Canyon Villas

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced complaint investigation visit to deliver findings. The LPA introduced himself and disclosed the purpose of the visit to Executive Director Vonda Boller. Throughout the investigation, the Department secured records and conducted interviews with external and internal sources, including staff and clients. It was alleged staff did not assist residents with incontinence care. On March 11th, 2024, it was reported to the Department staff were not assisting residents and residents were left in soiled briefs. The LPA interviewed two residents (Resident # 2 (R2) and Resident # 3 (R3)), who were allegedly witnessed to be left in soiled briefs. The LPA was not able to qualify R2, as R2 was not able to answer the LPAs questions. An external source providing services to R2 did not report any concerns regarding lack of incontinence care for R2. (See LIC 9099-C page for continuation of report.) SubstantiatedRead the full finding— CDSS inspection report, March 20, 2025 · control 08-AS-20240311111904

Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced follow up complaint investigation visit, and delivered complaint findings. The LPA introduced himself and disclosed the purpose of the visit to Housekeeping Director Emy Rivera. Executive Director Vonda Boller arrived during the visit and assisted the LPA. Throughout the investigation, the Department secured records and conducted interviews with external and internal sources, including staff and residents. It was alleged staff did not ensure food provided was of good quality. Interviews with internal and external sources revealed contradicting statements regarding the quality of the food provided. Some sources disclosed the food was of good quality, that staff provided options, and that staff were receptive to feedback. Other sources reported the food was mediocre, but still of good quality. These sources had not address this with staff. UnsubstantiatedRead the full finding— CDSS inspection report, February 26, 2025 · control 08-AS-20240520114334

Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced follow up complaint investigation visit to deliver complaint findings. The LPA introduced himself and disclosed the purpose of the visit to Chief of Operations Aurora Madueno. Throughout the investigation, the Department secured records and conducted interviews with external and internal sources, including staff and residents. It was alleged lack of supervision resulted in sexual abuse. On July 21st, 2023, it was reported to the Department Resident # 1 (R1) was sexually assaulted at the facility, by an unknown male. R1 was noted to be alert and oriented to person, place, and situation. It was also noted R1 required assistance with Incontinent care, and full assistance with transferring in and out of bed. R1 was not diagnosed with Dementia, but Mild Cognitive Impairment (MCI) was noted. (See LIC 9099C for Continuation). UnsubstantiatedRead the full finding— CDSS inspection report, January 10, 2025 · control 08-AS-20230721120022

Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced a follow up complaint investigation visit, and delivered complaint findings. The LPA introduced himself and disclosed the purpose of the visit to Executive Director Vonda Boller. Throughout the investigation, the Department secured pertinent records and conducted interviews with sources, including staff and residents. It was alleged the facility staff did not conduct emergency drills. Interviews along with review of records revealed the facility conducted multiple emergency drills in 2023. These emergency drills were not conducted quarterly for each shift, as indicated in the Health and Safety Code. This deficiency was cited in an LIC 9099D. A plan of correction was jointly formulated with Executive Director Boller. The facility has generated a emergency drill schedule for 2024, therefore, the Plan of Correction was cleared on today's date. SubstantiatedRead the full finding— CDSS inspection report, March 29, 2024 · control 08-AS-20240318152126

Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced complaint investigation visit to deliver findings. The LPA introduced himself and disclosed the purpose of the visit to Executive Director, Vonda Boller. Throughout the investigation, the Department secured pertinent records and conducted interviews with internal and external sources. It was alleged staff did not perform proper resident wound care. It was reported to the Department an outside source had witnessed Resident # 1 (R1) with a soiled and dislodged bandages on several occasions. Interviews with staff, residents and external sources, including R1, revealed the facility staff did assist R1 with changing soiled and dislodged bandages. It was also revealed R1 had recently been discharged from wound care, as the wound had healed. UnsubstantiatedRead the full finding— CDSS inspection report, August 29, 2023 · control 08-AS-20230322131219

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to deliver findings in the above complaint allegation. LPA identified herself and discussed the purpose of the visit with HR Director Mari Perez. On July 13, 2020, Community Care Licensing (CCL) received an complaint alleging resident’s needs are not being met due to lack of staffing. During the investigation, LPA Strong conducted interviews, and reviewed facility records. According to the allegation, on or about July 2020, there were not sufficient staff to meet the basic needs of the residents to include not receiving showers. Interviews with resident’s who lived at the facility during 2020 revealed no concerns regarding lack of staff or not receiving assistance with activities of daily living. Interviews with outside sources did not reveal any corroborating information regarding allegations. Records collected did not reveal any documentation of residents not receiving assistance with activities of daily livingRead the full finding— CDSS inspection report, July 20, 2023 · control 08-AS-20200713151833

On 7/13/2023, at about 09:30 AM, Licensing Program Analyst (LPA), Daniel Pena visited the facility to conclude a complaint investigation. LPA was met at the entrance by Administrator, Vonda Boller. After introducing and identifying himself, LPA was allowed inside the facility. LPA discussed the purpose of the visit and elements of the complaint with Ms. Boller. On 6/12/2020, Community Care Licensing Division (CCLD) received this complaint which alleged lack of supervision resulted in inappropriate interactions between residents. The Department’s investigation consisted of facility tour, record reviews and interviews with pertinent staff. Per record review and interviews, on 6/11/2020, Resident 1 (R1) and Resident 2 (R2) were in their shared room when R2 grabbed R1 by the arms. R2 yelled at R1 and twisted their arms behind their back. Later this same day, R1 reported the incident to nursing staff. According to reports, R1 was visually shaken and upset. Interviews revealed that R2 admittRead the full finding— CDSS inspection report, July 13, 2023 · control 08-AS-20200612145057

Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced complaint investigation visit to deliver findings. The LPA introduced himself and disclosed the purpose of the visit to Executive Director, Vonda Boller. Throughout the investigation, the Department secured pertinent records and conducted interviews. It was alleged the facility staff did not have cleared background checks. An interview with an internal source and review of records confirmed one staff had not been background cleared. Based on evidence obtained, the preponderance of evidence standard was met, therefore, the allegation was Substantiated. The deficiency was cited in accordance with California Code of Regulations, Title 22, and listed on the LIC 9099D. (See LIC 9099C for continuation of report.) SubstantiatedRead the full finding— CDSS inspection report, February 24, 2023 · control 08-AS-20221214132010