Art of Homecare

Allegation investigated: Facility issued an unlawful rate increase

Licensing Program Analyst (LPA) Ethel Contreras arrived unannounced for the purpose of delivering complaint findings for the above allegation. LPA met with Administrator (Admin) Imee Villegas. During the course of the investigation, LPA conducted interviews, made observations and collected documents. Reporting party (RP) alleges facility issued an unlawful rate increase. Upon LPA file review, Licensee gave a rate increase for resident (R1) on 3/05/2025-4/05/2026. Licensee failed to provide the proper documentation for a rate increase per Health and Safety Code 1569.655. Per interview and file review, Admin gave a verbal 30-day notice of a rate increase. Per regulation, a written formal letter must be given with a 60-day notice in the change of increase. Licensee did not issue a lawful rate increase. continued onto 9099-C.... Substantiated continued from 9099.... Based on LPA’s interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Health and Safety, Title 22, Division 6 Chapter 8, are being cited on the attached 9099-D. Deficiencies are cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, or repeat violations within a 12-month period, may result in a civil penalty assessment. Appeal rights were provided. Exit interview conducted and report given.the state’s words, verbatim · CDSS document, Sep 10, 2026 · control 21-AS-20260612124151

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.655(a) · Plan of correction due date: Sep 17, 2026

HSC 1569.655(a)...Increase in fee rates for elderly residents; 60 days’ written notice stating amount of and reasons for increase... This requirement is not met as evidenced by: Based on observation, interview & record review, the licensee did not comply with the section cited above in that facility didn't provide resident (R1) or their responsible party 60 days written notice prior to increase rate fees, which poses a potential personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Sep 10, 2026

Plan of correction: Licensee agrees to read Health and Safety code 1569.655(a). Licensee to submit a copy of letter or addendum including effective date of fee increase for resident (R1) to CCL by plan of correction date of 9/17/2026.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a required annual inspection and was greeted by Administrator (admin) Imee Villegas. Facility is an Adult Residential Care Facility for the Elderly with an approved fire clearance for capacity of 6 (six) residents. There are currently (3) three residents in care with a 4th resident move in as of today. LPA toured the building and grounds which was found to be clean and at a comfortable temperature. LPA observed all walkways and exits to be unobstructed. All required postings were in a highly visible area. Fire extinguishers were charged and last inspected 5/14/2025. Fire alarm and carbon monoxide alarms all tested and operational. Sun room accessible for resident use. Water temperature check measured within regulation at faucets accessible to residents within the allowable range of 105 to 120 degrees F. Resident bathrooms observed to have bath mat and grab bar. Disaster drills are being conducted quarterly. All bedrooms were equipped with required furnishing. Facility had an ample supply of linens, towels and extra hygiene products for residents. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable foods. Snacks accessible for residents. Emergency food was observed to meet the 72 hour emergency supply. Facility kitchen, refrigerators and freezers were clean, and food stored properly with expiration dates noted. Toxins are locked and inaccessible to residents. Sharps and knives were locked. Phone accessible for resident use. LPA conducted a file review for 4 of 4 residents and 2 staff. All required documentation found to be up to date. LPA and staff conducted a spot check of medication and medication records, all records up to date. Medication is centrally stored and locked. continued to 809C.... continued from 809.... Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibility Liability Insurance No deficiencies cited for today's visit. Exit interview conducted and report read with Administratorthe state’s words, verbatim · CDSS document, Apr 14, 2026

Type of visit: Required - 1 Year

At approximately 2:30PM , Licensing Program Analyst (LPA) Ethel Contreras made an unannounced visit to conduct a required annual inspection. LPA was greeted by facility Administrator(admin) Imee Villegas. Facility is an Residential Care Facility for the Elderly that has a fire clearance approved for 6 non ambulatory residents and an approved hospice waiver for one resident. LPA and admin toured the building and grounds which was found to be clean and in good repair. Facility was at a comfortable temperature. LPA observed all walkways and exits to be unobstructed. All required postings were in a highly visible area. Fire extinguishers inspected were charged and last inspected 1/25/2024. Fire alarms and carbon monoxide detector were operational. LPA observed at least a 2 day supply of perishable and 7 day supply of non perishable food. Facility kitchen, refrigerators and freezers were clean, and food was stored properly with expiration dates noted. Toxins are stored in a locked cabinet and inaccessible to residents. Sharps and knives were locked in kitchen drawer. Emergency water and food supply was stored in garage. All bedrooms were equipped with lighting, a night stand and chest of drawers. All bedrooms were clean and in good repair. Oxygen tanks were properly stored. Extra linens and towels were available.Resident bathroom had required bath mat and grab bar. Water temperature measured at 107.5 degrees F at faucets accessible to residents which is within the allowable range of 105 to 120 degrees F. Sunroom was equipped with furniture and accessible to residents. Backyard had patio chairs accessible for residents. Outdoor emergency exit clear from obstruction. Continued on 809-C..... Continued from 809..... LPA conducted medication spot check and observed all medication to be centrally stored and secure. Thickener was found on kitchen counter. LPA spoke with admin that food thickener must be centrally stored at all times. Admin immediately removed thickener and placed in locked cabinet. LPA reviewed 4 of 4 resident records. All required documentation was present. Physician reports were up to date. LPA reviewed 3 staff records. All required documentation was present. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308-Designation of Responsibility Liability Insurance No deficiencies were observed in the areas inspected, No citations were issued during today’s visit. Exit interview conducted and report read with Administrator.the state’s words, verbatim · CDSS document, Jun 3, 2025

Type of visit: Required - 1 Year

At approximately 9:40 AM, Licensing Program Analyst (LPA) Stefanie Mutialu made an unannounced annual required inspection of this licensed senior care facility. LPA was greeted by caregiver, Jocelynn Leano. Administrator, Imee Villegas arrived shortly after at approximately 10:00 AM. The facility is a single story home licensed for six (6) non-ambulatory residents and a hospice waiver capacity of three (3). The facility currently provides care for 6 residents. Four out of six residents were at home, one out of six residents is in the hospital, and one out of six residents was out for a doctors appointment. In addition, there are some residents with a diagnosis of dementia and one patient using oxygen At approximately 10:15 AM, LPA and administrator toured the building and grounds which was found to be clean and in good repair. LPA observed broken and cracked tile on the front walkway. Per Administrator has a quote and has contacted landlord to get repaired. 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. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. LPA observed several food items in the refrigerator, freezer, and cabinets that were not properly stored, expired, perishable items not refrigerated, and frozen food that showed signs of freezer burn. Per Administrator most food is staff and will ensure food is properly labeled and stored moving forward. Medication was found in the refrigerator, per Administrator medication refrigerator is broken but is getting repaired today at Best Buy. LPA advised Administrator to get a lock box to store medication in the refrigerator and will need to come up with food storage and labelling system/program. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Facility does not have back-up water supply for six residents for 72 hours in case of emergency. Administrator advised will pick-up water supply today and provide proof. Toxins are stored in a locked cabinet in the facility laundry room and kitchen. Sharps and other kitchen supplies that could pose danger if available to residents were found secured in the kitchen drawer. There was a supply of cleaners, hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings. Continued on 809C Continued from 809 Water temperature measured within regulation between 108.3 and 113.9 degrees F at two of three faucets accessible to residents. One out of one fire extinguisher was inspected and charged. Five out of five Smoke detectors were present and centralized signal system will lights are present. Carbon Monoxide detector was present, inspected and found to be in working order. There was enough lighting in all common areas, resident rooms, and hallways. Medications located in designated cabinet were found to be secured. LPA conducted a spot check of medications and found administering and records to be inaccurate. Resident was observed interacting with staff in bedroom and living room. Two of four residents were found in their room. Two of four residents were watching. LPA observed staff checking and caring for residents often. There are puzzles and games along with morning activities such morning exercises, karaoke, and card to keep residents engaged At approximately 11:00 AM, LPA reviewed Five of Six resident records which were all found to be well organized. One out of six residents files is over due for LIC602 Physicians Report. LPA advised administrator LIC602 is required annually for residents with dementia. Several client records reflected other facility. LPA advised administrator all clients records need to be update to reflect Art of Home facility. At approximately 12:00 PM , LPA reviewed one out of three staff records which were all found to be well organized. staff records missing for two out of three staff. One of three staff records did not contain required annual training for RCFE and Dementia training and First- Aid/CPR/BLS expired as of 03/2024. LPA advised Administrator to provide CCL with a copy of two out of three staff files and proof of completed required training to also include annual Dementia training and current First-Aid certificate. Medication records contained physician's orders for each resident. Administrator Imee Villegas Administrator Certification 6030808740i current and expires on 06/09/2024. Continued on 809C Continued from 809C Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC 500 Personnel Summary LIC 9020 Register of Facility Client’s/Resident's Staff Training Files/Records Updated 602s LIC610E- Disaster Plan (updated with non-local evacuation site) Evidence of Liability Insurance 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. This report was reviewed with Imee Villegas and Appeal rights were given.the state’s words, verbatim · CDSS document, May 30, 2024

The state marks this report as 13 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.