Wildwood Canyon Villa

Type of visit: Required - 1 Year

Licensing Program Analyst (LPAs) Edith Conchas and Renese Howell-Small made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator, Wendy Barrera and was granted entry to the facility. The facility is a Residential Care Facility for Elderly (RCFE) licensed capacity for (130) nonambulatory of which (130) can also be bedridden, hospice waiver for (20). The facility has (54) resident bedrooms with private bathrooms in the assisted living wing and (29) resident bedrooms with shared bathrooms in the memory care wing. The facility also has additional resident and staff bathrooms, offices, reception area, club house, wellness room, library, activity room, entertainment rooms, kitchen, dining area, (3) laundry rooms, staff room, medication room, and shaded patios. LPAs were accompanied by Wendy to conduct a general overall inspection, which included, but was not limited to the following:The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. Water temperatures measured at 120 degrees fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating fire extinguishers, smoke detectors, sprinklers, signal alarms and carbon monoxide alarms. Posters such as personal rights, CCL complaint poster, CCL license, ombudsman, and resident rights were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for residents/staff files. Medications were kept inaccessible to residents. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Continue to LIC 809-C Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. LPA reviewed residents files for admission agreements, physician reports, and needs and services plans. LPA also reviewed staff files for criminal record clearance and health screenings. LPA reviewed facility's file for emergency disaster plan, annual fire inspection, infection control plan and insurance policy. An exit interview was conducted, this report and appeal rights were discussed and provided to Administrator, Wendy Barrera.the state’s words, verbatim · CDSS document, Apr 23, 2026

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Staff are not allowing resident to use motorized wheelchair.

On March 19, 2026, Licensing Program Analysts (LPAs) Andrew Martinez and Edith Conchas conducted a subsequent unannounced visit to the facility to continue the investigation of the above-mentioned complaint allegation and deliver findings. LPAs were greeted by Business Service Director, Pricilla Vazquez, indicating the reason for the visit and met with Administrator Wendy Barrera. Today’s investigation consisted of additional interviewing and further records review. The allegation is that staff are not allowing resident to use motorized wheelchair. Interviews with Staff 1 (S1) and Staff 2 (S2) indicate that resident’s (R1) operation of their own motorized wheelchair in the facility began posing a safety concern to self, residents and staff. Based on record review, LPA did not observe staff notes or unusual incident reports of occurrence or of safety concerns reported. Interview with Witness (W1) indicated they were made aware of the facilities concerns and agreed that the equipment should be removed from R1’s usage due to safety concern of the residents in care. However, based on record review, LPA did not observe any documentation stating R1 is not mentally competant to make their own medical decisions. Substantiated Documented in R1’s most recent in-house wellness appraisal, dated 01/08/2026, it is indicated that a wheelchair is used as an ambulation aid and states “[resident] will use the wheelchair when the scooter needs charging.” Continuing in the wellness appraisal, under sections titled Cognitive Function, Safety Needs, and Psychosocial, there are no selections indicating that R1 displays cognitive impairment or behavioral issues that pose a safety risk to themselves or other residents in care. R1’s last Medical Assessment for RCFE LIC 602A, dated 07/21/2025, indicates R1 does not have any cognitive conditions or any other medical conditions, but requires assistive devices (“wheelchair/walker”) for motor impairment, and can manage own treatment/medication/equipment. Based on LPA's interviews and record review on the allegation, staff are not allowing resident to use motorized wheelchair, the allegation is SUBSTANTIATED. A find that is that the complaint is substantiated means that the preponderance of evidence standard has been met. A deficiency per the California Code of Regulations (CCR), Title 22, Division 6, Chapter 8, is being cited on the attached LIC 9099D for this allegation. An exit interview was conducted to discuss the findings of this Complaint Investigation Report. A copy of this report LIC 9099, LIC 9099C, LIC 9099D, and Appeal Rights were provided and discussed with Administrator Barrera whose signature on this form confirms receipt of stated documents.the state’s words, verbatim · CDSS document, Mar 19, 2026 · control 56-AS-20260303154622

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.2(a)(27) · Plan of correction due date: Mar 20, 2026

87468.2(a) In addition to the rights listed in Section 87468.1… residents... shall have all of the following personal rights: (27) To keep, have access to, and use their own personal possessions… unless limited by statute or regulation. This requirement was not being met as evidenced by: Based on interviews and record review, facility staff are not allowing resident to use motorized wheelchair which poses an immediate risk to the health safety and personal rights of resident in care.the state’s words, verbatim · CDSS document, Mar 19, 2026

Plan of correction: Administrator will locate R1s motorized wheelchair and return it to R1 with confirmation of complaince via email to LPA by POC due date.

Allegation investigated: Staff did not assist a resident's call button in a timely manner Staff do not provide residents with housekeeping services Staff do not ensure that the facility is maintained sanitary Facility is malodorous Licensee does not ensure that staff receives required training

On 7/24/2025 at 10:40 AM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegations. LPA Serrano met with Resident Care Coordinator (RCD) Jessica Valiente to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staff and residents as well as facility observation. Allegation #1: Staff did not assist a resident's call button in a timely manner – Based on observation LPA tested one of the resident’s call buttons and one of the staff came to the room to check the resident within 2 minutes. Based on the interview, 6 out of 6 residents and 6 out 6 staff stated that when the call button was pressed the care partners would come right away, whoever staff that is available will come to check the residents. LPA was unable to corroborate the allegation. Allegation #2: Staff do not provide residents with housekeeping services - Based on file review and interviews, 6 out 6 residents and 6 out 6 staff stated that the housekeeping cleans their room and changes bedding once a week on schedule. The facility also provided the housekeeping schedule. LPA was unable to corroborate the allegation. *** Continuation in LIC9099C *** Unsubstantiated Allegation #3 Staff do not ensure that the facility is maintained sanitary - Based on interviews, information received during the investigation did not corroborate with the allegation. Based on LPA's observation the facility was recently renovated, and the facility is clean and sanitary all through out. Allegation #4 Facility is malodorous – Based on interviews, information received during the investigation did not corroborate with the allegation. Based on LPA’s observation the facility does not have a foul odor or bad smell. Allegation #5 Licensee does not ensure that staff receives required training – Based on file review and interviews, 6 out 6 staff indicated that every staff is trained before they start working at the facility. Facility provided the certificate of completion of all the medtech’s training including staff #7 (S7) training certificate. LPA was unable to corroborate the allegation. During the investigation, LPA did not find evidence to corroborate the allegations. Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted where this report, LIC9099 and LIC9099C were discussed and provided to RCD Jessica Valiente.the state’s words, verbatim · CDSS document, Jul 24, 2025 · control 56-AS-20241205093157

Allegation investigated: Staff do not ensure sick residents are properly isolating. Staff overlooked resident's medical records resulting in staff not allowing resident to eat or drink. Staff do not ensure resident is accorded privacy. Staff does not ensure facility is in good repair.

On 7/24/2025 at 10:40 AM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegations. LPA Serrano met with Resident Care Coordinator (RCD) Jessica Valiente to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staff and residents as well as facility observation. Allegation #1: Staff do not ensure sick residents are properly isolating. – Based on the interview, 6 out of 6 residents and 6 out 6 staff stated that when the resident is sick, the facility is isolating them. The resident is assessed by the medtech and if the residents have serious illness, then they send them to the hospital and let the medical professional make a decision if they are going to be confined. LPA was unable to corroborate the allegation. Allegation #2: Staff overlooked resident's medical records resulting in staff not allowing resident to eat or drink. - Based on interviews, 6 out 6 residents and 6 out 6 staff stated that the staff gives the resident food and drink. Based on file review resident #7 (R7) was provided services from an outside source. LPA was unable to corroborate the allegation. *** Continuation in LIC9099C *** Unsubstantiated Allegation #3 Staff do not ensure resident is accorded privacy. - Based on interviews, 6 out 6 residents and 6 out 6 staff stated that the staff respect the residents’ privacy. LPA inspected the memory care section of the facility and observed that all the rooms have blinds. LPA was unable to corroborate the allegation. Allegation #4 Staff does not ensure facility is in good repair. – Based on LPA’s observation the facility was recently renovated, therefore the facility is in good repair. LPA unable to corroborate the allegation. During the investigation, LPA did not find evidence to corroborate the allegations. Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted where this report, LIC9099 and LIC9099C were discussed and provided to RCD Jessica Valiente.the state’s words, verbatim · CDSS document, Jul 24, 2025 · control 56-AS-20241206110339

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michelle Echeverria made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator, Wendy Barrera and was granted entry to the facility. The facility is a Residential Care Facility for Elderly (RCFE) licensed capacity for (130) nonambulatory of which (130) can also be bedridden, hospice waiver for (20). The facility has (54) resident bedrooms with private bathrooms in the assisted living wing and (29) resident bedrooms with shared bathrooms in the memory care wing. The facility also has additional resident and staff bathrooms, offices, reception area, club house, wellness room, library, activity room, entertainment rooms, kitchen, dining area, (3) laundry rooms, staff room, medication room, and shaded patios. LPA was accompanied by Wendy to conduct a general overall inspection, which included, but was not limited to the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at comfortable temperatures 74, 71, 70, 72, and 73 degrees fahrenheit. Water temperatures measured at 122, 119, and 115 degrees fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating fire extinguishers, smoke detectors, sprinklers, signal alarms and carbon monoxide alarms. Posters such as personal rights, CCL complaint poster, CCL license, ombudsman, and resident rights were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for residents/staff files. Medications were kept inaccessible to residents. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Pesticides and other toxin's are not stored in food areas. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed residents files for admission agreements, physician reports, and needs and services plans. LPA also reviewed staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA observed (5) personnel reports missing from the staff files. Deficiency issued. LPA reviewed facility's file for emergency drills, emergency disaster plan, annual fire inspection, infection control plan and insurance policy. LPA observed the infection control plan not reviewed since 04/18/22. Technical violation issue. One deficiency and one technical violation was cited during this visit. An exit interview was conducted, this report LIC809, LIC809C, LIC809D and appeal rights were discussed and provided to Administrator, Wendy Barrera.the state’s words, verbatim · CDSS document, Apr 3, 2025

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Wendy Barrera, Administrator, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (130) and a current census of (61) residents in care. The facility has a hospice waiver for (20) residents. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant: Indoor and outdoor passageways are free of obstruction. The facility has no bodies of water accessible to residents in care. The facility's outdoor activity areas are enclosed and sufficient for resident activities. The facility's indoor activities areas are sufficient for residents activities. Five (5) resident bathrooms inspected were maintained in operating and sanitary conditions. In resident's bathrooms, the lowest hot water temperature tested 106 degrees F and the highest hot water temperature tested 116 degrees F. Five (5) resident bedrooms inspected have sufficient lighting, operating signal system, and furniture in good repair. The facility has operating fire and carbon monoxide alarms, laundry equipment, and telephone service. The facility has sufficient linen, towels, and personal hygiene items for residents. The facility has posted in a common area, Ombudsman poster, resident council rights, monthly planned activities, emergency evacuation exits and emergency telephone numbers. Care & Supervision: Facility has 24-hour care staff to meet the needs of the residents. Medical Related Services: All medication is centrally stored and kept locked in the medication room. Food Service: The facility kitchen is maintained free of litter and pests. The facility has sufficient non-perishable and perishable food supply for residents in care. The refrigerator and freezer are operating in a healthful manner. Pesticides and other cleaning solutions were kept locked and stored away from food areas. The facility's dining room areas are sufficient for residents in care. Record Review: The last fire drill conducted was on 1/30/24. The facility's liability insurance is current. Five (5) resident files reviewed were observed to be complete. Review of five (5) staff files reveal the following: staff #1(S1), staff #2(S2), staff #3(S3), staff #4(S4), and staff #5 (S5) did not have documentation of criminal record clearances on file. S1, S2, S3, and S4 did not have documentation of First Aid training on file. S1 did not have documentation of job related training on file. S4 did not have documentation of a health screening with tuberculosis results on file. Deficiencies cited. Based on observations and record review, deficiencies are being cited per Title 22, Division 6 of The California Code of Regulations An exit interview was conducted where Licensing reports LIC809, LIC809-C, LIC809-D, and LIC9102 were discussed. Copies of the reports with Appeal Rights were provided to the Administrator at the conclusion of the visit.the state’s words, verbatim · CDSS document, Feb 13, 2024

The state marks this report as 9 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.