Claire's Villa

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jose Tan conducted an Annual Required inspection of this facility today. LPA initially met with staff Leonita Garcia, who called the Administrator Claire Francisco. The Administrator arrived 10 minutes later and explained the reason for the visit. A tour of the physical plant was conducted at 12:18 PM and the following was noted: There is only one entrance being utilized at the facility. The facility had submitted and approved Infection Control and Mitigation plan. The facility has a designated visitors' area at the backyard. The facility has sufficient stock of PPE in the storage room. The facility has five (5) bedrooms and three (3) bathrooms currently occupying four (4) residents. One (1) bedroom is designated for staff use. The facility is fire cleared for six (6) non-ambulatory residents, one of which may be bedridden on Room #5. The facility is also has an approved hospice waiver for six (6) residents. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Bedrooms: All five (5) resident rooms were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: The bathroom for residents' use was observed to have grab bars, non-skid mats and properly supplied with hygiene products. Hot water temperature was measured at a range of 112.5°F to 112.8°F. LPA did not observe any toxins or cleaning supplies in any of the bathrooms during the day's visit. (continued on LIC 809-C) (continued from LIC 809) Common Areas: These included the living room and dining area. The common areas were properly furnished. The dining room area and table is large enough to accommodate up to six (6) residents. The auditory alarms on all exit doors were on and functional at the time of the visit. There is a fire extinguisher located in the kitchen and was last inspected on 02/18/26. Dual smoke/carbon monoxide alarms are hardwired and inter connected, tested and observed to be operational. Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The laundry room is located going through to the garage and was locked at the time of the visit. Detergents and cleaning supplies are kept in the laundry room cabinet observed to be locked and inaccessible. There is no body of water at the facility. There is a tool shed in the backyard observed to be locked during visit. Garage: The garage was currently being used as frozen food, toxins and other cleaning supplies storage. The garage is attached to the facility but could only be accessed through the laundry room. Resident Files: Resident files are kept in a locked medication closet located by the bedroom hallway. LPA conducted a file review of resident records. Resident records are complete and updated.. Staff Files: Staff files are kept in a locked closet, also by the dining room. LPA conducted a file review of staff records and observed that the files are complete and updated. Medications: Medications are kept in a locked closet by the bedroom hallway. Medications and Medication Records were reviewed for proper storage and documentation. There is a complete first aid kit located in the medication closet. Disaster drill was last conducted on 12/04/25. Required posting observed in facility (complaint hot line poster). Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issued.the state’s words, verbatim · CDSS document, Mar 14, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit and was greeted by the caregivers. LPA Spaeth stated the purpose of the visit was to conduct an annual inspection. The caregiver confirmed there are three residents living in the facility. The Administrator, Claire Francisco arrived at 10:30 am. The facility is licensed for six non-ambulatory residents in rooms 1, 3, 4 and 5 of which one bedridden may be bedridden in bedroom 5. Room 2 is the designated staff room. LPA Spaeth reviewed the residents' files at 11:00 am until 11:20 am. LPA toured the facility at 11:20 am until 12:00 pm and observed the following: Living Room – The room contained comfortable seating and a television. Kitchen/Dining Room - The facility contained a seven-day supply of non-perishable food and a two-day supply of perishable foods. The knives were locked in a kitchen cabinet. The cleaning solutions were locked underneath the kitchen sink. The medications were locked in a kitchen cabinet. LPA observed the first aid kit was securely locked in the kitchen. Cleaning supplies were also locked in a kitchen cabinet. A fire extinguisher is also located in the kitchen. Appliances in the kitchen appeared to be functional. The dining room area contained a dining room table and chairs. Backyard - The backyard contained a shaded area with comfortable seating. The side gate leading from the backyard to the front yard was not locked. Continued on 809-C Bedrooms –LPA Spaeth observed the bedrooms were furnished with a bed, linens, night stand, lamp, chest of drawers, a chair and a closet. Bathrooms- There are three bathrooms which contained hand soap, grab bars, non-skid mats, paper towels, and trash can. The water temperature was recorded at 11:50 am and was 108.0 degrees F. Hallway - The hallway cabinet contained clean linens. Laundry Room – the laundry room was locked and contained the washer and dryer. Garage- LPA observed there were no safety issues. Egress- LPA observed the egress system were properly working at each exit door. LPA reviewed staff records at 11:50 am until 12:10 pm. and checked the residents' medications at 12:10 pm until 12:20 pm. The smoke and carbon monoxide detectors were tested at 12:15 pm and were operable. The facility was clean and appears to be in good repair. There are no deficiencies to report at this time. Exit interview conducted and a copy of the report was given.the state’s words, verbatim · CDSS document, Jan 31, 2025

Type of visit: Prelicensing

On 3/08/2024, Licensing Program Analyst (LPA) Melissa Spaeth conducted an announced Pre-Licensing visit to this facility and met with the Licensee. This is a new application and a fire clearance dated 12/07/2023 was received for five (5) non-ambulatory residents and one (1) bedridden resident. The facility phone number is 661-526-7051. The purpose of today’s visit is to inspect the facility to ensure that it maintains compliance under California Code of Regulations, Title 22, Division 6. Component III was conducted with the applicant from 2:10 pm until 3:10 pm. Today’s site visit consisted of LPA touring the physical plant inside and outside from 3:10 pm until 3:40 pm LPA Spaeth observed the following: Living Room – The room contained comfortable seating and a television. Kitchen/Dining Room - The facility contained a seven-day supply of non-perishable food and a two-day supply of perishable foods. The knives were locked in a kitchen cabinet. The cleaning solutions were locked underneath the kitchen sink. The medications will be locked in a kitchen cabinet. LPA observed the first aid kit was securely locked in the kitchen. Cleaning supplies were also locked in a kitchen cabinet. A fire extinguisher is also located in the kitchen. Appliances in the kitchen appeared to be functional. The dining room area contained a dining room table and chairs. Continued - 809C Backyard - The backyard contained a shaded area with comfortable seating. The side gate leading from the backyard to the front yard was not locked. Bedrooms – Bedroom one is designated for two non-ambulatory residents, bedroom two designated for staff only, bedroom three to house one non-ambulatory resident, bedroom four to house one non-ambulatory resident, bedroom five to house one bedridden, and one non-ambulatory resident. The bedrooms were furnished with a bed, linens, night stand, lamp, chest of drawers, a chair and a closet. Bathrooms- There are three bathrooms which contained hand soap, grab bars, non-skid mats, paper towels, and trash can. The water temperature was recorded at 3:50 pm and was 108.0 degrees F. Hallway - The hallway cabinet contained clean linens. Laundry Room – the laundry room was locked and contained the washer and dryer. Garage- LPA observed there were no safety issues. Egress- LPA observed the egress system were properly working at each exit door. The smoke and carbon monoxide detectors were tested at 2:15 pm and were operable. The facility was clean and appears to be in good repair. This report will be forwarded to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved.the state’s words, verbatim · CDSS document, Mar 8, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Francisco, Claire Jith M - Applicant/Administrator Interview Method: Telephone interview On 02/09/2024, 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, Feb 9, 2024