Aimely Villa

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Juanito Alejo. Administrator (AD) Imelda Reyes arrived at approximately 9:00 a.m. and the purpose of the inspection was discussed. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a one-story home, consisting of four resident bedrooms, one staff room, two bathrooms, and detached two-car garage. LPA observed Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) to be posted in the main entryway of the facility, however, did not meet regulatory 20” x 26” in size requirement; a Technical Violation was issued on today’s date. All resident bedrooms had the required furnishings. LPA observed all residents’ beds had linens and blankets. LPA observed residents watching television in the living room and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew and faucets and toilets were operational. Water temperature tested between 106.3 – 106.7 degrees Fahrenheit. LPA observed the backyard has a shaded sitting area and the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged. Gas stove, microwave, laundry washer and dryer were all observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be inaccessible to residents. (Cont. LIC809-C) Medication was observed to be centrally stored and locked. LPA reviewed four of four resident files and three staff files. Four of four resident files did not include an examination for Communicable tuberculosis; a Deficiency was cited on today’s date. Upon record review, LPA observed facility is currently using outdated Emergency and Disaster Plan form LIC610E (10/03); a Technical Advisory was issued on today’s date. Based on the observations made during today’s inspection, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Jul 17, 2026

Type of visit: Required - 1 Year

On July 28, 2025, at 9:00 AM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim met with Administrator (ADMIN) Raul Reyes and explained the purpose of the visit. The facility is licensed to operate for five (5) non-ambulatory residents, one bedridden resident, and has a hospice waiver for two (2) residents. The facility is a single-story building located in a residential neighborhood. It consists of the following: four (4) resident bedrooms, one (1) staff bedroom, two (2) bathrooms, living room, office area, dining room, kitchen, detached 2-car garage, and outside covered patio area. LPA Kim toured indoor and outdoor of the physical plant with ADMIN Reyes. There were no obstructions or bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. All bedrooms were inspected: Resident Room 1, Resident Room 2, Resident Room 3, and Resident Room 4. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured between 118.5 degrees F and 119.1 degrees F. A comfortable temperature of 76 degrees F was maintained in the facility. LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. Evaluation Report Continues on LIC 809-C During the visit, LPA Kim observed the facility's infection control practices, plan of operation, and screening protocols for visitors, staff, and residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency food, water, and supplies are stored in the garage. The facility has four (4) fire extinguisher that are charged and mounted in the kitchen, entrance, laundry area, and end of the hallway. All smoke/carbon monoxide detectors were operable. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA Kim observed the PUB475 poster measured at 8.5” by 13”. The facility conducts Fire/Safety Drill quarterly and was last conducted on April 30, 2025. A working telephone (714-340-3341) remains available. The facility does not have an internet accessible device with videoconferencing technology dedicated to residents. First Aid Kit contained all the necessary elements. The facility did not have a current Certificate of Liability Insurance. LPA conducted an audit of two (2) resident files (R1-R2), four (4) staff files (S1-S4) and medication and medication administration record that were all in order and complete. LPA Kim conducted one staff interviews. A deficiency was cited during the visit according to the California Code of Regulations (Title 22, Division 6, Chapter 8). The facility did not have current and active liability insurance for the facility. Technical Violations were assessed during the visit. PUB475 poster measured at 8.5” by 13” and the facility did not have an internet accessible device dedicated to residents. An exit interview was conducted, and a copy of this report and appeal rights were provided to Administrator Raul Reyes.the state’s words, verbatim · CDSS document, Jul 28, 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: Required - 1 Year

Licensing Program Analysts (LPA) Jerome Haley conducted an unannounced visit to the facility to complete the required Annual inspection. LPA Haley met with Licensee/Administrator Raul Reyes and Imelda Reyes and toured the facility. The facility has a capacity of 6, of which 5 can be non-ambulatory and 1 may be bedridden. The facility phone number 714.340.3341 Structure: The facility is one level structure with five bedrooms. Currently four bedrooms are being occupied by residents and 1 bedroom is being used by staff. Kitchen: Clean and organized. Sharps locked under the stove. A perishable food supply was observed in the refrigerator and freezer. Non-perishable food supply was observed in the cabinets. Stove/Appliances: There’s one stove with 4 burners, a refrigerator, dishwasher, microwave, washer, and dryer. All appliances are clean and operational. Toxins: All cleaning supplies and chemicals are locked under the kitchen sink. An additional supply of hazardous cleaning items are locked in a cabinet in the garage. Medications, First-Aid Kit: Resident medications are locked in a filing cabinet in the office area next to the front door. There’s a brand new first aid kit in on the desk in the office area. Resident & Staff Files: The Resident and Staff Records are kept in the office area with the medications and the first aid kit. Bedrooms: Resident bedrooms were clean, organized and were in compliance with regulation guidelines. Bathrooms: Both bathrooms have a working toilet, wash basin and shower. Grab bars were tightly secured to the wall. Continued on LIC809C Hot Water: Hot water was measured in the range of 114.2 – 115.3 degrees F. Hygiene Supplies: The facility has an adequate supply of hygiene items locked in a a bathroom cabinet. Linens, Hygiene, Emergency Supplies: Additional linens for each resident is stored in the bathroom, and in the linen closet in the hallway. An emergency supply of water was observed in the dining room. Emergency Evacuation Drills: An emergency evacuation drill was conducted earlier this year and the second drill, for the second quarter will be conducted before the end of the month. Medication Review: Medication was reviewed for all five residents. Resident File Review: A file review was completed for all five residents. Staff File Review: 4 staff files were reviewed during the visit. Garage: The garage is used to store miscellaneous facility items. Walkways were free of obstruction. A washer and dryer was observed. There’s a locked cabinet with additional cleaning supplies, bleach, and detergents. There’s an additional refrigerator with an additional supply perishable food items. Backyard: Clean, organized and walkways are free of obstruction. There was a table with a sunshade and chairs. Smoke Detectors/Carbon Monoxide Detectors: Smoke detectors and the carbon monoxide detector tested operational. There’s a fully charged fire extinguisher mounted on the wall near the front door, in the hallway, and monnted in the wall in the kitchen. Misc (P&I): N/A. The facility does not manage any of the resident’s money. Ciation(s) & TV/TA: No citations were observed during today’s inspection. Exit Interview: Exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jun 18, 2024