Castilla Lane Villa

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual inspection. LPA was greeted and granted entry by Caregiver Ruby Guevarra after stating the reason for the visit. Administrators (Admin) Emmanuel and Sherry Dizon arrived on premise shortly after. The administrator's certificate for Admin Sherry Joyce Dizon expires November 26, 2027 and September 15, 2027 for Emmanuel Dizon. The following was observed during the inspection: This is a single story property located in a residential neighborhood. Facility operates within the conditions and limitations specified on the license. LPA observed five residents in care of which one resident is receiving hospice service. LPA observed two caregivers on duty and verified fingerprint clearance and association statuses. All common areas were inspected including the attached two car garage. LPA observed six resident bedrooms/bathrooms and one private staff bedroom occupied by four staff. LPA observed the residents' bedrooms were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. Bathrooms were found to be in compliance, clean, sanitary, and in good repair. The hot water temperature in the resident bathrooms measured at 112.1, 111.7, 111.2, 110.6, 110.1, and 108.8 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. LPA observed the outdoor passageway is free of obstruction. The exit gates were operational and there were sufficient seating and shading. The fire extinguishers are mounted, charged, and serviced on May 7, 2026. The auditory devices and dual functioning smoke/carbon monoxide detectors were tested and operational. LPA observed the emergency food/water and supplies centrally stored in the garage. Emergency drills were conducted quarterly on May 5, 2026. LPA observed the required 'See Something, Say Something' (PUB475) poster in the correct size in the entry way. LPA reviewed five residents' files, and two personnel files in which no discrepancies were found. Medications were audited for two out of six residents. No discrepancies found. Based on observations, no deficiency is being cited. An exit interview was conducted with Administrator Sherry Dizon, and a copy of this report was provided at the end of the visit.the state’s words, verbatim · CDSS document, Jul 13, 2026

Type of visit: POC

Licensing Program Analyst (LPA) Jessica Cho made an unannounced Plan of Correction (POC) visit to follow up on the deficiencies issued during the annual inspection conducted on September 17, 2025 from 1:30pm-5:00pm. LPA was greeted and granted entry Caregiver Sixto Pasqua. LPA spoke to Administrator Sherry Dizon by telephone and explained the purpose of the visit and authorized staff to sign the report on their behalf. Regarding, 1569.695(c), Health and Safety code indicates that "a facility shall conduct a drill at least quarterly for each shift... taking into account different emergency scenarios." Emergency drill was conducted on September 26, 2025 per today's review of the disaster log. Regarding, 87303(a), regulation indicates facility is "clean, safe, sanitary, and in good repair at all times." LPA observed a presence of mold in the grout and a small hole above the shower in one out of the six resident bathrooms inspected during the annual inspection. On today's date, LPA observed the hole was patched and the shower and grout appeared clean and free of mold for all bathrooms. Facility has complied with the terms of the POC. An exit interview was conducted with Caregiver Jordan Frias, and a copy of this report including the Letter of Deficiency Citations Cleared were provided at the end of the visit.the state’s words, verbatim · CDSS document, Nov 6, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver Jordan Frias after stating the reason for the visit. Administrator (Admin) Sherry Dizon arrived on premise shortly after. The administrator's certificate for Admin Sherry Joyce Dizon expires on November 26, 2025. LPA also verified completion of course work for Administrator Emmanuel Dizon. The following was observed during the inspection: This is a single story property located in a residential neighborhood. Facility operates within the conditions and limitations specified on the license. LPA observed six residents in care with three residents receiving hospice service. LPA observed two caregivers on duty and verified fingerprint clearance and association statuses. All common areas were inspected including the attached two car garage. LPA observed six resident bedrooms, six resident bathrooms, and one private staff bedroom occupied by four staff. LPA observed the residents' bedrooms were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. No bathrooms were found to be in compliance, clean. and/or in good repair as all bathrooms require a deep cleaning mainly in the shared bathroom between the bedrooms of Resident #5 (R5) and Resident #6 (R6) evidenced by a hole and water stain on the ceiling above the shower as well as mold and pink stains in the grout. The hot water temperature measured at 108.1, 107.4, 107.2, 106.8, 109.4, and 110.8 degrees Fahrenheit in the resident bathrooms. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. LPA observed the outdoor passageway is free of obstruction. The exit gates were operational and there were sufficient seating and shading. The fire extinguishers were mounted, charged, and serviced on April 15, 2025. The auditory devices and dual functioning smoke/carbon monoxide detectors were tested and operational. LPA observed the emergency food/water and supplies centrally stored in the garage. Emergency drills were not conducted quarterly. The drill was conducted once this year on August 6, 2026. LPA observed the required 'See Something, Say Something' (PUB475) poster posted in the correct size in the entry way. LPA interviewed residents. No staff were interviewed due to insufficient time. LPA reviewed six residents' files, and two personnel files in which no discrepancies were found. Medications were audited for two out of six residents. No discrepancies found with the administration of medications, however the documentation of the medications were not completed timely. LPA consulted the following: to ensure that the facility is clean, sanitary, and in good repair at all times, to ensure medications administered are documented timely, to review the emergency disaster plan annually, and to conduct emergency drills accounting various scenarios on a quarterly basis. Based on the observations made during today's visit, deficiencies are being cited, and Advisory Notes (LIC9102s) are being issued. An exit interview was conducted with Administrator Sherry Dizon, and a copy of this report including the Confidential Name (LIC811) and the appeal rights were provided at exit.the state’s words, verbatim · CDSS document, Sep 17, 2025

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual inspection using the CARE Tool. LPA met with Licensee/Administrator Emmanuel Dizon and Administrator Sherry Dizon and explained the reason for the visit. The facility is a single story structure located in a residential neighborhood. Facility is licensed to operate for six (6) non-ambulatory and maintains a hospice waiver for six (6). There are five residents in care with one in hospice and two live-in caregivers on duty during today's visit. LPA observed the facility to be clean and sanitary. There are six resident bedrooms and bathrooms. There is an additional private bedroom for the staff occupied by two individuals. All common areas were inspected including the attached two car garage which doubled as a laundry room. The residents' bedrooms were appropriately furnished. Beds and bedding supplies were in good condition, adequate lighting was provided, sufficient storage space for each residents' personal belongings were observed. Bathrooms were found to be in compliance, clean, and operational. The water temperature measured at 107.7, 116.6, 110.8, 106.3, and 106.5 degrees Fahrenheit. LPA observed the indoor temperature was within a comfortable range. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food available. LPA toured the exterior portion of the facility. LPA observed the outdoor passageway free of obstructions. The exit gates were self-closing and self-latching. LPA observed sufficient seating and shading. Facility maintains two fire extinguishers. Both were mounted, charged, and serviced on April 23, 2024. The auditory devices and smoke/carbon monoxide detectors were tested and operational. LPA observed the emergency disaster supplies including food/water in the garage. Emergency evacuation drills are being conducted quarterly, however facility is not maintaining a log. The first aid kit contains all necessary elements. LPA observed the required 'See Something, Say Something' (PUB475) poster in the correct size posted in the entry way. The Administrator's Certificate for Emmanuel Dizon expires on September 16, 2025 and May 4, 2025 for Administrator Eric Goldstein. LPA conducted an audit of five residents' files and two personnel files. No discrepancies were noted. Resident interviews were conducted. Staff interviews were not conducted due to staff assisting residents at the time of the interview. Medications were audited for five residents. No discrepancies noted. Based on the observations made during today's visit, no deficiency is being cited. An Advisory Note is being issued. An exit interview was conducted with Licensee/Administrator Emmanuel Dizon and Administrator Sherry Dizon, and a copy of this report was provided at the end of the visit.the state’s words, verbatim · CDSS document, Jul 23, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.