Villa Sorrento

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility is overcharging resident for rent.

On 01/29/2025, the department conducted an unannounced compliant visit to the facility listed above. The department met with Executive Director, Carla Chan and the purpose of today’s visit was explained. During the initial visit on 12/31/2024 the department toured the facility, interviewed Staff S1-S3, interviewed Residents Responsible Party W1-W2, and received documents pertinent to the investigation. The following documents were received and reviewed, Staff Roster, Resident Roster, list of Assisted Living Waiver Residents, Billing Spread Sheet, Resident Admission Agreement, Resident Billing Statement, Resident Assisted Living Waiver Informing Notice, Resident Certification of Admission to Social Security Administrator, and Addendum to Resident Admission Agreement for rent increase. During a subsequent visit on 01/16/2025 the department toured the facility, interviewed Residents R3-R6, and received additional documents. The following documents were received and reviewed, Resident Emerthe state’s words, verbatim · CDSS document, Jan 29, 2025 · control 11-AS-20241227121421

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff does not ensure client's room is free of clutter

On 12/10/24, Licensing Program Analyst, (LPA) Felisa Shirley conducted an unannounced visit to this facility. LPA was met by Administrative Assistant, Trish Morales and explained the purpose of the visit is to investigate and deliver findings for the allegations mentioned above. LPA was granted access to the facility. The investigation consisted of the following: On 12/10/24, LPA Shirley spoke to facility Executive Director, Carla Chan and reviewed facility records. LPA requested copies of staff and resident rosters, copies of ALW program documents, Cleaning schedule, Special Incident Reports involving injuries from clutter in the rooms and special incident reports involving R-1. LPA also interviewed staff 1 thru staff 10(S1 thru S10) and residents 1 thru resident 10(R-1 thru R-10). LPA received copies of residents, Admissions Agreement, Emergency Contacts, Physician’s report, and preplacement appraisal. The investigation revealed the following: Con't on 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 10, 2024 · control 11-AS-20241203111041

Allegation investigated: The facility did not safeguard resident's personal property. The facility does not to give medication according to the physician's directions. The facility does not provide comfortable living accommodations for the resident.

On 08/17/24, Licensing Program Analyst (LPA) Ernand Dabuet, conducted an unannounced visit to deliver findings for the allegations listed above. LPA Dabuet met with the facility's managerJovan Caday and explained the purpose of today’s visit. Investigation consisted of the following: During a visit on 02/02/24, LPA Wendy Gibbs, conducted an unannounced subsequent complaint visit to the facility. LPA met with Executive Director, Carla Chan, and the purpose of the visit was explained. During the visit, LPA toured the facility, interviewed Staff (S3). During a visit on a 12/21/23, LPA toured the facility, interviewed Staff (S1 and S2) and Residents (R2-R10) and reviewed and received copies of pertinent documents pertaining to the investigations. The documents reviewed and received include a Staff Roster (LIC500), Resident Roster, Weekly Dining Menu, Physician’s Report, Needs and Service Plan, Centrally Stored Medications, Medication Administration Record (MAR), Appraisal, Identification athe state’s words, verbatim · CDSS document, Aug 17, 2024 · control 11-AS-20231214112553

Allegation investigated: Staff violated residents' personal rights by installing locks on the outside of their doors

On 6/19/2024 LPA Alfonso Iniguez conducted an unannounced complaint visit. LPA Iniguez met with Carla Chan /Administrator. LPA explained the purpose of this visit. Investigation Consisted of: LPA conducted the following interviews: Interview with Administrator (A#1), Interviews with Residents (R#1-R#9), Interviews with Facility Staff (S#1-S#5) and Interview with Witness 1 (W#1). LPA gathered the following documentation: Copies of Resident Roster and Staff Roster Copies of (R#1 and R#2) LIC 602 A and Copies if the Emergency and identification form, Copy of SRI dated 6/19/2024, and Complete tour of the facility where LPA checked room # 125 and #264. Evaluation Report continues LIC 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 19, 2024 · control 11-AS-20240619101219

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not seek medical attention for resident in a timely manner.

On 03/28/24, Licensing Program Analyst (LPA) Ernand Dabuet conducted an initial complaint visit at this facility. LPA met with Administrator Carla Chan. LPA explained the purpose of the visit was to investigate the allegation mentioned above. The investigation consisted of the following: Interviews with administrator #1 (A1), staff #1 -# (S1-S3), residents #1-#10 (R1-R10), and witnesses #1-#5 (W1-W5). Review of the staff and resident rosters, Resident #1 (R1)Admission Agreement, Resident Assessment, Physician's Report, Unusual Incident Reports LIC 624, Identification and Emergency Information LIC 601, and other pertinent documents associated with the complaint. A plant inspection was conducted. (Evaluation Report continues LIC 9099) Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 28, 2024 · control 11-AS-20240322135212

Allegation investigated: The facility does not provide comfortable room temperatures. The facility staff does not have the ability to communicate with residents The facility does not make menu available for review by the residents.

On 02/02/24, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced subsequent complaint visit to the facility listed above. LPA met with Executive Director, Carla Chan, and the purpose of today's visit was explained. During today's visit, LPA toured the facility, interviewed Staff (S3-S8) and received and reviwed housekeeping laundry schedule, additional resident MARs, and AC Unit rooms. On a 12/21/23, LPA toured the facility, interviewed Staff (S1 and S2) and Residents (R2-R10) and reviewed and received copies of pertinent documents pertaining to the investigations. The documents reviewed and received include a Staff Roster (LIC500), Resident Roster, Weekly Dining Menu, Physician’s Report, Needs and Service Plan, Centrally Stored Medications, Medication Administration Record (MAR), Appraisal, Identification and Emergency Information, and Admission Agreement. Continued on LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 2, 2024 · control 11-AS-20231214112553

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff does not provide a safe and healthful environment for resident while in care.

On 08/17/23 Licensing Program Analyst (LPA) Ernand Dabuet conducted an initial complaint visit at this facility. LPA met with assistant administrator Trish Morales. LPA explained the purpose of the visit is to investigate the allegation mentioned above. Investigation consisted of the following: Interviews with staff #1 -#4 (S1-S4) and residents #1-#10 (R1-R10), a review of resident #1 (R1's) Admission Agreement, Appraisal/Needs and Service Plan, Physician's Report, Incident reports and other pertinent documents associated with the complaint. A review of staff and resident roster and plant inspecton of the entire faciltiy along with room #247. Evaluation Report continues LIC 9099 Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 17, 2023 · control 11-AS-20230811162618