Avenida Villa

Type of visit: Required - 1 Year

On 12/11/25 The Department of Social Services, Community Care Licensing Division (CCLD) staff conducted an unannounced annual inspection visit using the CARE Inspection Tool. CCLD staff was met by two (2) staff Hector DaLuz and Eleanor "Lea" DaLuz (S2-S3) and later by May Drapeau, Administrator (S1), and the purpose of the visit was explained. The facility is licensed for six residents, age 60 and over, of which five (5) may be non-ambulatory resident(s) along with one (1) bedridden resident. The facility has been approved for a hospice waiver for two (2) and are compliant under California code of regulation 87705 – Care of persons with Dementia. The current census is six (6) residents. Facility fees are up to date and liability insurance is active with an expiration date of 07/16/26. The facility is a single-story structure located in a residential neighborhood and consists of the following: (5) resident bedrooms, (2.5) resident bathrooms, living room, dining room, kitchen, staff room, office area, attached garage which contains a washer and dryer / storage area and an extra refrigerator. Beds and bedding were properly fitted and LPA observed additional linens, stored in the hallway. There was ample storage for personal property and each room had a table and lamp. The facility also has a front and back yard with a shaded area with table and chairs. There are no weapons/ammunition stored on the premises and there are no bodies of water on-site. A supply of seven (7) day perishable and two (2) day non-perishable food was observed. Emergency Water supply is located in the garage. Toxins and knifes were observed to be stored and inaccessible to clients in care. Last fire drill was on 10/02/25. Carbon monoxide and smoke detectors were observed and are operational as of 12/01/25, a landline and internet were observed in working condition. The facility (2) Fire Extinguishers were checked and found to be fully charged, maintained annually as of 06/20/25. The stove does not light through its own knob, please see LIC9102TV.There have been zero (0) deficiencies cited during today's visit. An exit interview was held with staff one, May Drapeau (S1), and a copy of this report has been provided.the state’s words, verbatim · CDSS document, Dec 11, 2025

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Case Management - Annual Continuation

On 01/10/25 The Department of Social Services, Community Care Licensing Division (CCLD) staff conducted a case management visit to complete the facilities' annual visit which was held as follows: On 01/10/25 CCLD conducted a subsequent annual visit, which was held as follows: CCLD staff was met by May Drapeau, Administrator (S1), and the purpose of the visit was explained. The current census of the facility is six (6) residents. CCLD conducted a records review of five (5) staff records, six (6) resident records, and two (2) residents' medication administration record (MAR). No discrepancies were observed. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. Resident bedrooms were checked, mattresses and box springs were in good condition, adequate lighting was provided, plenty of dresser and closet space was observed. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to clients. The water temperature was properly measured at 111.2°F in bathroom #1, 111.3°F in the kitchen and 109.3°F in bathroom #2, all within title 22 water temperature regulation. The last fire drill was conducted 12/15/24. On 11/26/24 CCLD conducted an initial annual visit which consisted of the following: CCLD staff was met by May Drapeau, Administrator (S1), and the purpose of the visit was explained. The facility is licensed for six residents, age 60 and over, of which five (5) may be non-ambulatory residents, along with one (1) bedridden resident. The facility has been approved for (2) hospice waivers and are compliant under California code of regulation 87705 – Care of persons with Dementia. The current census is five (5) residents. Facility fees are up to date and liability insurance is active with an expiration date of 07/16/25. Report continues, see LIC809-C. The facility is a single-story structure located in a residential neighborhood and consists of the following: (5) resident bedrooms, (2.5) resident bathrooms, living room, dining room, kitchen, staff room, office area, attached garage which contains a washer and dryer / storage area and an extra refrigerator. The facility also has a front and back yard, equipped with a shaded area with table and chairs. There are no weapons/ammunition stored on the premises and there are no bodies of water on-site. A supply of seven (7) day perishable and two (2) days non-perishable food was observed. Emergency Water supply is located in the garage. Toxins and knifes were observed to be stored and inaccessible to clients in care. Last fire drill was on 07/26/24. Carbon monoxide and smoke detectors were observed and are operational, a landline and internet were observed in working condition. The facility's (2) Fire Extinguishers were checked and found to be fully charged, maintained annually as of 06/27/24. All exits and walkways are free of debris/hazards. An exit interview was held with May Drapeau (S1) and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jan 10, 2025

Type of visit: Required - 1 Year

On 11/26/24 The Department of Social Services, Community Care Licensing Division (CCLD) staff conducted an unannounced annual inspection visit using the CARE Inspection Tool. CCLD staff was met by May Drapeau, Administrator (S1), and the purpose of the visit was explained. The facility is licensed for six residents, age 60 and over, of which five (5) may be non-ambulatory residents, along with one (1) bedridden resident. The facility has been approved for (2) hospice waivers and are compliant under California code of regulation 87705 – Care of persons with Dementia. The current census is five (5) residents. Facility fees are up to date and liability insurance is active with an expiration date of 07/16/25. The facility is a single-story structure located in a residential neighborhood and consists of the following: (5) resident bedrooms, (2.5) resident bathrooms, living room, dining room, kitchen, staff room, office area, attached garage which contains a washer and dryer / storage area and an extra refrigerator. The facility also has a front and back yard with a shaded area with table and chairs. There are no weapons/ammunition stored on the premises and there are no bodies of water on-site. A supply of seven (7) day perishable and two (2) day non-perishable food was observed. Emergency Water supply is located in the garage. Toxins and knifes were observed to be stored and inaccessible to clients in care. Last fire drill was on 07/26/24. Carbon monoxide and smoke detectors were observed and are operational, a landline and internet were observed in working condition. The facility (2) Fire Extinguishers were checked and found to be fully charged, maintained annually as of 06/27/24. All exits and walkways are free of debris/hazards. CCLD staff was not able to review any resident/staff records during today's visit. There were no deficiencies observed or cited during today's visit. An exit interview was held with May Drapeau (S1) and a copy of this report was provided.the state’s words, verbatim · CDSS document, Nov 26, 2024

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 11/26/24 The Department of Social Services, Community Care Licensing Division (CCLD) staff conducted an unannounced annual inspection visit using the CARE Inspection Tool. CCLD staff was met by May Drapeau, Administrator (S1), and the purpose of the visit was explained. The facility is licensed for six residents, age 60 and over, of which five (5) may be non-ambulatory residents, along with one (1) bedridden resident. The facility has been approved for (2) hospice waivers and are compliant under California code of regulation 87705 – Care of persons with Dementia. The current census is five (5) residents. Facility fees are up to date and liability insurance is active with an expiration date of 07/16/25. The facility is a single-story structure located in a residential neighborhood and consists of the following: (5) resident bedrooms, (2.5) resident bathrooms, living room, dining room, kitchen, staff room, office area, attached garage which contains a washer and dryer / storage area and an extra refrigerator. The facility also has a front and back yard with a shaded area with table and chairs. There are no weapons/ammunition stored on the premises and there are no bodies of water on-site. A supply of seven (7) day perishable and two (2) day non-perishable food was observed. Emergency Water supply is located in the garage. Toxins and knifes were observed to be stored and inaccessible to clients in care. Last fire drill was on 07/26/24. Carbon monoxide and smoke detectors were observed and are operational, a landline and internet were observed in working condition. The facility (2) Fire Extinguishers were checked and found to be fully charged, maintained annually as of 06/27/24. All exits and walkways are free of debris/hazards. CCLD staff was not able to review any resident/staff records during today's visit. There were no deficiencies observed or cited during today's visit. An exit interview was held with May Drapeau (S1) and a copy of this report was provided.the state’s words, verbatim · CDSS document, Nov 26, 2024

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Allegation investigated: Staff did not seek medical attention for resident in a timely manner. Staff did not notify Resident's Representative about resident's change in condition in a timely manner. Staff did not ensure that resident's grooming needs were met while in care.

On 03/22/24, Licensing Program Analyst (LPA) Ernand Dabuet conducted a subsequent unannounced complaint visit at this facility, LPA was greeted by administrator Zenaida Bunag. LPA explained the purpose of today's investigation visit was to gather information and deliver findings for the allegations mentioned above. The investigation consisted of the following: LPA reviewed the roster of residents and staff. A review of resident #1 (R1's) Phyysician's Report, Appraisal/Needs and Service Plan, Incident Report, Facility Progress Notes, Facility Visitors Logs, Providence Trinity Care Hospice Care Plan, Declaration LIC 855, LA County Sheriff's Police Report, and other pertinent documents associated with this complaint. Interviews with the administrator, staff, residents, and witnesses. A tour of the facility on 07/27/23 and 03/22/24. (Evaluation Report continues on LIC 9099-C) Unsubstantiated INVESTIGATION REVEALED THE FOLLOWING: Allegation #1: Staff did not seek medical attention for resident in a timely manner. Allegation #2: Staff did not notify Resident's Representative about Resident's change in condition in a timely manner. The details for this complaint alleged that facility staff did not seek medical attention for resident # (R1) in a timely manner nor did not notify (R1’s) representative about (R1’s) change in condition timely. The complainant reported that staff did not adequately check on (R1) before (R1’s) death on 01/22/22 nor did staff seek medical attention for (R1) when staff observed a change in condition. The complainant did not have further additional details on these matters. Resident #1 (R1) was admitted at Avenida Villa on 09/18/18 after a discharge from Lomita Acute Center. Upon discharge, (R1) was placed on home health services by Torrance Home Health. (R1) was recertified for home health throughout 2018-2022. (R1) had a change of condition that required a higher level of care and family representatives for (R1) were notified and agreed to admit (R1) for hospice with Providence Trinity Care Hospice effective 01/18/22 up to (R1’s) passing on 01/22/22. (R1) was always under the care of medical professionals with home health and hospice nurses and doctors. On 08/09/23, the Department received a written Declaration LIC 855 (dated: 08/09/23) from administrator #1 (A1). (A1) claimed that (R1) was under professional supervision and care with nurses and doctors while (R1) was at Avenida Villa. (R1’s) family members were always at the facility during home health and hospice visits with nurses discussing (R1’s) condition. (A1) stated when it came to (R1’s) medical needs it was always taken care of by the home health and hospice medical professionals. (A1) claimed the facility staff were only responsible for (R1’s) non-medical care since the facility is a non-medical care facility. On 03/22/24, between 9:30 am – 1:07 pm, the Department interview (3) out (3) administrator (A1) and staff #1-#2 (S1-S2) all verified that (R1) was being monitored on 01/22/22 hourly by staff before (R1’s) passing. (A1) and (S1) communicated they checked on (R1) at 7:30 am and 8:00 am on 01/22/22. At 8:00 am (S2) checked (R1’s) blood pressure, pulse, and changed (R1’s) diaper, and applied ointment. (R1) was still conscious at that time. (A1-S2) check on (R1) again at 9:00 am and (R1) was non-responsive. (A1) called the hospice nurse and family to inform them that (R1) was non-responsive. (A1) immediately contacted (R1’s) family representatives of (R1’s) change of condition. A hospice medical professional arrived along with the family representatives at 10:00 am on 01/22/22. (Evaluation Report continues LIC 9099-C) This report serves as an amendment to clarify finding in line #23. It does not supersedes the complaint investigation findings reflected on report created 03/22/24. Emergency Medical Services (EMS) was dispatched by family representatives and arrived. Hospice medical professional declared (R1) deceased on 01/22/22 at the facility. The Department reviewed the Providence Trinity Care Hospice care plan (dated: 01/26/22) and it revealed (R1) was placed on hospice on 01/19/22, (R1) was diagnosed with a terminal illness. Hospice visits were indicated on 01/19/22, 01/20/22, 01/21/22, and 01/22/22. The Department reviewed the Facility Progress Notes (dated: 10/19/21 through 01/22/22) and it revealed that (R1) was being observed and monitored at least every two hours for repositioning, change of condition, or diaper changes. On 03/22/24, between 10:45 am – 11:37 am, the Department interviewed (5) out (7) residents #2-#6 (R2-R6) all claimed that staff are responsive and are observant to resident's changes in condition. (R2-R6) reported that when they require assistance, the staff is responsive within minutes when called. As a result of (R1's) passing and (R7's) health condition, it was not possible to interview both residents. On 03/22/24 between 01:30 pm – 02:30 pm, the Department interviewed (2) out (3) family representatives witness #2-#3 (W2-W3) claimed the facility is well maintained with qualified staff and is managed adequately. (W2-W3) who are very much involved with resident care at this facility with frequent visits and have not witnessed any activity of neglect or lack of care toward residents. Telephone calls made to family representative witness #1 (W1) were not acknowledged, and no comments were obtained. Based on the evidence gathered interviews conducted, and records reviewed, although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations of NEGLECT/LACK OF CARE: “Staff did not seek medical attention for resident in a timely manner” and “Staff did not notify Resident's Representative about resident's change in condition in a timely manner” are found to be UNSUBSTANTIATED. Allegation #3: Staff did not ensure that resident's grooming needs were met while in care. It is alleged that staff did not ensure that resident #1 (R1’s) grooming needs were met. The complainant reported that staff did not shave (R1) for at least the week before (R1’s) passing on 01/22/22 and found this to be a concern. The complainant did not have further additional details on these matters. (Evaluation Report continues LIC 9099-C) On 08/09/23, the Department received a written Declaration LIC 855 (dated: 08/09/23) from administrator #1 (A1). (A1) claimed that (R1) was entitled to (R1’s) personal rights. There were often times when (R1) declined to receive help with hygiene and grooming care assistance from staff. The staff is respectful of (R1’s) rights and has the right to refuse basic services. On 03/22/24, between 9:30 am – 1:07 pm, the Department interview (3) out (3) administrator (A1) and staff #1-#2 (S1-S2) all confirmed that (R1) was under home health and hospice care and that home aide would come to assist with hygiene and grooming care. The facility staff would step in when (R1) refused hygiene and grooming services from home aide assistants. According to (A1-S1), (S2) had better chances of assisting with hygiene and grooming needs since (R1) preferred (S2) to conduct these services when (R1) was in a receptive condition. The Department reviewed the Facility Progress Notes (dated: 10/19/21 through 01/22/22) and it revealed (R1) was not neglected in care for hygiene or grooming needs. On 03/22/24, between 10:45 am – 11: 37am, the Department interviewed (5) out (7) residents #2-#6 (R2-R6) reported that staff were able to provide satisfactory assistance with their hygiene and grooming needs. Neither (R1) nor (R7) could be interviewed due to their passing or medical condition. On 03/22/24 between 01:30 pm – 02:30 pm, the Department interviewed (2) out (3) family representatives witness #2-#3 (W2- W3) expressed satisfaction with the facility staff's hygiene and grooming practices. A number of telephone calls were made to the family representative witness #1 (W1), but no response was received. The Department reviewed complaints # 11-AS-20211011095607 and 11-AS-20221114091332 associated with resident #1 (R1’s) allegations of neglect and lack of care were determined unsubstantiated. A review of the County of Los Angeles Sheriff's Department report LMT23198-0104 determined there was no neglect or abuse of an elder in the report. (Evaluation Report continues LIC 9099-C) Based on the evidence gathered interviews conducted, and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation of NEGLECT/LACK OF CARE: "Staff did not ensure that resident's grooming needs were met while in care" is found to be UNSUBSTANTIATED. An exit interview conducted with Zenaida Bunag, and a copy of the report was issued.the state’s words, verbatim · CDSS document, Mar 22, 2024 · control 11-AS-20230717150430

Type of visit: Required - 1 Year

On 12/20/2023 at 10:00 AM, Licensing Program Analyst(LPA) Lizeth Villwgas conducted an unannounced annual inspection visit using the CARE Inspection Tool. the LPA met with Licensee Zenaida Bunag as the purpose of the visit was explained. The facility is licensed for six residents age 60 and over of which (5) non-ambulatory residents, (1) bedridden, and with (2) hospice waivers. Currently census is 6, facility fees are up to date and liability insurance is active with expiration date of 07/16/2024. The facility is a single-story structure located in a residential neighborhood and consists of the following: (5) resident bedrooms, (2.5) resident bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area and an extra refrigerator, front yard, backyard with umbrella with table and chairs. No weapons are stored in the premises, no bodies of water. A supply of perishable and non-perishable food was observed. Emergency Water supply is found in the garage. Toxins and knifes were observed to be stored and inaccessible to clients. Last fire drill was on 09/29/23, carbon monoxide and smoke detectors observed and are operational, landline and internet were observed. The facility (2) Fire Extinguishers were checked and found to be fully charged. Exits and walkways are free of debris/hazards. LPA conducted a records review of 2 staff records, 2 resident records, and 2 medication administration record. No discrepancies observed. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. Resident bedrooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to clients. The water temperature properly measured between 105-120 F.. During today’s visit no discrepancies were observed. Exit interview conducted with Licensee Zenaida Bunag, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Dec 20, 2023