Fullerton Villa

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 administered medication to a resident without proper consent

On February 18, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to initiate the investigation into the allegation listed above and to deliver the complaint findings. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Administrator (AD) Jae Wan Rim was present and assisted on today's visit. During the course of the investigation, LPA conducted one staff interview, reviewed and obtained pertinent documents to the complaint. Regarding the allegation, staff administered medication to a resident without proper consent, the following has been concluded: It was alleged that staff administered medication to Resident #1 (R1) without proper consent. LPA reviewed R1's file including the admission agreement, medical assessment, pre-placement appraisal, resident appraisal, needs and services plan, and medication administration records. LPA observed there was no medical power of attorney on file for Rthe state’s words, verbatim · CDSS document, Feb 18, 2026 · control 22-AS-20260213155556

Allegation investigated: Lack of care and supervision resulted in resident's decline. Facility did not notify responsible party of resident's change in condition. Facility denied the resident's right to reject medical care or other services. Facility did not ensure resident was provided 3 meals a day. Facility failed to provide basic hygiene items for resident.

Licensing Program Analyst (LPA) Fred Arias conducted an unannounced complaint visit to finalize an investigation into the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit. An initial investigation visit was conducted on July 11, 2023 by the Department. It was alleged staff lack of care and supervision resulted in resident’s decline, facility did not notify responsible party of resident’s change in condition, facility denied the resident’s right to reject medical care or other services, facility did not ensure resident was provided 3 meals a day, and facility failed to provide basic hygiene items for resident. During the investigation, the Department conducted interviews with residents in care and staff. LPA Arias reviewed records obtained. The investigation determined as follows: Regarding the allegation lack of care and supervision resulted in resident’s decline, it was reported resident 1 (R1)’s ability to express themselvethe state’s words, verbatim · CDSS document, Dec 12, 2025 · control 22-AS-20230711165849

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 failed to issue a refund after a resident moved out Facility staff failed to provide a healthful environment, resulting in a resident's hospitalization

Licensing Program Analyst (LPA) Fred Arias conducted an unannounced complaint visit to finalize an investigation into the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit. An initial investigation visit was conducted on February 15, 2024 by the Department. It was alleged staff facility failed to issue a refund after a resident moved out and facility staff failed to provide a healthful environment, resulting in a resident's hospitalization. During the investigation, the Department conducted interviews with residents in care and staff. LPA Arias reviewed records obtained. The investigation determined as follows: Regarding the allegation facility failed to issue a refund after a resident moved out, it was reported the facility did not provide a refund when resident 1 (R1) did not return to the facility after being hospitalized on January 3, 2024. Continued on LIC9099-C dated 10/23/2025 Unfoundedthe state’s words, verbatim · CDSS document, Oct 23, 2025 · control 22-AS-20240207092654

Allegation investigated: Staff not responding to resident's calls Staff not providing assistance to resident when brushing teeth

Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit to the facility to conclude investigation to the above identified complaint allegations. LPA arrived at the facility and was greeted and granted entry. LPA spoke with Jae Wan Rim, Administrator and explained the purpose of the visit. Findings are based upon this investigation which included tour of the facility, facility file review, and interviews conducted. It is alleged that staff not responding to residents’ calls. Interviews with 10 of 10 residents stated that when they call for help, they have always gotten the help they need, and staff come to help them all the time. They stated that they have waited about 10-15 minutes at a time, but they have not waited too long. Interview with staff stated that they get the call and the caregiver that is assigned to that area of the facility Continued on LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 23, 2025 · control 22-AS-20220712101114

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

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

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

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

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

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 not following resident's admission agreement.

Licensing Program Analyst (LPA) Jessica Cho arrived unannounced for the purpose to investigate into the above allegation. LPA met with Administrator (Admin) Darlene Lindley, explained the reason for the visit, and discussed the elements of the allegation. On December 4, 2020, the Department received the complaint, and the 10-day investigation was initiated by LPA Lydia Martinez. LPA Martinez conducted the investigation via telephone and obtained the records via email due to the Coronavirus 2019 precautionary measures at that point in time. During today's visit, LPA Jessica Cho obtained addtional resident records and interviewed resident/staff. The following was revealed during the course of the investigation pertaining to Resident #1 (R1): It is alleged that the facility is not following the resident's admission agreement. In review of the parking fee notice dated November 10, 2020, the notice indicates effective December 10, 2020, there would be a fee of $100.00 for residents utilizinthe state’s words, verbatim · CDSS document, Dec 13, 2023 · control 22-AS-20201204161940

Allegation investigated: Facility did not prevent the spread of scabies

Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit to investigate the complaint allegation above. LPA Haley identified himself and explained the reason for the visit with staff. During the visit, staff lead a brief tour of the facility before interviews began. Regarding the allegation: Facility did not prevent the spread of scabies During the investigation, interviews were conducted with Administrator Darlene Lindley, staff members and residents. 5 individuals interviewed confirmed residents had scabies. 4 staff members interviewed confirmed residents had scabies in 2020. Staff 1 (S1) stated the scabies were treated right away. S1 claimed the facilities in house doctor prescribed cream to treat the residents who had scabies and their roommate, even if the roommate did not have scabies they were still treated. Staff 2 (S2) confirmed residents had scabies and said residents were treated with cream, isolated, rooms were sanitized, and cloths were separated and cleaned.the state’s words, verbatim · CDSS document, Dec 12, 2023 · control 22-AS-20200814090028

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: Resident sustained injuries from a fall while in care Staff is threatening resident with eviction

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced visit to the facility for the complaint received on 10/06/2020 and to deliver the findings. LPA De Perio explained the purpose of today's visit, and was greeted by facility administrator (AD) Darlene Lindley and Assistant Administrator Jae Rim. During the investigation, LPA De Perio toured the physical plant of the facility, conducted interviews, and requested copies of pertinent records reviewed. It was alleged that resident sustained injuries from a fall while in care. Per resident (R1) physician report, R1 is non-ambulatory and has a history of falling and wandering. R1 was also reported to have dementia with behavioral disturbances. On 9/29/2020 and 10/02/2020, the facility observed that R1 had redness around the eyes, to which the facility contacted medical care and R1 was sent to the hospital to obtain further evaluation and treatment, and reported the incidents to R1's family on the same day. Unsubstantiatethe state’s words, verbatim · CDSS document, Dec 11, 2023 · control 22-AS-20201006152005

Allegation investigated: Staff not giving resident PRN medication.

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to continue the investigation into the allegation listed above. LPA met with Administrator Darlene Lindley. LPA explained the reason for the visit. LPA reviewed facility records for Resident 1 (R1). LPA and Administrator toured the facility. The investigation revealed the following. Facility records for R1 show R1 was prescribed Hydrocodone-Acetamin 5-325 MG as needed (for pain) and Lorazepam .5 MG as needed (PRN medications). It was reported that on 9/22/2020 the facility did not provide R1 with their PRN Hydrocodone-Acetamin when requested by R1. Facility records show that R1's health care provider sent the facility orders on 9/22/2020 and 9/24/2020 to hold their PRN Hydrocodone-Acetamin till further orders are provided. The Administrator reported that R1 was made aware of the orders by their healthcare provider and by facility staff. R1 no longer resides at the facility and their where abouts are unknown. Thethe state’s words, verbatim · CDSS document, Dec 11, 2023 · control 22-AS-20200923110812

Allegation investigated: Resident sustained fracture due to staff neglect. Staff are not meeting resident's laundry needs. Staff did not safeguard resident's clothing. Staff did not feed resident. Staff did not properly dress resident.

.Licensing Program Analyst (LPA) Jessica Cho arrived unannounced and met with Adminstrator Darlene Lindley for the purpose of delivering the findings into the above allegations. On June 28, 2023, the Department received the complaint, and the investigation was initiated by LPA Kimberly Lyman on June 29, 2023. During the visit on June 29th, LPA Lyman obtained records and conducted the health and safety inspection, and there were no identified concerns observed at the time of the visit. On September 8, 2023, LPA Jessica Cho continued the complaint investigation, interviewed residents and staff, and obtained additional facility and resident records. Interviews were further conducted by LPA Cho via phone calls on September 27, 2023. The following are the findings investigated by the Department which involved a review of records and interviews pertaining to Resident #1 (R1): Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 18, 2023 · control 22-AS-20230628100247