Old Ranch Villa

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to deliver an amended return from a prior inspection on May 8, 2026. LPA met with Steven Ronstadt, Administrator, and stated the reason for the inspection. Also present were Administrator Designee, Lou-Anne, and staff, Shadae White. LPA observed resident (R1) in the common area during today's inspection. LPA and the administrator spoke to a family member who was visiting (R1). This family member provided more background information on (R1) and their diagnosis. Additionally, LPA spoke to a second family member, by phone, today to provided additional background information on why (R1) is not generally comfortable speaking with someone she just met and the door closed. The second family expressed that (R1) has been the best they have been in years since moving to this facility. The administrator updated LPA on the facility's staffing. LPA observed (3) residents resting in the common area and (2) residents in their rooms. LPA was advised (1) resident was still on an outing. There are no deficiencies issued in this report. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, May 20, 2026

Type of visit: Case Management - Other

(LPA) Sabrina Calzada and Ombudsman, Melissa Basler, arrived unannounced to conduct a case management inspection. LPA met with Kelly Conley, House Manager, and stated the reason for today's inspection. Also present were staff Mishka Smith and Shadae White. During today's inspection, LPA, the Ombudsman and House Manager discussed concerns that arose during a prior visit with the Administrator and another Ombudsman on April 8, 2026. The Administrator joined the discussion by phone at 10:45 am. A lengthy discussion was then held regarding the facility's concerns about an Ombudsman who had visited the facility for the first time speaking privately to residents, as well as the Ombudsman not feeling supported by the Administrator during their visit. Both sides offered solutions to prevent a similar type occurrence from happening again. Also discussed were specific concerns brought to the Ombudsman attention on April 8, 2026 relating to residents (R1 and R2). The House Manager provided detailed background information on each resident which helped clarify and dismiss any concerns previously raised. LPA, the Ombudsman and House Manager spoke to resident (R1) who was resting in their room. (R2) was sent to the hospital on May 6, 2026 due to possible change in condition, including being lethargic, disoriented, shaky and not able to stand. (R2) is expected to return to the community in a few days. LPA observed (5) residents resting in their rooms and did not observe health and safety risk to the clients. There are no deficiencies issued in this report. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, May 8, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with caregivers, Aneitta Simpson and Sherene Brown. House Manager, Kelly Conley arrived shortly to the facility. LPA observed (1) resident watching television in the common area. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver approved for (3) residents. Currently there is (1) resident on hospice. LPA and House Manager toured the interior/exterior of the facility including the common areas, (6) resident bedrooms, (4) resident full bathrooms and (1) resident/staff bathroom, kitchen, laundry area and garage. All but (1) resident room has an exit door to the outside. LPA observed the facility to be clean, in good repair and odor-free and the bathrooms to have the necessary grab bars, skid-resistant flooring, There is sufficient 2+day perishable, including fresh produce, and 7+day non-perishable supply of food, and locked sharps in the kitchen. Locked medications are secured nearby. LPA observed locked toxins in the garage/laundry area. Inside temperature measured 70*F. Hot water measured 118*F in a resident bathroom and 125*F in the kitchen- a sign was posted. The temperature will be lowered in the next day. The fire extinguisher was last serviced 5/6/2025, and the smoke/monoxide alarms are working. RCFE Administrator Certificate #7018479740- exp 2/26/27. There is (1) unlocked gate, covered seating and no bodies of water/pool. There are no blockages to exit doors, and staff are aware of where the utility shut off valves are located. LPA reviewed (2) resident files and medications for (1) resident. Files are organized and contain the required documents. Medications are being administered per orders. (5) staff files were reviewed- all staff are completing the required training, including First Aid/CPR certifications. All staff is fingerprint cleared/associated. LPA obtained a copy of the LIC500 and current liability insurance. An LIC308 will be emailed by 2/3/26. There are no deficiencies issued in this report. Exit interview. Copy of reportthe state’s words, verbatim · CDSS document, Jan 27, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Aneitta Simpson, caregiver, who contacted Kelly Conley, House Manager, who arrived at 3:15 pm. Also present was care staff, Mischka Smith. LPA observed (1) resident to be resting in the common area watching television and (5) residents to be in their resident rooms. The facility is licensed for (6) non-ambulatory residents. There is a hospice waiver approved for (3) residents. Currently there is (1) resident on hospice. LPA and House Manager toured the interior/exterior of the facility including the common areas, (6) resident bedrooms, (4) resident full bathrooms and (1) resident/staff bathroom, kitchen, laundry area and garage. All but (1) resident room has an exit door to the outside. LPA observed the facility to be clean, in good repair and odor-free and the bathrooms to have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters. There is sufficient 2+day perishable and 7+day non-perishable supply of food, and locked sharps in the kitchen. Locked medications are in a separate closet nearby. LPA observed locked toxins in the garage and laundry area. Inside temperature measured 76*F, and hot water measured 120*F in the kitchen. The fire extinguisher was last serviced 6/18/24 and facility conducts quarterly emergency drills. There is sufficient incontinent/linens/towels/blankets and PPE products. RCFE Administrator Certificate #6051256740- exp 2/26/2025- all required have been completed- renewal paperwork to be submitted this week. There is (1) unlocked gate f and no bodies of water/pool. LPA reviewed (2) resident files and medications for (1) resident. Files are organized and contain the required documents. Medications are being administered per orders. (3) staff files were reviewed- all staff have completed the initial/ongoing required training and have current First Aid/CPR certifications. All staff is fingerprint cleared/associated. There is (1) awake staff during the night. Administrator to email a copy of an updated copy of LIC500, LIC308 and current liability insurance. There are no deficiencies issued in this report. Exit interview. Copy of reportthe state’s words, verbatim · CDSS document, Feb 11, 2025

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection to obtain current paperwork for the facility's regional office file. LPA met with care staff, Sherene Brown, who contacted Administrator, Steven Ronstadt, by phone. LPA spoke to Administrator who indicated he was currently out of town but House Manager, Kelly Conley, would arrive to the facility shortly. LPA observed (1) resident to be resting in the common area. Also present, was care staff, Mishka Simons. Currently there are (5) residents in care and (2) residents receiving hospice care. The facility is licensed for (6) residents and has a hospice waiver for (3) residents. House Manager arrived at 11:25 am. LPA and House Manager conducted a health and safety check of the interior of the home. There were no health and safety or personal rights risks observed. The Administrator stated he would email the requested documents to LPA by end of today. Exit interview. Copy of report provided to the House Manager.the state’s words, verbatim · CDSS document, Nov 25, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Tammy Parrel, caregiver, and stated reason for the inspection. LPA spoke to the Administrator, Steven Ronstadt, who stated he or Kelly Conley, House Manager, would be at the facility shortly. Kelly arrived at approximately 10:45 am. LPA observed (1) resident to be in the common area watching television and (5) residents to be in their resident rooms. The facility is licensed for (6) non-ambulatory residents. There is a hospice waiver approved for (3) residents. Currently there are (0) residents on hospice. LPA and House Manager toured the interior and exterior of the facility including the common areas, (6) resident bedrooms, (4) resident full bathrooms and (1) resident/staff bathroom, kitchen, laundry area and garage. All but (1) resident room has an exit door to the outside. LPA observed the facility to be clean, in good repair and odor-free and the bathrooms to have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters. There is sufficient 2+day perishable and 7+day non-perishable supply of food, and locked sharps in the kitchen. Locked medications are in a separate closet nearby. LPA observed locked toxins in the garage and laundry area. The inside temperature measured 72*F, and hot water measured 120*F in the kitchen and resident bathroom. There are games/activities on site. The fire extinguisher was last serviced 5/17/23 and facility conducts quarterly emergency drills. There is sufficient incontinent/PPE products. RCFE Administrator Certificate #6051256740- exp 2/26/2025. All other required postings are posted. There are cameras in the common area and night-lights also.There is (1) unlocked gate from the inside back patio and no bodies of water or a pool. LPA reviewed (2) resident files and medications. Files were organized with current physician reports and care plans. Medication orders matched medication being administered. LPA reviewed (3) staff files. Files were organized and contained required documentation. Staff training is not current within the last (12) months. All staff is fingerprint cleared and associated. Administrator to email a copy of an updated copy of LIC500, LIC308 and the current liability insurance by 1/24/24. There are (2) deficiencies issued during today's inspection on the 809D pages. Exit interview. Copy of report and appeal rights provided provided.the state’s words, verbatim · CDSS document, Jan 17, 2024