Villa Alegre

Type of visit: Required - 1 Year

LPA Correia conducted the required one-year inspection. Upon arrival, LPA was greeted by Licensee Frederick Locsin, identified herself, and explained the purpose of the visit. The facility is licensed to serve six residents aged 60 and above, all of whom may be non-ambulatory, with up to four residents approved to receive hospice services. Co-licensee Donnah Locsin arrived shortly thereafter and joined the visit. During today’s inspection, all six residents were present. Three residents are currently on hospice, and all six are non-ambulatory. A review of resident records confirmed that required documents, including the current Physician’s Report, Resident Appraisal, Needs & Services Plan, Identification and Emergency Information, and Admission Agreement—were complete and up to date. Personnel records were also reviewed and found to include Criminal Record Clearance, required training, Health/TB Screening Report, First Aid and CPR certification, and qualifications, all of which were current and complete. The Administrator’s certification is valid until April 30, 2027. The facility’s last disaster drill was conducted on October 7, 2025. The facility maintains a current lease agreement and liability insurance. Medication administration records were accurate and complete, and medications were stored in a locked medication cart. Toxic substances and other hazardous materials were secured in locked cabinets. LPA, accompanied by Licensee Locsin, conducted a tour of the facility, inspecting both the interior and exterior. The facility was observed to be clean, sanitary, and in good repair. Pathways were free of obstructions and slip hazards. Required postings were visible. Resident bedrooms contained the required furnishings. Resident showers were equipped with non-skid flooring and grab bars and were in working order. The water temperature at taps used by residents measured within regulation.. Doors, windows, and screens were in good condition. Extra linens, hygiene supplies, Personal Protective Equipment (PPE).. LPA also observed a landline telephone, operational smoke and carbon monoxide detectors, a current fire extinguisher, and a First Aid Kit and manual. The facility includes an adequately sized common area and a shaded outdoor space for activities and visitation. The pool area is secured with a locked foot gate. Per Licensee Locsin, there are no firearms or ammunition on the premises. Based on today’s inspection, no deficiencies were cited. An exit interview was conducted, and a copy of this report along with Licensee Rights (LIC 9058, rev. 01/16) will be provided to Licensee Locsin. Licensee’s signature on this form acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Jan 28, 2026

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required annual inspection and in conjunction conducted this case management visit at the facility. LPA Lopez identified herself and was granted entry by caregiver Manuel Santiaguel. LPA stated the purpose of the visit and reviewed the basic elements of the visit with Administrator Frederick Locsin and Licensee Donnah Locsin who later arrived and joined the visit. The facility self-reported an incident regarding resident #1 (R1) (See LIC 811 Confidential Names List) to Community Care Licensing on December 26, 2024. The facility reported that on December 19, 2024, R1 eloped from the facility but staff #1 (S1) found the resident a few houses down with neighbors who had initiated emergency response. Although they did not find any signs of trauma, the resident's responsible party and Licensee agreed to have the resident seen and checked. R1 returned to the facility on December 22nd. R1 was admitted to home health upon their return to the facility. During today’s visit, LPA toured the facility, conducted staff and resident interviews, and conducted a welfare check for resident in care, and observed there were no immediate safety concerns. Resident Physician’s Report, dated 1/20/24, showed that the R1 is ambulatory and has a diagnosis of dementia. Further review of the Physician’s Report indicated that the resident is not at risk if allowed to leave the community unsupervised due to dementia or cognitive decline. Further review of the Physician's Report showed that the R1 is able to communicate their needs and is able to follow simple directions. According to the interviews, the Licensee said that they have never had an elopement, and this was their first elopement. Licensee did not have an absentee notification plan on file as there was no prior need for one. LPA provided Licensee technical assistance regarding the absentee notification plan. This case management requires further follow-up. No deficiencies were cited during this visit. An exit interview was conducted with Licensee Donnah Locsin and a copy of this report, LIC9102-TA, LIC 811 (confidential names list) and Licensee/Appeal Rights (LIC 9058 01/16) were provided to the Licensee at the conclusion of the visit. The signature below confirms the documents were received.the state’s words, verbatim · CDSS document, Jan 13, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA Lopez identified herself, was granted entry by caregiver Manuel Santiaguel. LPA discussed the purpose of the visit with Administrator Frederick Locsin. Licensee Donnah Locsin later arrived and joined the visit. According to the facility’s license, there may be a maximum of six (6) residents all of whom may be non-ambulatory in at any given time at the facility site. Hospice is approved for 4. During today’s inspection, the facility’s current census is 6 residents living at the facility. There were 6 residents present at the facility site during the inspection. LPA, accompanied by Licensee Locsin, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities. The facility’s ambient internal temperature was comfortable and compliant, at 71 degrees Fahrenheit (F). Hot water temperature at taps accessible to residents were also compliant: kitchen sink measured hot water at 114.4 degrees F; sink in restroom #1 delivered hot water at 109 degrees F; and sink in restroom #2 delivered hot water at 106.3 degrees F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present. Cooking, dining equipment and utensils were present, and all safely stored. There were no toxic chemicals or poisons accessible to residents. Medications were properly labeled, as required, and stored in locked area. LPA inspected the medication cart and found that medications were properly labeled, stored and locked. The facility-maintained medication logs which LPA reviewed. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] The pool on the facility premise was gated, in good repair and kept locked. The fence was designed and installed so the fence is not removable in any portion of it. The fence was constructed so that it does not obscure the pool from view and may not easily be climbed, broken or stretched. There are no windows or doors that provides direct access to the pool area. The openings of the gate between railings do not exceed 4” from the ground to the surface. Licensee agreed that the fencing will remain in place and properly functioning whenever there are licensed residents in care. Per licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguishers were present (02). First aid kit was complete and readily accessible. During today’s visit there were 6 residents on the facility premise of which 3 were interviewed. LPA’s visit did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in a locked area. Required licensing postings were observed in a visible area of the facility. There were no deficiencies observed or cited during today's annual inspection. An exit interview was conducted with Licensee Donnah Locsin to whom a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit. The signature below confirms the documents were received. Licensee provided a current copy of Designation of Administrative Responsibility LIC 308 and Emergency Disaster Plan LIC 610-E to LPA during the inspection. LPA requested Licensee Locsin to submit a current Personnel Report LIC 500 to the licensing office within 10 business days. Forms are available at www.ccld.ca.gov.the state’s words, verbatim · CDSS document, Jan 13, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA Lopez identified herself, was granted entry by Administrator Frederick Locsin. LPA discussed the purpose of the visit with Administrator Locsin. Licensee Donnah Locsin later arrived and joined the visit. According to the facility’s license, there may be a maximum of six (6) residents all of whom may be non-ambulatory in at any given time at the facility site. During today’s inspection, the facility’s current census is 2 residents living at the facility. There were 2 resident(s) present at the facility site during the inspection. LPA, accompanied by Administrator Locsin, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary and in good repair. Pathways were free of obstruction and slip hazards. Residents bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities. The facility’s ambient internal temperature was comfortable and compliant, at 69 degrees Fahrenheit (F). Hot water temperature at taps accessible to clients were also compliant: kitchen sink was at 117 degrees F; sink in restroom #1 delivered hot water at 120 degrees F; sink in restroom #2 delivered hot water at 118.8 degrees F; and laundry room delivered hot water at 120 degrees F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present. Cooking/dining equipment and utensils were present, and all safely stored. There were no toxic chemicals/poisons accessible to residents. Medications were properly labeled, as required, and stored in a locked area. LPA inspected the medication cabinet and found that medications were properly labeled and stored. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] The pool on the facility premise was gated and kept locked. Per licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present (02). First aid kit(s) were complete and readily accessible. During today’s visit there were 2 residents on the facility premise. LPA’s visit did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in a locked area. Required licensing postings were observed in a visible area of the facility. There were no deficiencies observed or cited during today's annual inspection. An exit interview was conducted with Licensee Locsin and Administrator Locsin to whom a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit. The signature below confirms the documents were received. LPA requested Licensee Locsin to submit a current Designation of Administrative Responsibility LIC 308, Personnel Report LIC 500, and Emergency Disaster Plan LIC 610-E to the licensing office within 10 business days. The Residential Infection Control Plan LIC 9282 (6/23) was submitted to the San Diego Regional Office. Forms are available at www.ccld.ca.gov.the state’s words, verbatim · CDSS document, Jan 9, 2024