Villa Westlake

Type of visit: Required - 1 Year

On October 22, 2025, Regional Manager (RM) Alycia Rayner and Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a required annual inspection utilizing the care tool. RM and LPA met with Staff and explained the purpose of the visit. Administrator arrived to the facility shortly afterwards after the physical plant tour was conducted. LPA, RM and Staff conducted a tour of the interior of the facility to ensure the health and safety of residents in care. Areas toured included but not limited to: residents bedrooms, bathroom, laundry room, office, garage, pantry, kitchen and the common areas. LPA advised Staff that air filters should be changed annually to ensure clean filters. LPA observed temperature to be at a comfortable temperature of 72*. LPA observed the carbon monoxide alarm and fire alarm to be operating. LPA observed medication, sharps and toxins to be locked and secured. LPA observed facility to have two days of perishables and seven days of non-perishables foods. LPA observed a canned good to be expired, LPA was informed residents in care typically do not eat canned vegetables. LPA informed staff to conduct an audit of the pantry to remove all expired cans. File review was conducted for four residents in care, and four personnel records. LPA reminded Administrator that staff are to have active CPR and first aid certificates on file. LPA and Administrator discussed the current balance of the licensing fee. Administrator ensure payment will be made immediately. At this time, deficiency cited. Please see LIC 809-D. Exit interview conducted a copy of report and appeal rights was provided.the state’s words, verbatim · CDSS document, Oct 22, 2025

Type of visit: Prelicensing

On September 25, 2024, Licensing Program Analyst (LPA) DeAnna Williams-Lyons arrived announced to conduct a Pre-Licensing Inspection. LPA met with Alicia Portela, Administrator, who help with today's visit. This Pre-Licensing Inspection is a result of a Change of Ownership. The Administrator certificate expires 6/20/2026 and the current census is 4. The facilities Administrator’s Certificate, Emergency Disaster Plan, Resident’s Rights and Facility Sketch was available for viewing. The room temperature was 72 degrees F which is within range. LPA inspected the interior and the exterior of the facility including the common living spaces, the kitchen, resident bedrooms and bathrooms. In the kitchen area, cabinets and drawers were reviewed. Knives and sharp objects were reviewed to make sure that they were locked and made inaccessible to the residents at all times. LPA observed there to be a sufficient amount of 2-day perishable and 7-day non-perishable food. Hot water temperatures were taken and measured at 110 degrees F, which is within the allowed range of 105-120 degrees. There’s appropriate lighting throughout the facility. The facility is a one-story home with 5 bedrooms and 3 bathrooms. Living rooms, dining room, and areas designated for resident use were toured. Furniture and furnishings were observed to be sufficient and in good repair. Resident bedrooms and bathrooms were toured. There are 5 Bedrooms. All rooms had the required items of furniture. Window screens were on and in good repair. Bathrooms were clean, sanitary and odorless and consisted of grab bars and non-skid mats. The sink, toilet, bathtub and shower operate properly. The facility has a sufficient supply of linens, towels, bedding, etc. for residents in care. Washer and dryer was present and operating properly. Toxic substances, laundry and cleaning supplies were inaccessible. To continue see 809-C... First aid kit was present and included the required scissors, tweezers, thermometer and guide. Fire alarms, smoke alarms, and carbon monoxide detectors operate properly. Fire extinguisher is maintained and ready for emergency use. LPA inspected the exterior grounds of this facility. There are no bodies of water on the premises. The perimeter fence, side gates, and latches were in good repair. Passageways are free of obstruction and potential hazards. There’s a centralized storage area for resident’s medication. Medication cabinet is located in cabinet in the laundry room and is locked at all times. Resident files and 2 staff file are also located in cabinets in the laundry room which was locked . Facility has a current Infectious Control Plan. The administrator has an updated CPR and First Aid Certificates. The Disaster Plan is posted along with emergency numbers, complaint filing procedures facility theft and loss policy, and resident’s personal rights. Component III was not completed due to the administrator being in the business and an administrator of a Skilled Nursing Facility for 5 years. Licensure pending approval from Central Application Unit. Per California Code of Regulations, Title 22 Division 6, Chapter 8, no deficiencies were observed today. An exit interview was conducted and a copy of this report was given to Jiani.the state’s words, verbatim · CDSS document, Sep 26, 2024

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 4 COMP II Participants: Alicia Portela (C/A) and Myla Oclarino (C) Interview Method: Telephone interview On September 16, 2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staffing/Medications 3. Activities/COVID/Transportation 4.Pre Licensing inspection readinessthe state’s words, verbatim · CDSS document, Sep 16, 2024