Van Moore Villa

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Talwinder Bains arrived on 09/15/26 to conduct the annual inspection. LPA met with Administrator, Sefora Niculai and explained the purpose of today's visit. LPA reviewed files of three (3) residents and two (2) staff files and found all required documents. LPA and administrator toured the facility together to ensure the health and safety of residents in care. The areas toured included residents rooms, bathrooms, kitchen, and common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher was ready for emergency use. Hot water temperature was observed to be 109 degrees F, which is within the regulation range of 105-120 degree. Inside temperature was 74-76 degree F. Facility was clean and well organized. All required postings were observed. Facility is conducting quarterly fire and disaster drill as required. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by 9/30/26. No deficiencies were observed or cited per Title 22, CCR Regulations during this visit. Exit interview conducted and copy of this report was provided to administrator.the state’s words, verbatim · CDSS document, Sep 15, 2026

Allegation investigated: Licensee does not keep accurate personnel records.

Licensing Program Analyst (LPA) Talwinder Bains arrived at the care home today and met with the Administrator, Sefora Niculai to open and deliver complaint investigation findings regarding the above stated allegation. During today's visit, LPA conducted interviews and reviewed documentation pertinent to the investigation. LPA reviewed all staff files and found all staff to be criminal background cleared and to have complete personnel files. Interviews with Administrators and staff (S1 and S2) indicated that the staff working in the care home matched the Personnel Report LIC500. Based on documentation obtained and interviews conducted, the above allegations are found to be UNFOUNDED. A finding that the allegations are unfounded means that the allegations are false, could not have happened, and/or are without a reasonable basis. No deficiencies are being cited. Exit interview conducted. A copy of the report was provided. Unfoundedthe state’s words, verbatim · CDSS document, May 20, 2026 · control 59-AS-20260515101111

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Talwinder Bains arrived on 10/06/25 to conduct the annual inspection. LPA met with Administrator, Sefora Niculai and explained the purpose of today's visit. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed two residents and two staff records and found it to be complete. LPA and administrator toured the facility together to ensure the health and safety of residents in care. The areas toured included residents rooms, bathrooms, kitchen, and common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher was last serviced on 09/25/25 and was ready for emergency use. Hot water temperature was observed to be 105 degrees F, which is within the regulation range of 105-120 degree. Inside temperature was 76-77 degree F. Facility was clean and well organized. All required postings were observed. Facility is conducting quarterly fire and disaster drill as required. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by 10/20/25. No deficiencies were observed or cited per Title 22, CCR Regulations during this visit. Exit interview conducted and copy of this report was provided to administrator.the state’s words, verbatim · CDSS document, Oct 6, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Talwinder Bains arrived on 09/24/24 to conduct the annual inspection. LPA met with Administrator, Sefora Niculai and explained the purpose of today's visit. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed medications of two (2) residents comparing with physician orders and find no errors. LPA reviewed two (2) residents and two (2) staff files and found all required documents. LPA and administrator toured the facility together to ensure the health and safety of residents in care. The areas toured included residents rooms, bathrooms, kitchen, and common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher was ready for emergency use. Hot water temperature was observed to be 106 degrees F, which is within the regulation range of 105-120 degree. Inside temperature was 77-78 degree F. Facility was clean and well organized. All required postings were observed. Facility is conducting quarterly fire and disaster drill as required. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by 10/10/24. No deficiencies were observed or cited per Title 22, CCR Regulations during this visit. Exit interview conducted and copy of this report was provided to administrator.the state’s words, verbatim · CDSS document, Sep 24, 2024

Type of visit: Post Licensing

On 05/20/24, Licensing Program Analyst Talwinder Bains arrived to conduct an unannounced Post Licensing inspection. LPA met with Administrator, Sefora Niculai and explained the purpose of today's visit. LPA reviewed 2 residents and 2 staff files. All residents files contained the required paperwork. Staff file contained the required paperwork and training. Facility is current on fire drills. LPA toured the facility with Administrator. The following areas were inspected: backyard, resident rooms, resident bathrooms, kitchen, and common area. In the areas toured, there were no health or safety violations observed. No deficiencies cited per Title 22 Regulations. An exit interview conducted. A copy of this report was provided.the state’s words, verbatim · CDSS document, May 20, 2024