Assured Care 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 caused injury to resident while in care. Staff forced resident to take a shower. Staff prohibited a resident from placing a call to a family member.

On July 29, 2025, Licensing Program Analyst (LPA) Jessica Cho made an unannounced subsequent visit for the purpose of delivering the investigation findings into the above allegations. LPA was greeted and granted entry by Caregiver Loreta Angeles and informed Administrator Theresa Dompreh-Mensah by telephone explaining the reason for the visit. On February 25, 2025, the Department received a complaint alleging a violation of personal rights and physical abuse of Resident #1 (R1). The investigation was initiated by the Department on February 26, 2025, followed by a subsequent visit on July 1, 2025. During the course of the investigation, the Department interviewed six residents, five staff, and obtained the following documentation: Resident Rosters, Personnel Reports, Shower Schedule, Staff Tasks, Face Sheets, Physician’s Reports for all residents as well the Incident Report (LIC624) dated February 25, 2025 regarding R1, Admission Agreement dated November 22, 2022, Needs and Services Plathe state’s words, verbatim · CDSS document, Jul 29, 2025 · control 22-AS-20250225150251

Allegation investigated: Wrongful eviction

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the allegations listed above. LPA was greeted and granted entry by facility staff after introducing himself and stating the purpose of the visit. Administrator Theresa Dompreh-Mensa was present on the premises. The initial complaint investigation visit took place on December 5, 2024. LPA accompanied by administrator conducted a tour of the facility's physical plant. There were 5 residents admitted to the facility at the time. LPA requested and reviewed resident records for all five current residents in addition to a resident discharged from the facility in July 2024. Admission agreement and house rules were additionally reviewed along with the visitor's log for the months of October and November 2024. Additional witness interviews were conducted over the course of the investigation. CONTINUED ON FORM LIC9099-C Substantiatedthe state’s words, verbatim · CDSS document, Mar 10, 2025 · control 22-AS-20241126160403

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 are not adequately trained. Facility is unsanitary

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit. Administrator/ Licensee Theresa Dompreh-Mensah arrived during the visit. During the course of the investigation, LPA toured the facility and interviewed staff and residents as well as reviewed and obtained pertinent documentation such as training records. Regarding the allegations that staff are not adequately trained and facility is unsanitary, the investigation revealed the following: LPA toured the facility during the visit and observed the facility is clean, safe and sanitary. No hazards were observed during the visit. LPA reviewed training records and four out of four staff have required annual training as well as medication training. Based on observations and record review, the allegations are deemed UNFOUNDED, meaning the allegations were false,the state’s words, verbatim · CDSS document, May 29, 2024 · control 22-AS-20240521145649

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 ensure that resident's mental health needs were met.

Licensing Program Analyst (LPA) Jessica Cho arrived unannounced and met with Administrator (Admin) Theresa Dompreh-Mensah for the purpose of continuing the investigation and delivering the findings into the above allegation. LPA explained the reason for the visit and reviewed the allegation with Admin Dompreh-Mensah. On October 10, 2023, LPA initiated the complaint investigation which involved interviews with residents and staff and obtaining pertinent resident records. On today's date, LPA continued the investigation and conducted additional interviews with resident/staff and obtained a missing record that was not provided during the initial visit. The following was determined based on the evidence obtained: It is alleged that the staff did not ensure that the resident’s mental health needs were met. It was noted on the Special Incident Reports (SIRs) and Progress Notes that Resident #1 (R1) expressed homicidal ideations towards Resident #2 (R2) on two occasions: September 12th and Sethe state’s words, verbatim · CDSS document, Nov 8, 2023 · control 22-AS-20231006142559

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: Uncleared staff provided care to residents

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the visit, LPA toured the facility and interviewed staff and residents. Regarding the allegation that uncleared staff provided care to residents, the investigation revealed the following: Staff (1) was present at the facility from 08/26-08/30/2023 while in the exemption process for background clearance. Facility received notification of exemption needed on 06/19/2023 with another notification for additional information on 08/25/2023. S1 was not approved by the Care Provider Management Bureau to be working, volunteering, or present at the facility while the exemption was pending. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22,the state’s words, verbatim · CDSS document, Sep 14, 2023 · control 22-AS-20230907145157