Westminster Villa

An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez. LPA met with Licensee Representative Ana Kunz. Complaint alleges Staff did not intervene when a Resident 2 (R2) cusses at Resident 1 (R1). During the course of the investigation interviews were conducted with four facility staff, R1, and R2. Four of four staff denied witnessing or having any knowledge of any cussing or arguing between R1 and R2. One of four staff interviewed added that they spoke to R1, who informed them that R2 cusses at them and they would like to change rooms, which was a surprise because R1 and R2 had shared a room for about a year. R1 was ultimately switched to a vacant room and no further issues were reported. During their interview, R2 stated that they do not yell or scream at R1, however, stated that they have argued with R1 due to R1 becoming upset when R2 watches TV or talks on the phone. R2 stated they informed the Administrator it would beRead the full finding— CDSS inspection report, January 7, 2026 · control 22-AS-20230627084653

An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez. LPA met with Licensee Representative Ana Kunz. Regarding the allegation, Staff do not ensure that resident's hygiene needs are met, the following was revealed: It is alleged staff did not ensure Resident 1’s (R1’s) hygiene needs were met due to only being bathed once a month. During the course of the investigation, interviews were conducted with seven facility residents and two staff. Four of seven residents stated they do not require assistance with Activities of Daily Living (ADLs), including showering and they are able to shower as needed at their own discretion. Two of seven residents stated they require staff assistance with ADLs, including showering, and staff ensure their hygiene needs are met. One of seven residents was unable to confirm or deny the allegation. Two of two staff denied the allegation and stated all facility residents requiring assistance with shRead the full finding— CDSS inspection report, January 7, 2026 · control 22-AS-20250205153216

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz, was greeted and met with Administrator (AD) Patty Osuna and Administrator Assistant (ADA) Alexis Jones for the purpose to deliver findings for a complaint investigation. The initial 10-day visit was completed on 2/28/2024 by LPA Quiroz. During the course of this investigation, LPA Quiroz conducted interviews consisting of staff and residents, reviewed documents including but not limited to Resident Personal Property and Valuables Lists, Physician Reports, identification forms for residents interviewed. It was alleged that "Staff did not safeguard resident's personal belongings." During the course of this investigation,nine of nine interviewees denied allegation of "Facility failed to safeguard resident's property." AD Osuna indicated there was a deep cleaning of facility rooms which occurred approximately around the second week of February 2024, indicating that three residents brough up concerns of missing items, and were iRead the full finding— CDSS inspection report, June 6, 2024 · control 22-AS-20240220090108

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the initial investigation into the allegation listed above. LPA was greeted and granted entry by front desk staff after introducing himself and stating the purpose of the visit. Administrator Patty Osuna was present to assist the visit and was explained the allegation investigated. LPA conducted an interview with facility administrator who explained that there were known issues with one of the two water heaters in use by the facility. The part needed to make the necessary repairs is stated to have been ordered at this time, but was stated by the vendor to be back-ordered by approximately two weeks. LPA accompanied by facility staff conducted a tour of the physical plant and measured water temperatures in a sample of 18 rooms across the two levels. A total of twelve rooms among these were observed to have no hot water whatsoever at the time of the visRead the full finding— CDSS inspection report, January 18, 2024 · control 22-AS-20240117145341

Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced visit to the facility to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed staff as well as reviewed and obtained pertinent documentation such as physician report and resident appraisal. Regarding the allegation that resident sustained an unexplained injury while in care, the investigation revealed the following: On 02/24/2022, Resident 1 (R1) was found on the floor by staff. Resident was evaluated to have no pain but was sent out to UCI for observation. Resident did not return to the facility and had been known to be residing at Alta Gardens Care Center. Witness indicated that resident was admitted into UCI and diagnosed with a trace subdural hemorrhage and a left humerus fracture. Resident had a diagnosis of Parkinson's Disease. Resident was transferred toRead the full finding— CDSS inspection report, September 26, 2023 · control 22-AS-20220225164530

Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced visit to the facility to deliver findings on the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility, interviewed staff and resident as well as reviewed and obtained pertinent documentation such as physician report and medication administration record. Regarding the allegations that resident fell and sustained an injury due to broken shower chair, resident's bathroom in disrepair, staff discarded resident medications (not expired), staff did not safeguard resident's personal items, staff retaliate against resident for keeping roommates family informed, staff do not ensure that resident's toileting needs are met, and staff do not respond to resident's call for assistance in a timely manner, the investigation revealed the following: Facility provided hospital records for Resident 1 (R1) dated 03/15/20Read the full finding— CDSS inspection report, September 19, 2023 · control 22-AS-20220422163644

Licensing Program Analyst (LPA) Celine made an unannounced visit to the facility to deliver findings for the complaint received on May 26, 2023. LPA arrived at the facility and explained the purpose of today’s visit and was greeted by facility administrator (AD) Patty Osuna. The complaint was investigated by the Department. Findings are based upon this investigation which included record reviews and interviews. It was alleged that a resident was sexually abused while in care. During the interview on July 2, 2023, the resident (R1) made “delusional statements”, stating that R1 had been sexually assaulted while asleep, however R1 admitted to never observing anyone enter the room. R1 stated “I was violated” and added “they were doping me up”, but when asked about who was doing this to R1, R1 was unable to provide further information by stating “I don’t know”. UnsubstantiatedRead the full finding— CDSS inspection report, July 14, 2023 · control 22-AS-20230526163012

Licensing Program Analyst (LPA) Celine De Perio made an unannounced visit to this facility to deliver the findings for the complaint received on 3/24/23. LPA De Perio was greeted by front desk staff and facility administrator (AD) Patty Osuna and explained reason for visit. It was alleged that staff are administering unprescribed medications to residents in care. LPA De Perio conducted a total of 8 interviews which consisted of staff and residents. 4 out of the 8 interviews did not corroborate with the allegation by stating that both medications and vitamins are not given to residents unless ordered by a doctor. LPA conducted a tour of the facility, which included the medication room and observed that the medications the facility had on-hand, were as stated in the doctor orders and facility medication report. LPA reviewed resident's (R1) physician report, medication record, hospital admission and discharge paperwork, and incident reports pertaining to this allegation. LPA also contacteRead the full finding— CDSS inspection report, May 9, 2023 · control 22-AS-20230324115526

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA met with Administrator Patty Osuna. LPA explained the reason for the visit. The investigation into the allegation, staff allowed resident to leave the facility unsupervised revealed the following. It was alleged that Resident 1 (R1) left the facility unsupervised on 2/16/23 around 1:15 pm and was found walking in the street around a quarter of a mile away. It was reported that R1 was disoriented and confused and then brought back to the facility by concerned citizens. R1 verified they were brought back to the facility and reported they were not disoriented or confused. R1 reported that someone offered them a ride home so they accepted. A review of R1's physician report shows that R1 is able to leave the facility unassisted. Staff interviewed reported that R1 leaves the facility each day and returns in the afternRead the full finding— CDSS inspection report, March 2, 2023 · control 22-AS-20230222084528