Las Villas del Norte.

On 5/30/2025, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA met with Administrative Executive Director, Reu Baggao who was informed of the purpose of the visit. The facility has a fire clearance for 198 non-ambulatory elderly residents, of which 86 may be bedridden. LPA toured the facility’s interior and exterior with Baggao. During the tour, LPA observed the facility is made up of three (3) buildings, which are designated for independent living, assisted living, and memory care. Indoor and outdoor passageways are free of obstruction. Outdoor shaded seating is available and there are several activities available for resident leisure. The facility has an in-ground pool that is gated and secured with a master lock. During tour of the kitchen, LPA observed the facility met Departmental requirements for a two-day supply of perishable foods and seven-day non-perishable food items, and sharps are secured and inaccessible to residents in care. Medications are secured in medication carts, only accessible to authorized personnel such as medication technicians. Cleaning solutions and disinfectants are secured in storage closets, inaccessible to the residents. LPA toured a sample of the resident bedrooms and private restrooms in the memory care unit, which appeared to be clean and sanitary with no foul odors. LPA also observed the facility installed protective covers to all of the memory care unit fire alarm pull stations. Baggao lifted one of the covers and showed LPA the warning horn that was placed as a preventative measure to help staff detect and possibly prevent false fire alarms. Baggao also showed LPA the new siren alarm installed on the courtyard gate to alert staff when the gate has been unexpectedly opened. LPA observed several fire extinguishers mounted throughout the facility that were last serviced on 4/21/2025 along with fire alarm systems and carbon monoxide detectors. During today's visit, no deficiencies were cited and LPA did not observe any health or safety concerns identified on 10/20/2023's non-compliance conference. An exit interview was conducted and a copy of this report was reviewed and provided to AED Baggao.

Administrator Farish was interviewed and reported several residents and staff experienced symptoms of Norovirus beginning 12/30/2024, and all residents and their responsible persons were notified of the outbreak at the facility. Administrator reported the written notification requested visitors wash their hands before and after leaving the facility as a safety precaution for residents and staff. Administrator added they also placed copies of the written notification in common areas including near the main entrance where visitors sign in. Administrator explained upon discovery of the outbreak, facility staff received additional training regarding proper hand washing techniques and cleaning protocols. Administrator reported facility staff consistently disinfected high-touch surfaces in common areas throughout the facility. LPA reviewed a copy of the written notification which noted the request for visitors to wash their hands before and after leaving the facility. LPA interviewed three (3) staff who were present during the alleged incident date, and all reported on 1/2/2025, they regularly washed their hands and wore gloves when serving residents and their visitors food. LPA reviewed the facility’s Inservice Record Sheet dated 12/30/2024 signed by staff along with the training material which noted staff were trained on safe practices to prevent and address Norovirus and other gastrointestinal illness outbreaks. LPA also reviewed the facility’s Course Completion History dated 1/10/2025 noting staff completed training regarding food safety. LPA conducted an interview with the alleged victim who reported the meal provided by the facility tasted fine and they observed facility servers wear gloves and face masks when serving meals. The alleged victim added the facility did not appear unsanitary. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Farish. *This is an amended version of the original report.

CSD explained some residents arrive to the dining room approximately one (1) hour before daily menu options are scheduled to be served and consider it waiting time, however meals from the daily menu are not ready until the scheduled serving times. CSD also explained if many residents request a custom meal or options from the alternative menu, this may delay food orders for a few minutes but not an hour and half. Three (3) of five (5) residents interviewed reported waiting over an hour to receive their meals on a daily basis, but were unable to report whether they arrive to the dining room an hour before meals are scheduled to be served or if they request a custom meal. Two (2) of five (5) residents interviewed refuted the allegation and reported they only wait a few minutes for their meals to be served. All five (5) residents interviewed reported they have never walked away from the dining room without a meal due to extensive wait times. Five (5) residents interviewed reported facility staff do not yell at them and are not rude, including S1 and S2. Only one (1) of five (5) staff interviewed reported having knowledge of S1 yelling at a resident but they were unable to identify the resident or provide a description of the resident. During today's visit, LPA sat in the dining room during lunch time and did not observe any residents waiting for meals to be served for an extended period of time. LPA shared a dining room table with Resident 1 and observed their lunch was served six (6) minutes after they placed their order with the server. Based on the aforementioned, although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided to Administrator Farish.

On 9/20/2024, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced case management visit at the facility to follow up on concerns identified in the Non-Compliance Conference (NCC) held on 10/20/2023. LPA met with Administrator, Jolene Farish and Resident Care Director, Ana Ramirez who were informed of the purpose of the visit. LPA conducted a walk-through of the facility with Administrator Farish for any health or safety concerns. During the tour, LPA observed residents relaxing in their rooms and in common areas. The facility was working utilities, required food supply, and adequate staffing. During today's visit, LPA did not observe any health or safety concerns as identified on 10/20/2023's NCC. An exit interview was conducted and a copy this report was reviewed and provided to Administrator Farish.

LPA interviewed staff members and residents and no issues were advised with being able to use the hot water. LPA interviewed Facility Maintenance Manager, Michael Vitalli and advised that there was a maintenance issue regarding the hot water heater, but that the maintenance issue did not affect the resident’s ability to use hot or cold water. LPA was unable to interview additional witnesses. LPA reviewed records of the hot water heater repair made on 06/13/2024. The repair was done in a reasonable amount of time. In regards to the allegations that the facility did not ensure that the facility was clean or sanitized, LPA interviewed Building Services Director, Christian Herbert. Herbert stated there are 2 housekeepers that complete cleaning tasks at the facility every day from 7:30 to 4:00. LPA reviewed house keeper’s logs at random date during June and all the assigned cleanings appeared to be completed. LPA also interviewed housekeepers who indicated there are no issues with cleaning or sanitizing the facility. LPA also toured the facility and did not observe any safety concerns, regarding cleaning or sanitizing violations. Information obtained from interviews with residents indicated there were no issues or concerns with the facility being clean or sanitized. Based on the LPA’s observation, interviews conducted, and record review regarding the allegations that Licensee does not ensure that residents are provided with hot water while in care and does not ensure that the facility is clean or sanitized, these allegations are unfounded. This agency has investigated the complaint allegations and we have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted, and a copy of this report, was discussed with and provided to the Executive Director, Jolene M. Farish,

On 6/14/2024, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced case management visit at the facility to follow up on concerns identified in the Non-Compliance Conference (NCC) held on 10/20/2023. LPA met with Administrative Executive Director (AED), Reu Baggao who was informed of the purpose of the visit. LPA conducted a walk-through of the facility with Administrative AED Baggao for any health or safety concerns. During the tour, LPA observed residents relaxing in their rooms and in common areas. The facility was working utilities, required food supply, and adequate staffing. During today's visit, LPA did not observe any health or safety concerns as identified on the NCC held on 10/20/2023. An exit interview was conducted and a copy this report was reviewed and provided to AED Baggao.

On 4/22/24 Licensing Program Analyst (LPA) Javina George made a unannounced case management deficiencies visit. LPA met with Executive Director Jolene Farish and explained the purpose of the visit. LPA conducted a review of three (3) Generations (Memory Care) staff files and training transcripts which revealed three (3) out of three (3) staff to not have receive twelve (12) hours of dementia care training, six (6) of which shall be completed before a staff member begins working independently with residents, and the remaining six hours of which shall be completed within the first four weeks of employment. All 12 hours shall be devoted to the care of persons with dementia. Based on records review a citation will be issued on the attached 809 D, in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 8). An exit interview was conducted where a copy of this report, 809 D, appeal rights and LIC9098 were reviewed and provided to Jolene Farish, Executive Director.

On 4/12/2024, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA met with Administrator, Jolene Farish who was informed of the purpose of the visit. LPA toured the facility’s interior and exterior with Administrator Farish. During the tour, LPA observed the facility is made up of three (3) buildings, which are designated for independent living, assisted living, and memory care. The facility is licensed for 198 non-ambulatory residents of which 86 may be bedridden. The facility has an approved hospice waiver for 28 residents and LPA was informed the facility currently has 10 residents receiving hospice services. The facility has an in-ground pool on the premises that is properly gated and secured with a master lock. Outside shaded seating is also available for resident use. Indoor and outdoor passageways are free of obstruction. LPA observed fire alarm systems, carbon monoxide detectors, and charged fire extinguishers serviced on 3/13/2024. LPA toured the kitchen, walk-in refrigerator and dry food storage room and observed food was stored in a safe and healthful manner. The facility met Departmental requirements for a 2-day supply of perishable foods and 7-day supply of non-perishable food items. Resident interviews revealed kitchen staff accommodate residents’ dietary needs and there are several activities and outings available for resident leisure. Medications and residents’ medical files are stored in wellness rooms. Medications are secured in medication carts, only accessible to authorized personnel such as facility nurses and medication technicians. Cleaning solutions and disinfectants are secured in a storage closet. Knives and sharp instruments are stored in the kitchen, inaccessible to the residents. The facility is in the process of removing hallway carpets and adding new flooring. During today’s visit, LPA did not issue any deficiencies. An exit interview was conducted, and a copy of this report was reviewed and provided to Administrator Farish. There are no health and safety concerns observed as identified on the non-compliance conference held on 10/20/2023

On December 29, Licensing Program Analyst (LPA), Venus Mixson conducted an unannounced case management Health and Safety Check. LPA Mixson met with the Residential Care Coordinator, Normalin Paulo and introduced herself and stated the purpose of the visit. Today's visit is in response to previous information received by Community Care Licensing regarding the health and safety of the residents in care. LPA Mixson conducted a Health and Safety check at the facility. There were no health or safety issues identified. LPA Mixson requested and received pertinent documents. LPA Mixson observed a sample of the residents rooms and the rooms had the required furnishings per the regulations. There were sufficient staff to resident for supervision and the staff were engaging the residents in activities, the meal of the day, and medications were being distributed. LPA Mixson interviewed the facility nurse and the asked who is in charge of bathing the residents and the nurse stated there are four caregivers, one nurse, and two med techs on the assisted living side. They get assistance about twice a week but some residents only request for once a week. There are some residents who may be scheduled for three times a week but they have the right to refuse and if they do refuse it is logged. There were no deficiencies observed or cited during this visit. An exit interview was conducted and a copy of this report was provided to the RCC, Normalin Paulo.

Cont'd from LIC9099.... R5 also stated they believe the lasagna served last week could have caused food poisoning among some of the residents, and that a number of residents have been sick with diarrhea since last week. Of the five (5) staff interviewed, all indicated there is a stomach virus that is going around, and some residents have been sick however, it is not related to food service. LPA conducted an interview with the facility chef who stated all meals are eaten by both staff and residents, and that none of the staff members have reported food poisoning. The facility chef also stated they have always maintained an ample supply of quality food and have never substituted water for milk in cereal. Facility chef further stated the only time they have had a milk shortage was approximately two months ago, there was a mix up with the delivery of milk. He further reported they immediately made a run to a local grocery store across the street to obtain milk, and it was replenished the same day. LPA toured the kitchen and observed an ample supply of both perishable and non-perishable food and drink. LPA also reviewed pertinent documents from the facility that included a four (4) month supply of grocery receipts from June 2023 through September 2023. Review of receipts show a consistent supply of food and drinks were purchased prior to the allegation. Based on observation, interviews, and records review, the allegation that the facility does not have adequate food supply, is UNFOUNDED. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. This is an amended version of the original report crafted on 12/01/2023.

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Collateral Visit. LPA was greeted by, identified himself to, and discussed the purpose of the visit with Receptionist Cindy Villasenor. LPA then met and spoke with Executive Director Jolene Farish. During today’s visit, LPA conducted resident interviews to aid in an investigation occurring at another licensed care facility. No deficiencies were observed or cited during today's visit. An exit interview was conducted with Farish, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

R1’s Admission Agreement confirms the facility is to issue a pro-rated credit towards R1’s monthly care fees if the resident was absent from the facility for more than fourteen consecutive days. R1 was absent from the facility on April 17, 2023 – July 7, 2023, which would entitle R1 to receive a pro-rated credit for monthly care fees, not a refund. Administrator Farish verbally agreed to accommodate and provide a refund for R1. LPA found that the facility issued a refund check in R1's name; however, the individual handling R1's finances requested the check be made to their name, which delayed the refund process. LPA found that the individual handling R1’s finances was not listed as the Power of Attorney agent or responsible person for R1. LPA determined that the facility did not intentionally withhold R1’s refund and instead issued the refund to R1 directly rather than the person handling R1's finances. The individual handling R1's finances was provided the overnight FedEx tracking number for the check refund. Per the admission agreement, R1 was not entitled to a refund, only a pro-rated credit for monthly care fees. However, the facility provided a refund for R1 and added a $100.00 credit to R1’s account for any inconvenience. Based on interviews conducted and record review, the allegation that "Staff are not providing resident with a refund" was found to be Unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted, and a copy of this report was discussed and provided to Administrator Farish along with a Confidential Names List (LIC 811). *This is an amended version of the original report.