Bentits Retirement Villa

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced required annual visit. LPA was met by caregiver Evelyn Valera and the purpose of the visit was explained. Administrator Teresita Maralit was advised telephonically. The facility is licensed to serve residents age range 60 and over, approved for six (6) non-ambulatory of which one (1) may be bedridden. Approved hospice waiver for two (2). The facility is a single-story home located in a residential area of San Dimas. The home consists of four (4) resident bedrooms, one (1) staff room, two (2) resident bathrooms, one (1) staff bathroom, living room, dining area, TV room, laundry room, front and backyards. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: The front and backyard are well maintained and there are no pools or large bodies of water. Passageways and exits are free of obstructions. Smoke detectors were observed throughout the facility and are operable. There is a carbon monoxide detector located in the hallway of the home, tested and not operable. Deficiency cited. There is a fire extinguisher located in the kitchen which was observed to be charged. Emergency drills conducted quarterly, last drill was August 2025. continued on LIC 809C continued from LIC 809 Kitchen appliances are clean and were operating at the time of the visit. Sharps are secured in a kitchen drawer and are inaccessible to residents. Kitchen was clean but there was evidence of pests in the form of a pest trap containing dead bugs on the kitchen countertop. Deficiency cited. There was not a sufficient supply of two (2) days perishable food, LPA observed not enough fresh fruit or bread for residents in care. Deficiency cited. Sufficient supply for seven (7) days non-perishable foods were observed. Fireplace located in the living room was inaccessible with a covered screen. Games and puzzles observed in living room for resident use. Dining room and living room are clean and free of obstructions and have sufficient seating for residents in care. Resident bedrooms have the required furniture and have sufficient closet and storage space. Resident beds have the required linen and the linen is in good repair. Washing machine and dryer were clean and operable at the time of visit. There is a locked cabinet in the laundry room with detergent, cleaning supplies and disinfectants, secured and inaccessible to residents in care. Cleaning solutions were observed unsecured on a countertop in the hallway accessible to residents in care. Caregiver secured cleaning solutions at time of visit, locking them in the laundry room. Deficiency cited. Medications are centrally stored in a locked cabinet in the TV room. Medications are documented properly and given as prescribed. First Aid kit was fully stocked with current manual. Three (3) resident and three (3) staff files were reviewed and were observed to contain required documentation. Facility file for resident #4 was mistakenly taken by EMS. Staff are awaiting resident’s family to retrieve file. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit are documented on the LIC809D. Exit interview held and a copy of the report along with appeal rights were provided to the Caregiver Evelyn Valera.the state’s words, verbatim · CDSS document, Nov 7, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) S Vaid conducted an annual required visit. LPA met with caregiver, Tita Bartolata and explained the reason for the visit. Caregiver Tita Bartolata, called Administrator, Administrator joined shortly after. LPA used the CARE tool to evaluate the facility. LPA inspected the physical plant, reviewed residents' medications, observed food supply, and reviewed resident and staff files. Facility has submitted a mitigation plan and the plan has been approved. The facility consists of (5) bedrooms, of which (1) is for live-in staff, (3) bathrooms of which (1) is for live-in staff, a living room, kitchen, dining room, TV room, shaded patio in the backyard and a detached garage. All resident bedrooms were toured and observed to have a smoke detector, the required furniture, linens, and sufficient closet and storage space. All bathrooms were observed to have a toilet, shower, and wash basin. The resident bathrooms were observed to have the required non-skid mats and grab bars. The bathroom basins with Jack and Jill sinks read 131.7degrees F which is not within the required 105 - 120 degrees- noted. The kitchen was toured. All appliances were operating properly. There was a sufficient amount of 2-day perishable and 7-day non-perishable food, and the refrigerator in the garage. The common areas including the living rooms and dining room are clean and have the required furniture. The backyard has a shaded area and sitting area. The facility has cameras in the hallway and common areas, for surveillance only, not recording. LPA observed a cabinet near the entrance of the laundry room to the right, that stored cleaning supplies/toxins and laundry supplies. Toxins and sharps are inaccessible to the residents. LPA reviewed all resident files. Residents’ admission agreement, pre-admission appraisal, and proof of TB test. LPA reviewed staff files. Staff files contain health screening report, fingerprint clearance, certificates and trainings. LPA reviewed 4 residents' medications. Medications are documented properly and given as prescribed. First aid kit was observed and has all the required items and manual. Continued on 809C Per California Code of Regulations, Title 22, the deficiencies observed are documented on the attached LIC809-D. An exit interview was conducted, and a copy of the report, LIC 809, LIC 809C and LIC 809D and appeal rights were provided to Administrator.the state’s words, verbatim · CDSS document, Sep 12, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) V. Maldonado made an unannounced visit at the facility for the purpose of conducting the required annual inspection, using the Compliance and Regulatory Enforcement (CARE) Tool, to evaluate the facility. LPA Maldonado met with Caregiver, Tita Bartolata, and explained the purpose for the visit. During today's visit, LPA Maldonado conducted a tour of the physical plant with Caregiver, Tita, observed the facility food supplies, reviewed (3) resident medications, (3) resident files, (4) staff files, and conducted interviews with (2) staff and attempted interviews with (3) residents. The facility is a single-story home, operating as an Residential Care Facility for the Elderly. It is licensed to serve (6) older adults, ages 60 and over. It has an approved dementia care plan. There is a fire clearance approved for (6) non-ambulatory residents, of which (1) may be bedridden, and has a hospice waiver approved for (2). There are currently no residents receiving hospice services. An approved mitigation plan is in place and Infection Control plan has been submitted to the department for review. The facility does not have a current Liability Insurance Policy in place. Per the Licensee/Administrator, Teresita Maralit, the policy has expired and is in the process of applying for a new policy with a different company. The facility consists of (4) resident bedrooms, (1) live-in staff bedroom, (2) resident bathrooms, (1) staff/visitor bathroom, a living room, kitchen, dining room, TV room, shaded patio in the backyard and a detached garage. All resident bedrooms were toured and observed to have a smoke detector, the required furniture, linens, and sufficient closet and storage space. LPA observed the following in bedroom# 3: the smoke detector was opened and did not have batteries- inoperable, damage to the ceiling which appeared to be cracked and paint is chipping, and the wall to the right side of the entrance was scuffed and had paint scratched off. Bedroom# 2 was toured and LPA observed that the emergency exit leading to the outside was locked by key from the inside, which does not allow for quick exit in case of an emergency. LPA also observed the front entrance door locked by key, from the inside. The facility does not have a fire clearance approved for locked perimeters/exterior doors. (Report Continued on LIC809-C...) Per staff, they have been instructed to lock this door due to Resident# 3 (R3) wandering and staff afraid of R3 walking out of the facility. Staff unlocked and opened the door. LPA observed that the auditory device at the door was inoperable. Auditory devices at all other entrances/exits were also observed to be inoperable and one was missing at the sliding door in the TV room. Full bed rails were observed on Resident# 1's (R1) bed, without written physician's orders in R1's file, indicating the need for the bed rails. Per staff, R1 was recently discharged from Hospice but is still using the hospital bed. Resident bathrooms were observed to have a toilet, shower, and wash basin. The staff bathroom has a Jack & Jill hand wash sink and the sink to the left side was observed to have a sign indicating "Pls don't use this side. It's leaking. Thanks" LPA opened the faucet and observed water leaking from underneath the sink, into a small bucket. The resident bathrooms were observed to have the required non-skid mats and grab bars. The hot water was tested and measured between 140*F- 144*F. The hot water requirement is currently not being met. The kitchen was toured and all appliances were operating properly. There was a sufficient amount of perishable and non-perishable food in the kitchen refrigerator, the kitchen pantry, and the refrigerator in the garage. LPA observed the cabinets underneath the kitchen sink to be broken. There are pieces of wood placed on the floor holding the cabinet up, and the top of the cabinet is hanging down. Caregiver stated Licensee is aware of the broken cabinet. All sharps were observed to be stored and inaccessible in a drawer next to the kitchen sink. Cleaning supplies/toxins and laundry supplies are stored in a cabinet in the laundry room, inaccessible to residents. Several fire extinguishers were observed throughout the facility with recent inspections and were fully charged. LPA observed several cameras in the facility, located in the hallway and common areas only. The smoke/carbon monoxide detectors were tested and operational. After review of resident files, LPA discovered that files for (3) of (3) residents were missing Pre-Admissions Appraisals and Needs and Services Plans. Files for R2 and R3 were missing records for residents cash resources/personal property/valuables and Functional Capabilities Assessments. After review of staff files, it was discovered that (3) of (4) staff did not have a personnel file in the facility to review, which includes the Administrator/Licensee's file. LPA also discovered that (2) of (4) staff were not associated to the facility, but had proper criminal background clearance. LPA reviewed (3) residents' medications and observed them to be documented properly and given as prescribed. (Report Continued on LIC809-C...) During today's visit, LPA observed R3 attempting to open the front entrance door several times, attempting to walk away and wander off while staff were tending to other residents. LPA also observed visitors of other residents attempting to provide care/supervision to R3 during their visit, by calling R3 back every time R3 attempted to walk away and asking R3 to sit and stay there while caregivers were tending to the other residents. LPA determined that there is insufficient staff to care for residents with dementia and wandering behaviors. After speaking with Licensee/Administrator, she informed LPA that she is at the facility about 3-4 hours a day, 3-4 times per week to oversee the operations of the facility. Due to deficiencies cited today, repeat violations observed, LPA determined the administrator is not on the premises sufficient hours to permit adequate attention to the administration of the facility. Per California Code of Regulations, Title 22, deficiencies were observed and are cited on the attached LIC809-D. Additionally, Civil Penalties in the amount of $1,900.00 were assessed and issued during today's visit due to repeat violations within a 12-month period, as well as caregivers working at the facility without proper association to the facility, and violation of fire clearance. An exit interview was conducted and a copy of this report and appeal rights were provided to caregiver, Tita Bartolata. Licensee was also phoned, and citations and civil penalties were discussed.the state’s words, verbatim · CDSS document, Nov 17, 2023