Meridian Villa

Type of visit: Required - 1 Year

On 03/27/26, LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Administrator Rosana Mendoza. LPA explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, garage and kitchen area. Facility is a single story house with three resident bedrooms, all of which are shared. While touring the facility it was observed that the room temperature was at 72 deg F. Hot water temperature is at 108 degF. The facility is observed to be clean, odorless, and well maintained. All passageways are unobstructed. Residents bedrooms were observed to be well organized and fully furnished with adequate lighting. Sharps and toxic materials were observed to be locked. Food supply was observed with an adequate two day perishable and seven day non-perishable food supply. Carbon monoxide/smoke detectors, and fire extinguisher were present throughout the facility. Facility has an updated log for emergency drill which is done every quarter. Three resident records and three staff records were reviewed. Staff have criminal record and fingerprint clearances on file. Staff have current First Aid/CPR certifications on file and updated trainings. Resident records were reviewed and were observed to be complete. All medication logs are complete and updated. LPA received a copy of the Liability Insurance and Administrator will email the the LIC610E and LIC500. No deficiencies are cited at this time. Report is reviewed and a copy is providedthe state’s words, verbatim · CDSS document, Mar 27, 2026

Allegation investigated: Facility did not adequately provide food to residents while in care. Facility staff are consuming alcohol beverage while on duty.

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced complaint investigation visit and met with Modesta Aquino. On 08/18/2025, the department received a complaint with the above allegations. On 08/26/2025, LPA Marrufo conducted an initial complaint investigation visit. Allegation - Facility did not adequately provide food to residents while in care. On 08/26/2025, LPA Marrufo toured the facility kitchen refrigerator, pantries, and garage refrigerator. LPA Marrufo observed the refrigerators and pantries stocked with food, including frozen meats and pizzas, bags of bread, containers of grains and cereals, canned fruits, sauces, and soups, and bowls of fresh fruits. See LIC9099-C pages for more information. Page 1 of 3. Unfounded LPA Marrufo observed there to be a daily menu posted in the kitchen. LPA Marrufo observed lunch service. Residents were served a chicken salad with diced melon and a yogurt cup. During visit on 08/26/2025, LPA Marrufo interviewed residents R1-R5. LPA Marrufo attempted to interview R6, but R6 was sleeping during visit. R1-R5 stated that staff give them enough food to eat for each meal. R1 could not remember how many meals staff provide for residents per day. R2-R5 stated that the facility staff provide three meals per day. R1 and R3-R5 stated staff make snacks available to residents. R2 stated staff hardly make snacks available to him/her, but staff bring him/her coffee each morning. During visit on 08/26/2025, LPA Marrufo interviewed staff S1-S3. S1-S3 stated that staff give residents enough food per meal. S1-S3 stated staff serve residents three meals per day and provide them with snacks. During visit on 08/26/2025, Administrator (ADM) Rosana Mendoza stated that staff serve residents meals and snacks three times a day. On 8/28/2025, LPA Marrufo obtained copies of facility food purchasing receipts. A receipt dated 08/04/2025 totals $140.27. A receipt dated 08/06/2025 totals $225.70. A receipt dated 08/15/2025 totals $54.44. Allegation - Facility staff are consuming alcohol beverage while on duty. During visit on 08/26/2025, LPA toured the facility, including the kitchen area and garage area. LPA did not find any alcoholic beverages or bottles at the facility. During interview on 08/26/2025, R1-R5 stated to have never seen staff drink alcohol at the facility. R1-R5 stated to have never seen staff to be drunk at the facility. Page 2 of 3. During interview on 08/26/2025, S1-S3 stated to have never observed a staff drink alcohol at the facility or be drunk at the facility. During interview on 08/26/2025, ADM stated to have never observed a staff drink alcohol or being drunk at the facility. ADM stated staff are told when they are first hired that they are not allowed to drink alcohol at the facility or store alcohol in their staff bedrooms. This agency has investigated the complaint allegations listed. Based on interviews and review of records, the CCLD has found that the complaint allegations are unfounded, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. This report was reviewed with Modesta Aquino and a copy of this report was provided. Page 3 of 3. END REPORTthe state’s words, verbatim · CDSS document, Jan 16, 2026 · control 26-AS-20250818112059

Type of visit: Required - 1 Year

On March 12, 2025, at 10:30 AM, Licensing Program Analyst (LPA) Kenneth Madrigal and Steve Chang conducted an unannounced annual inspection visit, and met with Rosana Mendoza, Administrator (ADM). Upon arrival, Staff 1 (S1) identified themselves and LPAs were granted access to the facility as LPAs explained the purpose of the visit. During the entrance of the inspection, LPAs observed 6 residents and 2 staff. LPA toured the facility inside out with ADM which included the living room, kitchen, dining room, restrooms, residents’ bedrooms, and staff areas. Upon entrance, the facility has personal rights, ADM certificate, resident council, hospice waiver, designation of facility responsibility, the facility licensee, and the emergency disaster plan. The front yard and backyard were inspected. Two-day perishable food supplies and seven-day nonperishable food supplies were observed. LPA observed the cleaning product and knifes storage area is locked and inaccessible to residents in care. The facility room temperature was at 72 degrees F, the fridge was measured at 32 degrees F, the freezer was measured at 0 degrees F and hot water temperature was measured at 105 degrees F in both resident bathrooms. A new fire extinguisher was purchased on March 9, 2025. The facility was equipped with smoke and carbon monoxide detectors and were tested by ADM. LPA observed facility first aid kit. LPAs reviewed 3 staff record files and 3 resident file records. Deficiency noted today based on LPA observations, interviews conducted and record reviews in accordance with the California Code of Regulations (CCR) Title 22, Division 6. See LIC 809-D. An exit interview was conducted with ADM. This Evaluation Report was reviewed with Rosana Mendoza, Administrator. A copy of the signed report and Appeal Rights was provided to ADM.the state’s words, verbatim · CDSS document, Mar 12, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Steve Chang conducted an annual inspection visit, and met with administrator (ADM) Rosana Mendoza. 4 staff and 5 residents were observed in the facility. 3 resident files and 3 staff files were reviewed. 4 staff were associated with the facility. License, Administrator Certificate, and personal rights posters were observed in the facility. LPA toured the facility inside and out with ADM. LPA inspected family room, kitchen, dinning area, two restrooms, 4 bedrooms, and laundry room. Three resident shared bedrooms, one staff live-in room were observed. Medication closet was observed locked. Knives closet, and cleaning product cabinet were observed locked. Dish washing liquid was observed by the kitchen sink and unlocked. ADM put the dishing washing liquid in the cabinet under the sink and locked immediately. First Aid Kit and flash lights were observed in the facility. Non-skid mats and Bars were observed in restrooms. Room temperature was observed at 73 degree F, and hot water temperature was observed at 110 degree F. The temperature of the refrigerator was at 40 degree F and the temperature of the freezer was at 0 degree F. Two day perishable food supplies and seven days nonperishable food supplies were observed sufficient. The facility is equipped with smoke and carbon monoxide detectors. The facility equipped with fire alarm system. ADM tested the fire alarm and carbon monoxide detectors, and they were working fine. No night light was observed in the hallway. LPA inspected the backyard, there was no obstruction to block the walkway. A storage room was observed in the backyard. ADM tested the resident call button signal system and it works fine. Deficiencies noted today. See LIC809-D. Exit interview was conducted with ADM. This report was provided to ADM.the state’s words, verbatim · CDSS document, Mar 18, 2024