Angeleon Care Home

On 04/10/25 at 02:00 PM, Licensing Program Analysts (LPA) L. Holmes conducted a case management as a result of a complaint #15-AS-20250321171916 dated 03/21/25. LPA met with Staff Danilo "Sonny" Villar and explained the purpose of the visit. The Licensee/Administrator, Richard De Leon is not available at this time. On 03/21/25 at 01:15 PM, R3 advised LPA that S3 stated R3 was being evicted due to smoking in the facility but R3 had not received any written notice. On 03/26/25, LPA requested R3’s Eviction Notice from S3 as the notice had not been provided to Community Care Licensing. On 04/03/25, S3 responded to LPA’s email with an Eviction Notice dated 03/14/25 addressed to R3. On 03/21/25 at 12:00 PM, R3 advised LPA that S3 stated R3 was being evicted due to smoking in the facility but R3 stated he/she had not received any written notice. On 03/21/25 at 12:00 PM S2 advised LPA that R3 had beem smoking in the facility on several occasions and was also found unresponsive in R3’s room: dates unknown. On 03/26/25, LPA requested R3’s Eviction Notice from S3 as the notice had not been provided to Community Care Licensing. On 04/03/25, S3 responded to LPA’s email with an Eviction Notice dated 03/14/25 addressed to R3. ...continued on LIC809C. 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 ...continued from LIC809. R3 was issued an eviction notice date 03/14/25, and S3 offered the following options if R3 wanted to stay at Angeleon Care Home “1. Get a POA (Power of Attorney) for his health and finances. 2. Angeleon Care Home staff will hold R3’s cigarettes and will dispense R3’s cigarette to R3 at any time providing R3 smokes only on the designated smoking area.” On 04/02/25, S3 stated that R3 agreed to these conditions so R3 could stay at Angeleon Care Home which goes against R3’s personal rights. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted, appeal rights and a copy of this report this report provided Staff, Danilo "Sonny" Villar.

On 7/08/25PM, Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Danilo "Sonny" Villar , Staff and explained the purpose of the visit. LPA spoke with Administrator Richard DeLeon on the phone who gave permission for staff to sign the report. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the kitchen sink was measured at 110.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 3/21/25. Emergency Disaster Plan was last reviewed on 1/19/25. First aid kit was observed to be complete. LPA reviewed 5 residents records and 5 staff records; all were complete. LPA also reviewed a sample of resident’s medications. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 3/4/2026 at 1:15PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to an incident notified by email. LPA met with staff, Danilo Villar and informed him the reason for the visit. Based on the email, resident (R1) went out for a walk in the morning and did not return to the facility. During visit, LPA interviewed staff and reviewed R1's file. LPA observed R1's physician's report stated that R1 cannot leave the facility unassisted. Additionally, R1 did not have a preplacement appraisal or an appraisal needs and service plan on file. LPA requested the facility to submit an incident report on 2/17/2026. However, facility did not send an incident report to CCLD regarding R1's elopement. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.

On 04/10/25 at 02:20 PM, Licensing Program Analysts (LPA) L. Holmes conducted a case management as a result of a complaint #15-AS-20250321171916 dated 03/21/25. LPA met with Danilo "Sonny" Villar and explained the purpose of the visit. The Licensee/Administrator, Richard De Leon is not available at this time. Interviews with Staff and Residents raised concerns about R4’s behaviors. LPA requested ADM to conduct a new Appraisal Needs and Services Plan for R4, review R4’s medication lists for accuracy, continue to notate any deviations or refusals, advise R4’s physician of the updated findings, and request additional medication management if necessary. Provide updated documents and findings to Community Care Licensing (CCL) on or before 05/01/25. No deficiency cited, exit interview conducted, a copy of this report provided to Staff, Danilo "Sonny" Villar.

On 05/02/2024 at 2:00 PM, Licensing Program Analysts (LPAs) Lori Alexander and Lisha Holmes attempted to conduct a face to face Component III presentation on 05/02/2024. LPAs met with Caregiver, Danilo "Sonny" Villar and explained the purpose of the visit. Sonny phoned the Licensee/Administrator, Richard De Leon to inform. LPAs spoke with Richard over the phone and Richard stated that he would not be available to come to the facility for the Component III presentation. As a reminder, LPAs informed Richard De Leon, that per Title 22, Division 6, CCR 87405(a) All facilities shall...the licensee and the administrator may be one and the same person....shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section. Exit interview conducted and a copy of report provided

On 07/09/2024 at 2:30 PM, Licensing Program Analysts (LPAs) L. Alexander and L. Holmes attempted to conduct a face to face Component III presentation. LPAs met with Caregiver, Danilo "Sonny" Villar and explained the purpose of the visit. LPA L. Alexander phoned the Licensee/Administrator, Richard De Leon to inform. LPAs spoke with Richard over the phone and Richard stated that he is currently on "the Peninsula" and would not be available to come to the facility for the Component III presentation. On 05/02/2024 LPAs L. Alexander and L. Holmes made an unannounced visit to conduct Pre-Licensing inspection in which the new applicant, Mr. Richard De Leon, is administrator of the current license. LPAs L. Alexander and L. Holmes completed the physical plant segment of the Pre-Licensing inspection on 05/02/2024. The Regional Office determined to waive the COMP III regulation due to the new applicant is also the current licensee and administrator. No issues noted during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed, and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted and a copy of this report provided.