Kelly's Grand Villa

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Robert Campbell conducted an unannounced annual required visit. Upon entry, LPA was greeted by staff, and informed them of the purpose of the visit. At the time of the visit, there were two (2) staff members and five (5) residents present. Garrett Welker/Co-Administrator, arrived later during the visit. Facility Overview: The facility is a one-story home with four (4) bedrooms and three (3) bathrooms, including an attached garage. There are no pools or known firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility has infection control plan in file. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 115°F. Fire extinguisher located at the hallway by the front door had current inspection tag. Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Continued on LIC809-C.... Continued.... Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate. Record Review and Resident/Staff Files: LPA reviewed files for five (5) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Five (5) resident files were reviewed and contained all the required documents. Health-Related Services/Incidental Medical Services: All resident medications were securely locked in hallway cabinet. LPA reviewed medications for two (2) residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. Personal & Incidental Funds: Monies are not handled by the facility. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last emergency drill conducted on 8-10-2026, which met department requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed and provided.the state’s words, verbatim · CDSS document, Aug 26, 2026

Type of visit: Prelicensing

On 7/29/25, Licensing Program Analyst (LPA) Valerie Flores made an announced visit to the facility for the purpose of conducting a pre-licensing inspection. LPA Flores met with Administrator, Colt Baldovino, who accompanied LPA for the tour of the facility. The Applicant has submitted an application to attain a capacity of (6) six residents. On 04/23/25 the City of Escondido Fire Department approved a fire clearance for the six (6) non-ambulatory and (0) zero bedridden residents. A tour of the interior/exterior were conducted. LPA observed the following during today's inspection: The facility is a single-story structure building consisting of one (1) staff bedroom, five (5) residents' bedrooms, (3.5) three and a half bathrooms, a kitchen, dining room, living room, great room, and garage. The bedrooms were observed to have met the required bedding, lighting, and furniture. There are plenty of extra linen (sheets, blankets, towels) that were observed to be in good repair located in the hall closet. LPA observed a fully charged fire extinguisher. LPA observed a fully stocked first-aid kit located in a locked cabinet in the hallway. A locked cabinet in the kitchen was observed to store knives and other sharp objects. The carbon monoxide and smoke detector were tested and were observed to be operable and in good working condition. The facility has more than a two (2) day supply of perishable foods and seven (7) day supply of non-perishable foods. Kitchen/food preparation areas were kept clean from litter and rubbish. Resident showers are equipped with slip-resistant strips and grab bars. The outdoor patio is shaded and furnished. (Continue to LIC809C...) (Continuation from LIC809) The facility has a sufficient supply of dishes, cooking and eating utensils, that were observed to be in good repair. Centrally stored medication is kept in a locked cabinet that is inaccessible to residents in care. All indoor and outdoor passageways were free of obstruction. The hot water temperature was measured at 105.2 degrees Fahrenheit meeting the required limits. The facility has an emergency disaster plan and approved infection control training plan on file. Per Administrator, Colt Baldovino, there are no firearms or ammunition on the premises. LPA observed the required postings of the emergency disaster plan, resident personal rights, employee rights, emergency contacts, facility sketch, CCL Complaint poster and the Long-Term Care Ombudsman poster posted on the walls throughout the facility. During today's visit, LPA Flores did not observe any issues or concerns. Final approval of licensure will be determined by Centralized Application Bureau (CAB). An exit interview and a copy of this report was given to Administrator, Colt Baldovino.the state’s words, verbatim · CDSS document, Jul 29, 2025

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 5 COMP II Participants: Kelly Welker CEO/ Colt Baldovino Administrator Interview Method: Telephone interview On July 1, 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 the 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, Jul 1, 2025