Westfield Villa Gardens

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 bathing residents in accordance with their individual care needs Staff are not ensuring the facility remains free of incontinence odors. Staff are not ensuring resident's personal items are safeguarded

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegations. LPA met with Administrator Gemma Falls, and discussed the purpose of the visit. Regarding allegation #1, LPA interviewed eight (8) residents. Six (6) of the eight (8) residents agreed staff provide them with enough showers a week. 1 of the 8 residents informed LPA they are sick and cannot take many showers, and 1 of the 8 residents informed LPA they do not receive enough showers from staff. LPA interviewed five (5) staff, all 5 have agreed they provide residents with 2-3 showers a week. Regarding allegation #2, LPA observed staff cleaning the facility, the facility was free of incontinence odor and smelled like cleaning solutions. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 2, 2025 · control 56-AS-20251125140816

Allegation investigated: Licensee is not adhering to proper eviction protocols with residents in care Staff are not reporting incidents involving residents in care

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced visit to the facility to conduct complaint investigation on the above allegations. LPA met with Administrator, Alma Espinal who was informed of today’s visit. The investigation consisted of LPA observations, reviewing pertinent records, and interviews with relevant parties. Regarding the allegation, Licensee is not adhering to proper eviction protocols with residents in care, it was alleged that Resident #1 (R1), Resident #2 (R2), and Resident #3 (R3) were not provided relocation assistance after being served eviction. A review of facility records reveals that R1 and R2 were issued 30-day eviction notices, which included a referral list for residential care housing. Interviews with staff and a review of records revealed that R3 was not given an eviction notice, as R3’s family voluntarily discharged the resident from the facility. Therefore, there is not enough evidence to corroborate the allegation. **continued on Lthe state’s words, verbatim · CDSS document, Oct 23, 2025 · control 56-AS-20240326152021

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 do not meet a resident's dental needs Staff do not meet a resident's physical therapy needs Staff do not meet a resident's dietary needs Staff do not provide adequate care and supervision to a resident

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to deliver findings on a complaint investigation regarding the above allegations. LPA met with Administrator Gemma Falls and discussed the purpose of the visit. Regarding allegation #1, LPA conducted eight (8) resident interviews. Four (4) residents confirmed they brush their own teeth, three (3) residents don’t have any teeth, one (1) resident stated staff are not brushing resident’s teeth. LPA conducted three (3) staff interviews, all of whom confirmed they meet the dental needs for residents, although some refuse or bite the toothbrush. Regarding allegation #2, LPA conducted 8 resident interviews. 7 of the 8 confirmed they do not need physical therapy, and choose not to exercise. 1 of the 8 residents stated physical therapy needs are not being met. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 11, 2025 · control 56-AS-20240826141555

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 does not ensure resident's showering needs are being met. Staff does not provide resident adequate food service Staff does not safeguard resident's personal belongings Staff left resident in soiled diaper for an extended period of time

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced visit to the facility to conclude the complaint investigation. LPA met with Supervisor, Gemma Falls and discussed the purpose of the visit. The investigation consisted of LPA record review, interviews with residents and staff. Regarding the allegation, staff does not ensure resident's showering needs are being met, four (4) staff interviewed deny not ensuring resident's showering needs are being met. Five (5) out of (6) residents interviewed stated that their showering needs are being met. Regarding the allegation, staff does not provide resident adequate food service, it was alleged that hot food is not served at appropriate temperatures. Four (4) staff interviewed deny that hot food is not served at appropriate temperatures. Four (4) out of (6) residents interviewed stated that hot food is served at appropriate temperatures. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 16, 2024 · control 56-AS-20240507133354

Allegation investigated: Facility staff are not assisting resident with hygiene needs

Licensing Program Analyst (LPA) Magda Malcore conducted an unannouced complaint visit to the facility. LPA met with Alma Espinal, Administrator, and was informed of the visit. Regarding the allegation, facility staff are not assisting resident with hygiene needs, During today's visit, LPA observed ants on resident #1(R1's) mattress. R1 lifted their pillow and several ants were observed on the pillow. Two (2) staff immediately changed the linen and mopped the floors. Interviews with staff reveal that R1 often eats in his bed and could be attracting the ants. LPA record review reveals, on 6/29/24, R1 was seen by a medical professional who described R1 as having poor personal hygiene. Based on LPA record review and observations, the allegation is Substantiated. A finding that the complaint is Substantiated means that the allegation(s) is valid because the preponderance of the evidence standard has been met. An exit interview was conducted where reports (LIC9099&LIC9099-D) were discussed athe state’s words, verbatim · CDSS document, Aug 1, 2024 · control 56-AS-20240531155038

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 provide adequate supervision, resulting in a resident being threatened by other residents. Staff did not ensure that a resident received medical services. Staff left a resident in a wheelchair for extended periods of time.

On 03/28/2024 at 01:30 PM, Licensing Program Analysts (LPAs) Melody Brown and Sarina Ramirez met with Administrator Maria Jasmin Dolores at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office to deliver the findings of the above allegations. LPAs Brown and Ramirez explained the purpose of the requested Office Visit. The investigation consisted of observation, interviews, and a review of pertinent documentation. The investigation was conducted by LPA Melody Brown. The investigation consisted of records review and interviews with relevant parties. The first allegation indicates that Staff did not provide adequate supervision, resulting in a resident being threatened by other residents. During the investigation, LPA Brown did not find evidence to corroborate the allegation. Interviews with four (4) of four (4) residents indicated that all staffs at the facility are providing them adequate supervision and all residents interviewed reported that they did notthe state’s words, verbatim · CDSS document, Mar 28, 2024 · control 56-AS-20240321085554

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 relocated residents to facility without their consent.

Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to deliver findings for the mentioned allegations. LPA Allen met with Maria Jasmin Dolores-Administrator who was informed of the purpose of the visit. The investigation consisted of interviews with three (3) clients,three (3) responsible parties and a review of each client’s file. The interviews with the clients and their responsible parties all stated the clients were removed from Arlington Riverside Senior Community and relocated to Westfield Villa Gardens without their consent. However, the clients have all stated they are willing to remain where they are currently. During the investigation Maria J. Dolores was asked if the clients and their responsible parties were aware of the move to Westfield Villa Gardens and she stated that she could not confirm or deny that consent was given because she never confirmed with the clients, their responsible parties or the administrator because she was under the imprethe state’s words, verbatim · CDSS document, Oct 12, 2023 · control 56-AS-20230728141845

Allegation investigated: Staff are not allowing residents to have visitors.

Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to deliver findings for the mentioned allegations. LPA Allen met with Maria Jasmin Dolores-Administratowho was informed of the purpose of the visit. The investigation consisted of interviews with three (3) clients, three(3) responsible parties and facility staff who all stated clients have and are allowed to have visitors and has never been denied visitors while at the facility. Based on interviews with the clients and their responsible parties the above allegation is Unsubstantiated. A finding of unsubstantiated means although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted, and this report was discussed and provided to Maria Jasmin Dolores-Administrato at the conclusion of the visit with appeal rights. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 12, 2023 · control 56-AS-20230728141845