding their care and staff obtained hospice services on behalf of residents who do not meet the criteria for hospice care was false, could not have happened and/or is without a reasonable basis. The department therefore dismissed the complaint. An exit interview was conducted with CC Sandra Arze and AD Lea Wine and a copy of this report was left at the facility.

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility for the purpose of a case management inspection. LPA was greeted and granted entry by staff. LPA me with Administrator (AD) Darlene Lindley and Lea Wine and explained the reason for the visit. The Orange County Regional Office received a letter on April 14, 2025 stating that the facility will be replacing the carpet on the second and third floor hallways with wood flooring and that this project should be completed on April 29, 2025. LPA toured the facility to ensure that the renovations were completed and that the health and safety of the residents were upheld during the renovations. LPA observed the new wood flooring and AD explained that they did half of the hallway at a time to ensure the residents could get to and from their rooms. AD explained to LPA that residents were escorted out of their rooms if they required extra assistance. Based on observations during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Darlene Lindley and Lea Wine and a copy of this report was given at the time of inspection.

Licensing Program Analyst (LPA) Claudia Gutierrez made an announced visit to the facility for purpose of conducting a pre-licensing inspection to follow up on corrections identified during visit on 2/12/2024. LPA met with designated Administrator (AD) Young Park, Executive Director (ED) Darlene Lindley, Assistant Administrator Lea Wine, and Corporate Member Yung Lee. An application to operate a Residential Care Facility for the elderly (RCFE) for (210) capacity, (38) ambulatory, (147) non-ambulatory, and (25) bedridden residents was received by CCL on 7/20/2023. At 1:15 p.m. LPA toured the facility and observed the following: Renovations in resident bedrooms, 118,124,128, 129, 130, 131, 137,138, and 139 have ceased. Water temperature in resident bathrooms 247 and 248 has been adjusted to meet regulation, and tested at 107.6 degree F. Ceiling tiles in the second story are in place and the gap which was visible in the ceiling exposing wood beams has been repaired and is no longer visible. All four guinea pigs observed to be living in a staff office on the second story have been removed and the staff office is now odor free. Component III : was conducted during this inspection, information provided about how to operate the facility within compliance and reporting requirements. The facility is ready to be licensed. The designated AD was notified that the final application approval will be issued by the Centralized Applications Bureau in Sacramento. An exit interview was conducted, and a copy of this report was left at the facility.

Licensing Program Analyst (LPA) Claudia Gutierrez made an announced visit to the facility for purpose of conducting a pre-licensing inspection. LPA met with designated Administrator (AD) Young Park, Executive Director (ED) Darlene Lindley, Assistant Administrator Lea Wine, and Corporate Member Yung Lee. An application to operate a Residential Care Facility for the elderly (RCFE) for (210) capacity, (38) ambulatory, (147) non-ambulatory, and (25) bedridden residents was received by CCL on 7/20/2023. Structure: The facility is a three-story building. The first story consists of the lobby, two staff offices, one medication room, one kitchen, one dining room, and 10 resident bedrooms on the assisted living side. Memory care is also located on the first floor and consists of 30 resident bedrooms, one living room, two communal rooms, one dining room, one medication room, two storage closets, one laundry room, and an enclosed courtyard. Delayed egress was tested and observed to be operable. The second story of the facility consists of one activity room, one staff office, two storage closets, one theater room, one library, and 49 resident bedrooms. The third story consists of one family room, one dining area, one hair salon, two janitors’ closets, one storage closet, one laundry room, and 20 resident bedrooms. All resident bedrooms also contain their own full-size bathroom. LPA observed the See Something, Say Something poster (PUB 475) in the facility mounted on the wall in the lobby. There are two courtyards, one is located within memory care and an additional courtyard is on the assisted living side of the facility. There is a shaded seating area and LPA did not observe any obstacles or hazards in the courtyard. Resident Bedrooms Occupied resident bedrooms had the required furnishings and LPA observed beds had linens and blankets. Signal system There is signal system. Signal system was tested and observed to be operable. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Toxins: All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents and will be stored and locked in the various storage closets located throughout the facility. Medications, First-Aid Kit & Book: Medication will be stored in the medication room. First aid kit is stored with medication. The first aid kit has all the required elements. Resident & Staff Files : Records will be kept locked in a staff office. Pool/Jacuzzi: No bodies of water were observed. Fire Extinguisher: Fire extinguishers were observed on every floor of the facility and were fully charged with a service tag dated 2/17/24. Reading Material, Games, Equipment & Materials: The facility has card games, puzzles, and other recreational materials for the client’s use, stored in the activity room. Fire clearance: Was approved by a fire inspector of Anaheim Fire Department on 01/05/2024. Special conditions noted, “Bedridden on first floor only.” Bedrooms Staff: There are no staff bedrooms. Smoke Detectors: Smoke detectors and carbon monoxide detectors tested operational. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Bathrooms: All bathrooms have working plumbing. Hot water temperature was tested in five resident bedrooms on the first floor, including memory care and tested between 109.7- and 119.1-degrees Fahrenheit. Hot water temperature was tested in five resident bedrooms on the second story and tested between 93.5-117.1 degrees Fahrenheit. Hot water temperature was tested in two resident bedrooms on the third story and tested between 109.4-120.4 degrees Fahrenheit. Emergency Phone Numbers, Exit Plan & Menu: Posted and available, means of exiting, and emergency phone numbers. Food menu is available for review. Food Service: A supply of 2-day perishable and 7-day of non-perishable food was observed and will be maintained on hand. Appliances: Appliance were inspected and observed to be operational. Licensee to address the following corrections by 02/26/2024: Renovations were observed to be taking place in resident bedrooms, 118,124,128, 129, 130, 131, 137,138, and 139. Water temperatures tested at 93.5 degrees F in resident bathrooms 247 and 248. Water temperature to be adjusted to meet regulation of 105 to 120 degrees F. Ceiling tiles in the second story have been moved or are missing and a gap is visible in the ceiling exposing wood beams and covered by a thin clear plastic sheet. Four guinea pigs are currently living in a staff office on the second story. Two out of the four guinea pigs were observed to be in a designated guinea pig cage. Two out of four guinea pigs are currently being kept in a collapsible wagon intended for hauling. LPA will make an additional announced visit to follow-up on corrections listed above. An exit interview was conducted, and a copy of this report was provided to designated AD.

COMP II by CAB successfully completed Method: Phone Call at CAB Facility Type: RCFE Applicant/administrator participated in COMP II at CAB telephone call with analyst at CAB. Identification of the applicant and administrator was verified by presenting photo ID via phone. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staff qualifications and responsibilities 3. Applicant and Administrator qualifications 4. Program policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5. Grievances, Complaints, Community resources 6. Physical plant, food service 7. Application document review and technical assistance: Criminal record clearance, Health screening, Fire clearance, First Aid/CPR certificate, Administrator certificate, Financial verification, Pre-licensing inspection, Compliance history, Control of property

COMP II by CAB successfully completed Method: Phone Call at CAB Applicant/administrator participated in COMP II at CAB telephone call with analyst at CAB. Identification of the applicant and administrator was verified by presenting photo ID via phone. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staff qualifications and responsibilities 3. Applicant and Administrator qualifications 4. Program policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5. Grievances, Complaints, Community resources 6. Physical plant, food service 7. Application document review and technical assistance: Criminal record clearance, Health screening, Fire clearance, First Aid/CPR certificate, Administrator certificate, Financial verification, Pre-licensing inspection, Compliance history, Control of property