Crestavilla

Allegation investigated: Staff did not address a carbon monoxide hazard in a timely manner.

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to deliver the findings of the complaint investigation into the allegation listed above. LPA met Executive Director Myra Aragones and explained the reason for the visit. During the course of the investigation, Department staff inspected the facility, interviewed staff, witnesses and reviewed records, including resident roster, staff roster, staff schedule, Resident 1’s (R1) physician’s report dated November 9, 2023, R1’s preplacement appraisal dated November 9, 2023, R1’s functional capabilities assessment, R1’s resident and services agreement dated November 16, 2023, Fire incident reports dated November 19 and November 23, 2025, and Fire Alarm Inspection reports dated November 6 through November 19, 2025. The investigation into the allegation, Staff did not address a carbon monoxide hazard in a timely manner, revealed the following. Substantiatedthe state’s words, verbatim · CDSS document, May 27, 2026 · control 22-AS-20251124165355

Allegation investigated: Relocated Pool heater without proper permits

Licensing Program Analysts (LPAs) Joseph Alejandre and Garli Tat made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPAs met with Executive Director (ED) Myra Aragones and explained the reason for the visit. The investigation into the allegation revealed the following. It was reported that the facility relocated the pool heater vent and started operating the pool and the pool heater on or around February 22, 2026 without the proper city permit. According to city code enforcement the project at the facility of relocating pool heater vent requires a permit. LPA interviewed the Executive Director and Facilities Management Director who reported that the facility pool heater vent was relocated in January and was inspected by the Gas Company. The ED reported that the pool and the pool heater was up and running on February 22, 2026. The ED reported that the permit process was started on February 13, 2026. The ED reportedthe state’s words, verbatim · CDSS document, Mar 18, 2026 · control 22-AS-20260313153514

Allegation investigated: Staff are not safeguarding resident's personal belongings Staff steal money from resident Staff mishandle residents medication Staff open resident’s mail

Licensing Program Analyst (LPA) Joseph Alejandre made an unannouced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA met with Executive Director Myra Aragones and explained the reason for the visit. The investigation into the allegation, staff are not safeguarding resident's personal belongings revealed the following, it was reported that facility staff take Resident 1's (R1) personal items from their room, such as jewelry, clothes and cleaning supplies. R1 could not provide specific item descriptions except for one jewelry item that was a necklace. R1 reported that the theft has been ongoing since they moved in back in 2023 and could give any specific dates as to when anything was taken. R1 reported that law enforcement was contacted but after talking to them they did not even take a report. R1 could not provide any names of the staff who took the items or the dates when items were taken. A review of records shows R1 moved inthe state’s words, verbatim · CDSS document, Feb 25, 2026 · control 22-AS-20260223143903

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: Staff did not ensure food served to residents was free from contamination.

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 Executive Director Myra Aragones and explained the reason for the visit. LPA and the Executive Director toured the facility including the kitchen. The investigation revealed the following. LPA observed the kitchen is clean and organized. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA inspected the perishable food supply. LPA inspected the 7 day non-perishable food supply. No deficiencies observed in the food supply. LPA observed the facility serving lunch during the visit. LPA interviewed 5 staff members. 5 out of 5 staff members interviewed reported they had not observed any contaminates or foreign objects in any of the food served to residents. LPA interviewed 7 residents. 6 out of 7 residents reported they had no issues with the food and have neverthe state’s words, verbatim · CDSS document, Oct 1, 2025 · control 22-AS-20250923163448

Allegation investigated: Staff did not get timely medical care for resident

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 Hospitality Services Director Paolla Carrillo and Assisted Living Director Deserie Rodillo. LPA explained the reason for the visit. LPA toured the facility. LPA interviewed staff and residents. LPA requested documents such as admission agreements, physician reports, needs and care plans, medication administration records, resident progress notes, resident roster, staff roster and staff schedule. The investigation into the allegation, staff did not get timely medical care for resident revealed the following. It was reported that Resident 1 (R1) sustained an injury that required medical attention. On August 3, 2025 in the afternoon, R1 was noted to have an injury on each forearm. Resident 2 (R2) noticed the injuries and took R1 to the Wellness office. The Resident Care Coordinator (RCC) assessed R1 and dethe state’s words, verbatim · CDSS document, Aug 28, 2025 · control 22-AS-20250826093143

Allegation investigated: Resident was not allowed to use the telephone. Facility did not respect residents visitation wishes. Facility did not allow resident to have their mail.

This unannounced inspection is being conducted by Licensing Program Analysts (LPAs) Sean Haddad and Edward Kim for the purpose of delivering findings for the investigation into the above identified complaint allegations. LPAs met with Memory Care Director (MCD) Norma Martinez and explained the reason for today’s inspection. Administrator (AD) Myra Aragones was not present during the inspection. The investigation into the allegations that a resident was not allowed to use the telephone, the facility did not respect residents visitation wishes, and the facility did not allow resident to have their mail revealed the following: During the course of the investigation, LPAs inspected the facility, interviewed AD, Memory Care Director (MCD) Norma Martinez, residents, and witnesses, and obtained and reviewed copies of the resident roster, staff roster, an Unusual Incident Report dated October 10, 2024, Resident #1’s (R1) Care Notes dated September 9, 2024, R1’s Letter dated February 9, 2024, Rthe state’s words, verbatim · CDSS document, Dec 24, 2024 · control 22-AS-20241015084244

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.