Anica Homecare

Allegation investigated: Resident is not provided medications as prescribed. Resident is not provided appropriate meals/special diet as required. Resident is not provided appropriate incontinent care. Resident is forced to stay in bed. Violation of resident's personal rights.

At approximately 09:35 AM, Licensing Program Analyst (LPA) Ali Deniz arrived unannounced to deliver findings for a complaint investigation regarding the above allegation and met with Administrator, Art Villegas. During the course of the investigation, the Department conducted interviews, reviewed documents, and made observations. The following allegations were investigated: “Resident is not provided medications as prescribed, Resident is not provided appropriate meals/special diet as required, Resident is not provided appropriate incontinent care, Resident is forced to stay in bed, and Violation of resident’s personal rights.” The reporting party (RP) reported concerns regarding Resident 1 (R1), including medication management, diet, incontinent care, mobility, and personal rights. No alleged abuser was identified. During the investigation, LPA conducted interviews, reviewed available records, and made observations. Continued on LIC9099-C page... Unsubstantiated Continued from LIC9099 page... “Resident is not provided medications as prescribed” – R1 is receiving hospice services (admitted 11/13/2025). Hospice Nurse confirmed R1’s care was adjusted under physician’s orders for comfort-focused treatment, including discontinuation of blood glucose monitoring and EpiPen use. Medications are aligned with hospice plan of care. No evidence was obtained of medication mismanagement or failure to administer prescribed medications. “Resident is not provided appropriate meals/special diet as required” – Records reviewed indicated R1’s dietary plan was adjusted under hospice physician orders for comfort care. No special or restricted diet was identified. Observations did not identify concerns with meal service. No evidence supported the allegation. “Resident is not provided appropriate incontinent care” – Staff reported assistance is provided with toileting needs. LPA conducted a facility tour and interviewed staff, who confirmed bedpans are not used for R1 or other residents. No concerns were observed during the visit. No evidence indicated care was not provided. “Resident is forced to stay in bed” – Staff reported R1 has mobility limitations and may refuse to get out of bed, and is encouraged to participate in activities as tolerated. Documentation provided showed resident engagement in activities. Observations did not indicate residents were confined to beds. No evidence supported the allegation. “Violation of resident’s personal rights” – Allegation involved an unknown male entering R1’s room inappropriately. Staff interviews and observations did not identify any such incident. R1 denied the allegation. No evidence was obtained to substantiate the claim. Based on interviews conducted, observations made, and information obtained, these allegations are Unsubstantiated. A finding that the complaint is Unsubstantiated means there is not a preponderance of evidence to prove the alleged violation occurred. Exit interview conducted. Report discussed and provided to Administrator. Signature confirms receipt.the state’s words, verbatim · CDSS document, Apr 27, 2026 · control 21-AS-20260312125452

Type of visit: Required - 1 Year

On 04/27/2026 at approximately 09:35AM, Licensing Program Analyst (LPA) Ali Deniz arrived unannounced to conduct 1-Year Required visit of this licensed Residential Care Facility for The Elderly (RCFE). LPA was greeted by Caregiver, Lilibeth Flowers. Administrator, Art Villegas arrived during visit at approximately at 10:10AM. Facility has an approved fire clearance and capacity for six (6) non-ambulatory residents. Facility has an approved hospice waiver for three (3) individuals. Upon arrival, LPA was informed that there were four (4) residents in care and two (2) staff members on-site. Facility is a single-story building with four (4) resident bedrooms, two (2) bathroom, one (1) staff room and common spaces. At approximately 10:45AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 11:05AM, LPA and administrator toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a highly visible area. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Staff were in the process of cleaning up kitchen at the time of this inspection. Toxins are stored in the laundry room and under the kitchen sink. Laundry room door observed closet but not locked (Technical violation given). Water temperature measured 116.4 degrees F which is within regulation between 105- and 120-degrees F at faucets accessible to residents. Fire Extinguishers found to be last charged on 03/30/2026 at the time of visit. Carbon Monoxide and smoke detectors were present and in order. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure in a cabinet closet next to the dining room. Continued on LIC809-C page... Continued from LIC809 page... At approximately 12:05PM, LPA reviewed three (3) resident records and found three (3) of three (3) residents have current care plans, signed admission agreements, and physician's report on file. Medication records are thorough and contained physician's orders for each resident. LPA also reviewed three (3) staff records. All records did contain documentation of completed training records as required. Evidence of current first aid and CPR training were current. LPA was presented with proof of current CPR & 1st Aid certification. Administrator Certificate is for Lovelyn Art Villegas #7019452740 expires 06/09/2027. LPA reviewed the facility emergency disaster plan. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducted and documented a disaster drill on 02/10/2026. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by due date of 05/07/2026: LIC 308 Designation Facility Responsibilities LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan (Last Page) LIC 9020 Register of Facility Client’s/Resident’s Copy/Proof of Updated Certificate of Liability Insurance No deficiencies were observed in the areas inspected, No citations were issued during today’s visit.= Exit interview conducted. Copy of report provided to Licensee. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Apr 27, 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.

Type of visit: Required - 1 Year

At approximately 09:30 AM, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to conduct a required 1-year annual inspection and was greeted by individuals Liezyl Leano and Rodolfo Capili who were not associated to the home through Guardian. At approximately 9:45 AM licensee Art Villegas arrived for tour of facility. Facility is a Residential Care Facility for the Elderly (RCFE) licensed for six (6) residents with four (4) residents in care. Facility has a Hospice waiver for three (3), with two (2) hospice residents currently in care. Facility is approved for 6 non-ambulatory residents. At approximately 10:00 AM, LPA initiated a tour of the facility with licensee and observed the following: Facility is a one story home, was a comfortable temperature, and passageways were free from obstructions. Facility has required posters up in main hallway.Fire extinguishers were last inspected 04/2024 and were observed to be fully charged . Water temperatures measured between 105F and 120F (at 116.2F) as required by title 22 regulation. LPA observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and medicines and other items that could pose a risk were locked. Tall weeds and grasses were observed primarily in the front of the property and side yards that could potentially increase a fire hazard as they dry out and licensee given a technical advisory to mow down the tall weeds and grasses before they dry out to limit the potential for fire hazard. An exterior shed was unlocked and observed to be full of extra-supplies and hardware. Continued 809C... Continued from 809... LPA observed TVs, books, patio with ramps, seating and sunshade accessible to residents. Disaster drills were last conducted 02/2025 At approximately 11:30 AM LPA conducted a review of six (6) individual and staff records. Two (2) individuals observed performing direct resident care were not associated though Guardian and not cleared to work at the facility, three (3) other staff members records had all requirements. A type A deficiency was assigned and a civil penalty in the amount $200 is being assess due to a violation of CCR 80066(a)(12)(B) At approximately 12:30 PM LPA conducted review of four (4) of four (4) resident records. All required documentation was present. One (1) of four (4) resident records records were with a residents son and LPA needed to wait for copies of the record to be supplied, a technical violation was issued (Licensee shall ensure that a residents record are readily available to licensing staff at all times) Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted with licensee/administratorthe state’s words, verbatim · CDSS document, Apr 16, 2025

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Post Licensing

On 8/23/2024, at approximately 2:30 PM, Licensing Program Analyst (LPA) Julie Florio arrived at the facility to conduct a post-licensing inspection with Art Villegas, Licensee/Administrator. The facility currently has 1 resident in care and 4 staff members who are background cleared and associated. The facility is a one-story home, has 4 bedrooms, 2 baths, a common area, a shaded, furnished deck in the backyard, and additional yard space for activities. LPA inspected a locked structure in the backyard and observed mostly personal items, decorations, and tools within. Facility has an auditory signal system which was operational during today's inspection. LPA observed the required postings in the main entryway at the front door of the facility. The grounds were free of any apparent hazards, passageways were free from obstruction, and fire exits were clearly marked. LPA observed locked cabinets for resident and staff records, medications, chemicals, and sharps. LPA observed a first aid kit, emergency supplies, and PPE. Kitchen was spacious and clean with a supply of dishes and utensils. LPA observed at least a two (2) supply of perishable and a seven (7) day supply of nonperishable foods appropriately labeled and dated. The laundry area with laundry supplies is locked and secured with a keypad for employees to access. Facility has an internet access device in the main common area for resident use. The resident in care remarked that their needs are met and they like the facility. Licensee/Administrator states the facility is working with a few referral agencies for additional resident placement. No deficiencies found at the time of inspection. No citations issued. Exit interview conducted with Licensee/Administrator, whose signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Aug 23, 2024

Type of visit: Prelicensing

At approximately 12:15PM, Licensing Program Analyst (LPA) Julie Florio arrived at this facility announced for the purpose of completing a pre-licensing evaluation.. LPA met with Applicant Art Villegas and toured the facility. The facility is a 5-bedroom, 2-bathroom, single story house. Two bedrooms are shared rooms, one of which has a private bathroom. The facility has been approved for 6 non-ambulatory residents and 3 of which can be on Hospice. Fire extinguishers were charged and inspected April 2024. Smoke detectors were tested and in working order. There was a locked area for medications and several for toxins and cleaning supplies. Applicant informed LPA that he does not currently have a centrally stored medication log. LPA advised Applicant to obtain one from the CCL website. Beds were made but each was missing a mattress pad. LPA advised Applicant that each bed shall have a mattress pad per regulation. Resident rooms contained the required furniture in 5 of 5 rooms, however the trash cans were without tight fitting lids as required per regulation. LPA advised Applicant that all trash cans shall have a tight fitting lid. Hot water temperature was tested and found to be within regulation between 105 degrees F and 120 degrees F at faucets accessible to residents. This facility has an emergency disaster plan, infection control plan, dementia care plan. LPA observed an insufficient supply of emergency food and water to sustain 6 residents for 7 days as required per regulation. LPA advised Applicant to provide proof of the purchase of more of these items. LPA observed a weekly menu posted in a common area but was informed that the facility does not have an activity schedule at this time. LPA observed a supply of games and a karaoke machine present, and advised Applicant to provide an activity schedule to LPA. Component III orientation was conducted at facility. Applicant conveyed a good knowledge of Title 22 regulations. Applicant stated he will obtain liability insurance upon receipt of the License. Continued on LIC809-C Continued from LIC809 Applicant to submit proof of correction (POC) for each technical violation form LIC9102 provided before LPA will submit the application packet for a final review and approval from the Licensing Program Manager. Exit interview conducted. Copy of report and copies of each LIC9102 discussed and provided to Applicant. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, May 9, 2024

The state marks this report as 10 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Villegas, Art - Applicant/Administrator Interview Method: Virtual interview (Skype, Go To Meeting, etc) On 04/16/2024, 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. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Apr 16, 2024