Barrett Villa

Type of visit: Required - 1 Year

On 9/11/2026 at 11:30 AM, Licensing Program Analyst (LPA) Matthew Aguilar made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with Administrator Alexis Carlos and was granted entry to the facility. At the time of the visit there were three (3) staff present, and four (4) residents present. The facility has five (5) bedrooms, two (2) bathroom home with a kitchen/dining area, living room/activity room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for six (6) non ambulatory residents, of which one (1) may be bedridden in bedroom one (1). The facility has six (6) hospice care waivers and the current census is four (4) residents. The facility is also licensed to care for residents with dementia. LPA was accompanied by a staff to conduct a general overall inspection, which included, but was not limited to the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 74 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with the required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPAs measured and observed the water temperatures in the bathroom to be at 109 degrees Fahrenheit. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Fire extinguisher was also observed at the facility. Posters such as personal rights, the CCLD complaint poster, and the disaster plan were posted in a common area. ***Continuation in LIC809C *** Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. There is a Medicine closet with the resident’s medications locked. LPAs observed first aid kit and first aid book at the facility. Yards/Outside: One shaded patio with a wheelchair ramp, two (2) side gates with self-latching handles on the right side and left side of the house that leads into the backyard, attached two (2) car garage observed. All outdoor pathways were free of obstructions. Food Service: Seven (7) days’ supply of Non-perishable foods and two (2) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. LPA observed that the facility has sufficient 72 hour emergency food and water. Care & Supervision: The facility has an Administrator present in the facility with enough hours to appropriately manage the facility. The facility has sufficient number of staff to provide care and supervision to the residents in care. The facility is licensed for one (1) bedbound resident in bedroom #1. Record Review: LPA reviewed two (2) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPA observed resident files reviewed were complete. LPA reviewed two (2) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA observed staff files are complete. LPA observed that the facility completed quarterly fire and earthquake drills. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report LIC809 was discussed and provided to Administrator Alexis Carlos.the state’s words, verbatim · CDSS document, Sep 11, 2026

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Raquel Hernandez made an announced visit to the facility in order to conduct a pre-licensing inspection for an initial application. LPA Hernandez identified herself to Licensee/Administrator, Steven Barrett, who was also advised of the purpose of the visit. The pending application is for a Residential Care for The Elderly. The facility has been granted a fire clearance for a total capacity of five non-ambulatory and 1 bedridden residents by the Corona Fire Department on 04/10/2025. The facility has a total of five resident bedrooms, two bathrooms, a kitchen/dining area, a living room/garage, and backyard. LPA toured the interior and exterior areas of the facility. The following was inspected: LPA inspected resident bedrooms; the bedrooms have the required bedding and furniture, such as, clean mattresses/linen, night stands, dressers, chairs, and lighting. LPA inspected resident bathrooms; the bathroom appliances were operating in safe and sanitary conditions and contained appropriate hygiene items for residents. LPA inspected the kitchen, which contained utensils and dishware in good condition for the clients. LPA also observed that kitchen appliances and countertop were free of debris and in good repair. There was also a meal menu available for review. LPA inspected the common areas; in which LPA observed that there was a locked area for knives, cleaning supplies. LPA observed a charged fire extinguisher, operating smoke detectors, and carbon monoxide alarms at the time of visit. LPA observed required postings including the complaint reporting poster and personal rights. The facility was equipped with a complete first aid kit and manual. There was a locked and centralized storage area for medications and area for client files and staff files. The facility had a working telephone for resident use. There was adequate seating and activity space in the common areas. LPA observed that all passageways were free from obstruction. Overall, LPA Hernandez observed no apparent health and safety risks at the time of visit. LPA has determined that the facility has met operational requirements for residents. The pre-licensing inspection is complete and this facility has no deficiencies. Applicant has satisfied all requirements in accordance with Title 22, California Code of Regulations. LPA also completed COMP III with the applicant at the conclusion of the inspection. An exit interview was conducted where this report was discussed and a copy was provided to Steven Barrett at the conclusion of the inspection.the state’s words, verbatim · CDSS document, Oct 1, 2025

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): N/A COMP II Participants: Licensee Steven Barrett and administrator Creusarth Respicio Interview Method: Telephone interview On 9/3/2025, 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, Sep 3, 2025