Bella Villaggio

Type of visit: Annual/Random

On September 9, 2026 Licensing Program Analyst (LPA), Toni Nwala made an unannounced visit to the facility for the purpose of conducting a required annual inspection. LPA was greeted and granted entry to conduct the inspection. LPA met with administrator, Eloiza Castellanos and she was notified of the purpose for the visit. LPA toured the facility inside and outside with Administrator Eloiza. The LPA observed a centralized fire alarm/fire extinguisher system and operating carbon monoxide detectors throughout the facility. LPA observed multiple fire extinguishers that are charged were inspected on 01/22/2026. LPA observed passageways were clear of obstructions and there are rail bars in hallways. LPA was informed this facility does not allow the storage of firearms or ammunition. LPA observed the pool area fenced and locked. Residents in the assisted living unit of the facility have a key fob to access the pool. Residents in the memory care unit do not have access. LPA observed a full service restaurant, movie theater, library, game room, art room, pool table, gym and several lounges. Physical plant, floors, windows, and doors were observed to be clean and in good repair. Fixtures and furniture were in good repair and were present. The outdoor area was observed to have lots of shaded area for residents and was free of hazards. This facility has fenced/gated swimming pool. Cleaning chemicals are all handled by the maintenance staffs. LPA was informed that there is a team of maintenance staffs. All units are apartments with with kitchen, bathroom and bedrooms. Residents can either dine at the restaurants or receive food services from the facility. Adequate staff are present for the supervision of residents during the visit, LPA also reviewed the staff schedule showing adequate staff coverage. Facility sketch, exit routes, personal rights, complaint information and emergency phone numbers were found posted in the facility. Facility has adequate supply of linens and towels for use by the residents and were sufficient to meet the needs of the residents. LPA observed laundry rooms which had operating washers and dryers for residents use. Laundry room in the memory unit is locked at all times and only accessible to staff. LPA reviewed five (5) staff files and training. All staff have criminal clearance and updated training along with CPR/First Aid Certification. ten (10) resident files were reviewed, and possessed all required paperwork. LPA reviewed the facility's emergency and disaster plan. LPA reviewed documentation showing the facility's last fire and earthquake drills, which met the department requirements. LPA observed all facility exits were clear from obstructions. LPA observed emergency supplies in a storage room and first aid kit with all required items. No deficiencies were cited at the time of the visit. An exit interview was conducted where a copy of this report was provided to Administrator Eloiza Castellanos.the state’s words, verbatim · CDSS document, Sep 9, 2026

Allegation investigated: Staff did not address a resident's toileting needs while in care. Resident was left soiled while in care. Resident sustained an injury from a fall while in care. Resident was charged for services not received.

On May 4, 2026, Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced follow-up visit. This report is a corrected version of the LIC9099 and LIC9099C forms created on November 23, 2025, to incorporate additional information regarding the allegations investigated by Licensing Program Analyst (LPA) Michael Cava. During the visit, the LPA met with Administrator Eloiza Castellanos and explained the purpose of the follow-up visit. On November 23, 2025, LPA conducted interviews with the Administrator (A1), Business Manager (BM), three staff members (S1-S3), and ten residents (R2-R11). A physical plant inspection and a record review were also conducted to ensure that residents' incontinence care and toileting needs are met and that the facility is properly maintained and odor-free. LPA was unable to interview R1 because R1 no longer resides at the facility and R1’s current location is unknown. Reports Continued on LIC9099C Unsubstantiated Staff did not address a resident's toileting needs while in care/Resident was left soiled while in care. Regarding the allegation, it was reported that on or around April 11, 2021, Resident 1 (R1) was observed sitting on their own feces, and feces were also observed in R1's bathroom and on the recliner. It was reported that on or around May 4, 2020, feces were observed smeared on R1's toilet seat. During the investigation on 11/23/25, LPA interviewed the Business Manager (BM) and three (3) staff members (S1-S3), none of whom could confirm the allegation. LPA also interviewed ten (10) residents (R2-R11), none of whom could corroborate the allegation or report any complaints or concerns about their toileting needs not being met. In addition to these interviews, LPA conducted a physical plant inspection of randomly selected resident rooms and common areas. During this inspection, LPA did not detect any fecal or urine odor throughout the physical plant. Moreover, during resident interviews, LPA observed that these residents were appropriately cared for. Based on the information obtained, there was insufficient evidence to prove that staff do not address a resident's toileting needs while in care or a resident being left soiled while in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated. Report Continued on LIC9099C Resident sustained an injury from a fall while in care: Regarding the allegation, it was reported that on or around April 21, 2021, R1 fell at about 6:30 p.m. while attempting to go to the bathroom. R1 was transported to the hospital and placed in the ICU for four days due to a traumatic brain injury. It’s reported that the facility has no call buttons for elderly residents and those with limited mobility to get help. During the investigation on 11/23/25, LPA interviewed the Business Manager (BM) and three (3) staff members (S1-S3), who could not confirm the allegation because they either did not know who R1 is or were not working at the facility at the time of the incident on or around April 21, 2021. On 11/23/25, LPA also interviewed ten (10) residents (R2-R11). The interviews revealed that not all ten residents knew who R1 is. The LPA interviewed the Administrator and requested a copy of the Incident Report (IR) for R1’s fall on April 21, 2021. The administrator stated that, because the incident occurred almost 5 years earlier, the IR could not be located or obtained. The LPA toured the facility and visited rooms 111 and 201. The LPA pulled the call buttons in each resident room, and staff arrived within 1 to 2 minutes. Based on the information obtained, the allegation of R1 sustaining an injury from a fall while in care cannot be confirmed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated. Resident was charged for services not received: Regarding the allegation, it was reported that the additional pay charged for R1 for additional care and supervision, including physical assistance with toileting, was not met. During the investigation on 11/23/25, LPA conducted interviews with the Business Manager (BM) and three (3) staff members (S1-S3), who could not confirm the allegation because staff either did not know who R1 was or were not working at the facility when the resident lived there. In addition to interviewing staff, LPA interviewed ten (10) residents (R2-R1), all of whom did not report any complaints or concerns about their needs not being met. The LPA review of R1’s medical assessment indicates that R1 requires assistance with bathing and toileting. However, the review of R1’s Admission Agreement does not confirm that R1 was paying additional charges for physical assistance with toileting, as this section of the Admission Agreement indicates no arrangements were made to pay for additional services. Only the agreed-upon basic services were included. Furthermore, R1’s Admission Agreement indicates a Level 1 level of care, and on page 32 of the Admission Agreement dated December 12, 2018, R1 declined the additional service. Report Continued on LIC9099C Based on the information obtained, it could not be proven that a resident was charged for services not received. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited. An exit interview was conducted. A copy of this report was provided to the Administrator Eloiza Castellanos.the state’s words, verbatim · CDSS document, May 4, 2026 · control 18-AS-20210623121750

Allegation investigated: Staff are impeding Ombudsman's investigation

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted a subsequent complaint visit to deliver final findings for the above allegation. During today’s visit, LPA met with Executive Director (ED) Eloiza Castellanos and explained the reason for the visit It was alleged that Staff are impeding Ombudsman's investigation. LPA interviewed the ED and the information obtained revealed that the facility staff did not refuse to provide the Ombudsman with the requested contact information. Rather, ED sought clarification and written guidance regarding the scope and legal basis of the request, particularly in light of recent events involving a memory care resident with a dementia diagnosis, who was having issues with the Power of Attorney. Following this incident, the Ombudsman requested a list of all memory care residents, and their responsible parties contact information. Unsubstantiated ED stated they questioned the legitimacy of the request and asked for written justification. The Ombudsman responded by citing Welfare and Institutions Code §9722. ED stated they provided face sheets for five residents to the Ombudsman(OMB) representative during a prior visit and were never told about an ongoing investigation conducted by the OMB. Based on interviews and records review, the allegation mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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 is unsubstantiated at this time. An exit interview was conducted where this report, LIC9099, was discussed and provided to Administrator Executive Directorthe state’s words, verbatim · CDSS document, Nov 26, 2025 · control 18-AS-20250912083356

Allegation investigated: Facility phones are not being answered. Staff are not providing a safe environment for residents in care.

Licensing Program Analyst (LPA) Michael Cava conducted a subsequent complaint visit to the facility to conclude the investigation regarding the above allegations. LPA met with the Business Manager (BM), Kimberly Pedrosa, and advised her of the complaint. The ten day visit was made by LPA Yolanda Delgado on 09/26/22. Today's investigation consisted of of interviews with the BM, staff and residents. A physical plant inspection was also made. Facility phones are not not being answered: In regards to the allegation, it was reported that calls to facility were made in the past, to no answers by staff. Dates and times have not been identified to this allegation. Between 9:20am to 10:20am, interviews with the BM and three (3) of three staff deny the allegation. Between 10:20am and 11:20am, interviews with ten (10) of ten residents expressed no complaints or concerns regarding phone service. Prior to today's investigation, LPA Cava called facility to run a test if call will by answered, and call was. Unsubstantiated Based on the information obtained, it could not be proven that calls made to facility are not being answered. Therefore, the allegation is deemed Unsubstantiated at this time. Staff are not providing a safe environment for residents in care: In regards to the allegation, it was reported that due to phone calls not being answered by facility staff, there is some concern for the health and safety of the residents in care. There were no times and dates provided as to when calls being made were not answered. Prior to this investigation, LPA Cava made a call to the facility, and call was answered by facility staff. Between 9:20am to 10:20am, interviews with the BM and three (3) of three staff deny the allegation. Between 10:20am and 11:20am, interviews with ten (10) of ten residents expressed no complaints or concerns regarding phone service. Between 11:20am to 12:00pm, LPA conducted a physical plant inspection, and observed sufficient staff monitoring the floors during the visit. Based on the information obtained, there was insufficient evidence to prove that staff are not providing a safe environment for residents in care. Therefore, the allegation is deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, Nov 23, 2025 · control 18-AS-20220923161355

Allegation investigated: Staff did not address a resident's toileting needs while in care Resident was left soiled while in care Resident sustained an injury from a fall while in care Resident was charged for services not received

In conjunction to complaint control #18-AS-20220923161355, Licensing Program Analyst (LPA) Michael Cava also conducted a subsequent complaint visit to the facility to conclude the investigation regarding the above allegations. LPA met with the Business Manager (BM), Kimberly Pedrosa, and advised her of the complaint. The ten day visit was made by LPA Stephanie Torres on 07/02/21. Today's investigation consisted of of interviews with the BM, staff and residents. A physical plant inspection and record review was also conducted. Staff did not address a resident's toileting needs while in care/Resident was left soiled while in care: In regards to the allegation, it was reported that on or around April 11, 2021, Resident 1 (R1) was observed sitting on their own feces. Feces was also observed on R1's bathroom and recliner. This wasn't the first time similar incident like this had occurred. It was reported that on or around May 4, 2020, feces was also observed smeared on R1s toilet seat. LPA attempted to contact the reporting party several times to obtain Unsubstantiated and confirm the allegation, and to also identify any witnesses, but there was no reply. Between 9:20am to 10:20am, interviews with the BM and three (3) of three staff deny the allegation. Between 10:20am and 11:20am, interviews with ten (10) of ten residents expressed no complaints or concerns regarding of their needs not being met. Between 11:20am to 12:00pm, LPA conducted a physical plant inspection, and observed sufficient staff monitoring the floors during the visit. Based on the information obtained, there was insufficient evidence to prove that staff do not address a resident's toileting needs while in care or a resident being left soiled while in care. Therefore, the allegation is deemed Unsubstantiated at this time. Resident sustained an injury from a fall while in care: In regards to the allegation, it was reported that on or around April 21, 2021, R1 had a fall at about 6:30 in the evening attempting to go to the bathroom. R1 was transported to the hospital and was placed in ICU for four days, with a traumatic brain injury. There are no call buttons for the elderly and limited mobility residences to get help. After several attempts to contact the reporting party, LPA was unable to obtain additional information to corroborate with the allegation. Between 9:20am to 10:20am, interviews with the BM and three (3) of three staff deny the allegation. Between 10:20am and 11:20am, interviews with ten (10) of ten residents expressed no complaints or concerns regarding of their needs not being met. Based on the information obtained, there was insufficient evidence to prove the allegation of R1 sustaining an injury from a fall while in care. Therefore, the allegation is deemed Unsubstantiated at this time. Resident was charged for services not received: In regards to the allegation, it was reported that the additional pay that was charged for R1 for additional care and supervision to include physical assistance with toileting was not met. After several attempts to contact the reporting party, LPA was unable to obtain additional information to corroborate with the allegation. Between 9:20am to 10:20am, interviews with the BM and three (3) of three staff deny the allegation. Between 10:20am and 11:20am, interviews with ten (10) of ten residents expressed no complaints or concerns regarding of their needs not being met. Based on the information obtained, it could not be proven that a resident was charged for services not received. Therefore, the allegation is deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, Nov 23, 2025 · control 18-AS-20210623121750

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Debbie Palacios made an unannounced visit to the facility for the purpose of conducting a required annual inspection. LPA was greeted and granted entry to conduct the inspection. LPA met with administrator, Eloiza Castellanos and she was notified of the purpose for the visit. LPA toured the facility inside and outside with Administrator Eloiza. The LPA observed a centralized fire alarm/fire extinguisher system and operating carbon monoxide detectors throughout the facility. LPA observed multiple fire extinguishers that are charged were inspected on 04/02/2025. LPA observed passageways were clear of obstructions and there are rail bars in hallways. LPA was informed this facility does not allow the storage of firearms or ammunition. LPA observed the pool area fenced and locked. Residents in the assisted living unit of the facility have a key fob to access the pool. Residents in the memory care unit do not have access. LPA observed a full service restaurant, movie theater, library, game room, art room, pool table, gym and several lounges. Physical plant, floors, windows, and doors were observed to be clean and in good repair. Fixtures and furniture were in good repair and were present. The outdoor area was observed to have lots of shaded area for residents and was free of hazards. This facility has fenced/gated swimming pool. Cleaning chemicals are all handled by the maintenance staffs. LPA was informed that there is a team of maintenance staffs. All units are apartments with with kitchen, bathroom and bedrooms. Residents can either dine at the restaurants or receive food services from the facility. Adequate staff are present for the supervision of residents during the visit, LPA also reviewed the staff schedule showing adequate staff coverage. Facility sketch, exit routes, personal rights, complaint information and emergency phone numbers were found posted in the facility. Facility has adequate supply of linens and towels for use by the residents and were sufficient to meet the needs of the residents. LPA observed laundry rooms which had operating washers and dryers for residents use. Laundry room in the memory unit is locked at all times and only accessible to staff. LPA reviewed five (5) staff files and training. All staff have criminal clearance and updated training along with CPR/First Aid Certification. Five (5) resident files were reviewed, and possessed all required paperwork. LPA reviewed the facility's emergency and disaster plan. LPA reviewed documentation showing the facility's last fire and earthquake drills, which met the department requirements. LPA observed all facility exits were clear from obstructions. LPA observed emergency supplies in a storage room and first aid kit with all required items. No deficiencies were cited at the time of the visit. An exit interview was conducted where a copy of this report was provided to Administrator Eloiza Castellanos.the state’s words, verbatim · CDSS document, Jul 29, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs), Seo Jeon and Javina George made an unannounced visit to the facility for the purpose of conducting a required annual inspection. The LPAs were greeted and granted entry to conduct the inspection. On today’s visit the LPAs met with administrator, Eloiza Castellanos and she was notified of the purpose for the visit. This facility is 2 story building with 148 apartment units, (40 units in memory care and 108 units on the assisted living side). This facility currently has 148 residents including 11 receiving hospice services, 31 dementia, 26 home health, 15 receiving oxygen administration and no bedridden. This facility has maintenance staffs who are in charge of regular cleaning and maintenance. LPA reviewed the facility's infection control plan and found all required infection control measures. There is a separate room Personal Protective Equipment (PPE) supplies. LPA observed a full service restaurant, movie theater, library, game room, art room, pool table, gym and several lounges. Physical plant, floors, windows, and doors were observed to be clean and in good repair. Fixtures and furniture were in good repair and were present. The outdoor area was observed to have lots of shaded area for clients and was free of hazards. This facility has fenced/gated swimming pool. Cleaning chemicals are all handled by the maintenance staffs. LPA was informed that there is a team of maintenance staffs. The hot water temperature was recorded at 109.9 in room# 107 and 114.0 degrees F in public restroom. All units are apartments with with kitchen, bathroom and bedrooms. Residents can either dine at the restaurants or receive food services from the facility. Adequate staff are present for the supervision of clients during the visit. LPA also reviewed the staff schedule showing adequate staff coverage. Facility sketch, exit routes, personal rights, complaint information and emergency phone numbers were found posted in the facility. The administrator Eloiza Castelleanos does not possess a valid administrator's certificate as it expired on 7-14-2024. Deficiency cited. Per Eloiza there are still CEUs that need to be completed. In addition a change of Administrator request was submitted in January 2023. However due to there not being a valid administrator certificate, the change of administrator cannot be completed at this time. Once all required documentation is received which includes a valid administrator certificate the change of administrator wiill be made. LPA reviewed eight(8) staff files and training logs. All staffs have criminal clearance and updated training along with CPR/First Aid Certification. Eight(8) client files were reviewed and possessed all required paperwork. Medications are stored in a locked cabinet inside a med room with locked door on the first floor. Computerized medication log is maintained. Medications logs were reviewed and they appear to have been dispensed accurately. LPA reviewed the facility's emergency and disaster plan. LPA reviewed documentation showing the facility performs monthly fire and earthquake drills, which met the department requirements. LPA observed all facility exits were clear from obstructions. The smoke and carbon monoxide detectors were tested and observed to be operable. The signal system as also observed to be operable. Fire extinguishers show annual inspection tag. An exit interview was conducted where a copy of this report, LIC809D and appeals right were provided to administrator, Eloiza Castellanos. LPAs left the facility at 12:30 pm and returned at 1:25 pm.the state’s words, verbatim · CDSS document, Jul 31, 2024