Kelly's Cedar Villa

Type of visit: Case Management - Other

On 04/15/2026, Licensing Program Analyst (LPA) Jacqueline Shaw-Ross arrived at the facility unannounced to conduct a required annual visit. Upon arrival, LPA observed that the facility appeared vacant. LPA phoned Administrator, Garrett Welker and who stated that the facility closed down effective 04/01/2026. Administrator reported the reason for closure was initiated by the owners and was due to constant repairs needed to the physical plant of the home. LPA was informed three residents went to three of their other facilities, and the other three residents moved to other care home. LPA toured the facility and confirmed that no residents were occupying the facility. The effective date of the license was 05/18/2021 and Administrator surrendered the original copy of the facility license during the visit. LPA explained to Administrator that the license would no longer be valid and therefore no required care and supervision should be provided in the home unless the state approves Licensure in the future. No further information was provided. A copy of this report was provided to Administrator, Garrett Welker.the state’s words, verbatim · CDSS document, Apr 15, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Javina George, conducted an unannounced visit to the facility for a required annual inspection. LPA was greeted and granted entry and met with Administrator, Garrett Welker. LPA informed the Administrator of the purpose for the visit. The facility currently has an approved Hospice Waiver for six (6) residents, there is currently one (1) residents receiving hospice services. There are no residents receiving home health services. The facility is a two story structure consists of six (6) resident bedrooms, one (1) staff room, a dining area, and backyard with a gazebo. The first floor of the facility consists of staff rooms and independent living resident room. There are no bodies of water located on the property, or known guns and ammunition on the premises. The sharps, chemicals and hazardous items were observed to be locked and inaccessible to residents in care. The resident medications are locked inside medication carts inside the staff office. All outdoor and indoor passageways are kept free of obstruction. The carbon monoxide and smoke detectors were tested and observed to be operable. The facility is conduct emergency disaster drills on a quarterly basis, the last drill was conducted on 5/1/25. LPA observed for the food supply to be sufficient . There is a minimum of 2 days supply of perishable foods and 1 week's supply of non-perishable food items. All staff present were observed to have criminal record clearance and to be associated to the facility. Staff present were also observed to have current first aid and CPR training. However there was no proof of initial or going training available to review, therefore a citation was issued. The resident files had the medical assessments, and appraisals. The facility annual fees that were due on or before 5/18/25 were paid during today's visit. While in bedroom #6 LPA observed for part of the shared fence facing, in the backyard to have fallen over. Per Administrator Welker the Landlord has already been in contact with property owner and it is their responsibility not the Landlord for the facility to fix, however he will follow up. Based on today's inspection a citation will be issued in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 8). An exit interview was conducted where a copy of this report, 809D appeal rights, glossary, LIC 811-Confidential names list and 9098-Proof of Corrections form was provided to Garrett Welker, Administrator.the state’s words, verbatim · CDSS document, May 7, 2025

Allegation investigated: Facility heater is in disrepair

Licensing Program Analyst, Stephanie Martinez, conducted an unannounced visit to the facility to start the investigation into the above allegation. The LPA met with Administrator, Garrett Welker, and informed him of the purpose for her visit. A report was received by the Department alleging the facility heater had been broken for about one week and the temperature in the home was cold for a resident in care. The visit included staff and resident interviews, a review of records and collection of relevant documentation. Administrator Welker was interviewed and confirmed the furnace in the home was in disrepair and, as a result, no heat was available to warm the home. Staff and resident interviews confirmed the furnace was broken; however, they reported it was repaired today, 05/07/2024. Staff interviews reported the furnace was in disrepair for about one week. Resident interviews reported the furnace was in disreapair for about one to three weeks. All interviews reported staff made attempts to accomodate residents by providing portable heaters and extra blankets. No resident interviews reported staff were neglectful with regard to keeping the home comfortable during the time the furnace was in disrepair. Therefore, based on interviews, this allegation is deemed UNFOUNDED. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. This report was reviewed with Administrator Welker and a copy was provided. Unfoundedthe state’s words, verbatim · CDSS document, May 7, 2024 · control 18-AS-20240503152327

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Stephanie Martinez, conducted an unannounced visit to the facility for a required annual inspection. The LPA was allowed entrance into the facility and met with Administrator, Garrett Welker. The LPA informed the Administrator of the purpose for the visit. The facility currently has an approved Hospice Waiver for six (6) residents. The inspection included the following: Physical Plant: The facility consists of six (6) resident bedrooms, one (1) staff room, a dinning area, an office, a living space, an open kitchen, a laundry room, and a patio with sufficient seating and space for activities. The LPA inspected the ground level of the home (staff rooms and independent living) and observed no concerns. There are no bodies of water located on the property. According to Administrator Welker, no weapons are stored in the home. The facility is being maintained at a comfortable temperature. All outdoor and indoor passageways are kept free of obstruction and are free of debris and other trash. There are grab bars for each toilet, bathtub and shower used by residents. Resident showers have non-skid mats or strips present. The carbon monoxide and smoke detectors were tested by the Administrator and were observed to be in operating condition. The home was kept clean and free of any odors. Food Service: There is a minimum of 2 days supply of perishable foods and 1 week's supply of non-perishable foods available. Sufficient supplies were available for resident's dinning use. Record Review: All staff were observed to have appropriate fingerprint clearances. LPA did not observe any excluded individuals on the premises at time of visit. Staff responsible for direct care and supervision have current first aid and CPR training. Training on Dementia Care, Postural Supports, Restricted Health Conditions, and Hospice Care was observed to be on file. The LPA was informed there is currently one (1) resident in care who is receiving hospice services. A hospice care plan was on file at the facility. There is a disaster and mass casualty plan in place. Emergency Drills are being completed. All services requiring specialized skill are being performed by a staff member of the facility, who is qualified as an appropriately skilled professional. The Physician's Report for Residential Care Facilities for the Elderly (RCFE) (LIC 602A) for Resident Four (R4) deemed the resident as bedridden. The facility does not currently have a fire clearance on file for a bedridden resident. A citation and civil penalty will be issued. Medication Review: The LPA reviewed medications for two residents. The medications were observed to be well organized and inaccessible to unauthorized individuals. An exit interview was conducted with Administrator Welker in which this report was reviewed and a copy was provided, in addition to the LIC 811, LIC 421IM, and instructions on appeal rights.the state’s words, verbatim · CDSS document, May 7, 2024