Red Roses Villa

Type of visit: Case Management - Other

On 08/11/2026, Licensing Program Analyst (LPA) Kimberly Ramirez conducted a subsequent unannounced Case Management visit regarding the unexpected death of resident#1 (R1) at the facility on 06/18/2026. LPA Ramirez was greeted by Administrator Brian Buenviaje and explained the purpose of the visit. LPA Ramirez requested and obtained a copy of R1 Death Certificate. Cause of death according to R1's death certificate does not indicate a homicide or suspicious death. At this time no further follow is required in regards to R1's unexpected death at the facility. No deficiencies were observed during this visit. Exit interview was conducted. A copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 11, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Ramirez and LPA Erik Zaragoza conducted an unannounced subsequent annual inspection visit on 08/11/2026 and was greeted by Assistant Administrator Gloria Gibson. LPAs identified themselves and explained the purpose of the visit. Administrator Brian Buenviaje arrived shortly after to assist. The facility is located on a residential street and is a single store dwelling. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Staffing: Administrator Certificate for Brian Buenviaje 10/03/2027 was observed. Staff employed are over the age of 18 and are fingerprint cleared and associated to the facility. Personnel Records Training: Staff files are maintained at the facility. LPA Ramirez observed CPR and First Aid for four (4) out of the four (4) personnel record reviewed. LPA Ramirez observed TB testing results, Health screening, fingerprint clearance and job application for four (4) out of the four (4) personnel record reviewed. Physical Plant and Environment safety: Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to residents, were observed to be inaccessible to residents. LPA Ramirez observed carbon monoxide detectors and smoke alarms in hallways. LPA Ramirez inspected nine (9) resident rooms. Resident bedrooms#1 & 2 did not contain the required furniture. LPA Ramirez did not observe beds in room#1 and one missing mattress in room#2. Staff placed beds and mattresses in rooms before LPAs exit. LPA Ramirez did not observe mattress pads and fitted sheets in bedroom# 3 & 10. LPA Ramirez issued one (1) deficiency, based on this observation. Temperatures in all grooming and bathing areas were measured to be with 105 – 120 degrees F. LPA Ramirez observed grab bars near toilets and SEE 809-C Food Service: LPA Ramirez observed a sufficient supply of nonperishables for one week and perishable foods for a minimum of two days in the facility kitchen area. Soaps, detergents, and cleaning compounds were observed to be stored away from food supplies. Freezers and refrigerators were observed to be clean and within temperatures of 0-degree F (-17.7 degree C), and refrigerators with maximum temperature of 40-degree F. (4 degree C). Planned Activities: LPA Ramirez observed board games, magazines, and other activities for residents. Residents Rights-Information: LPA Ramirez did not observe the following postings in common areas throughout the facility: Complaint Poster (PUB 475) and nondiscrimination notice. LPA Ramirez observed the facility land line. Disaster Preparedness: The facility has the Emergency Disaster Plan (LIC610D/9 pages) in place. Last documented emergency drills were conducted on 07/31/2026 and 06/26/2026. LPA Ramirez observed an emergency food supply located in pantry. Residents with Special Needs: No large bodies of water were observed. Health Related Services/Incidental Medical Services: The medications are centrally stored in the medication closet and in bubble packs and/or original containers. LPA Ramirez observed Centrally Stored Medication and Destruction Record. The facility provides incidental medical services. Infection Control: Staff are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has an Infection Control Plan in place. Operational Requirements: The fire clearance is approved for eighteen (18) residents over the age of 59 years old. All may be non-ambulatory. One (1) deficiency was cited. Exit interview was conducted. A copy of this report, 809-D and appeals rights was provided.the state’s words, verbatim · CDSS document, Aug 11, 2026

Type of visit: Case Management - Incident

On 07/27/26, Licensing Program Analyst (LPAs) Elena Mallett conducted an unannounced initial Case Management to follow up on a Death Report sent to the Monterey Park Regional Office Fax on 06/22/2026. LPA met with Assistant Administrator Gloria Gibson and explained the purpose of the visit. Administrator Brian Buenviaje joined the meeting shortly after. The facility reported in the Death Report received by Licensing that on 06/18/2026 Resident 1 (R1) at 05:00 PM was found unresponsive by Staff 2 (S2) in resident's bathroom. S2 called fellow staff member Staff 3 (3). 911 was called and S3 performed CPR on R1. Emergency Responders arrived within four to five minutes and performed emergency procedures but were not able to revive R1. During today's visit the investigation consisted of three staff interviews including the Administrator, interviews with R1's roommate and R1's family member. The following documents were collected: facility staff and resident rosters, S2 and S3 's CPR/First Aid cards, R1’s Face sheet, pre appraisal and reappraisal Needs and Service plan, Medicine log for March-June 2026 and a notes from R1's June doctor visit. Administrator to send LPA R1's doctor notes from March, April, May 2026 doctor's visit .The resident's room and bathroom were toured along with the common areas of the facility. No immediate health and safety concerns were observed. Administrator Buenviaje needed to leave before the conclusion of the visit and authorized Assistant Administrator Gloria Gibson to assist with the remainder of the visit and sign the Licensing Report. Administrator did not have R1's death certificate. Contact information for R1's Responsible party was provided to LPA so LPA could obtain a copy of the death certificate.Exit interview was conducted with Assistant Administrator Gloria Gibson and a copy of LIC 809 report was provided.the state’s words, verbatim · CDSS document, Jul 27, 2026

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced subsequent annual inspection visit on 9/26/2025 and was greeted by Assistant Administrator Gloria Gibson. LPA Ramirez identified herself and explained the purpose of the visit. Administrator Brian Buenviaje arrived shortly after to assist. On 09/04/2025, LPA Ramirez conducted an initial unannounced annual inspection visit, due to time constraints a subsequent visit would be required to complete the annual inspection. The facility is located on a residential street and is a single store dwelling. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Staffing: Administrator Certificate for Brian Buenviaje 09/27/2025 was observed. Staff employed are over the age of 18 and are fingerprint cleared and associated to the facility. Personnel Records Training: Staff files are maintained at the facility. LPA Ramirez observed CPR and First Aid for four (4) out of the four (4) personnel record reviewed. LPA Ramirez observed TB testing results, Health screening, fingerprint clearance and job application for four (4) out of the four (4) personnel record reviewed. Two (2) out of the two (2) caregiver personnel records reviewed did not have documentation of the required 20 hours of annual training; 8 hours specific to dementia, and four hours specific to postural supports, restricted health conditions, and hospice care. LPA Ramirez will issue a Type B deficiency based on this record review. One (1) deficiency was issued. A copy of this report, 809-D and appeals rights was provided.the state’s words, verbatim · CDSS document, Sep 26, 2025

The state marks this report as 13 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced annual inspection visit on 9/04/2025 and was greeted by Assistant Administrator Gloria Gibson. LPA Ramirez identified herself and explained the purpose of the visit. Administrator Brian Buenviaje arrived shortly after to assist. The facility is located on a residential street and is a single store dwelling. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Physical Plant and Environment safety: Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to residents, were observed to be inaccessible to residents. LPA Ramirez observed carbon monoxide detectors and smoke alarms in hallways. LPA Ramirez inspected nine (9) resident rooms. Resident bedrooms#3 & 4 did not contain the required furniture. LPA Ramirez observed resident room# 3 and 4 were missing nightstand and chairs. Temperatures in all grooming and bathing areas were measured to be with 105 – 120 degrees F. LPA Ramirez observed grab bars near toilets and near showers. LPA Ramirez observed non-slip coating in showers. LPA Ramirez observed seated shower chairs. LPA Ramirez observed several missing/broken vertical blinds in room#4,1, and 2. LPA Ramirez observed a shared bathroom in between room#5, to contain black fuzzy spots, spread across the ceilings, walls and corners. LPA Ramirez observed shared bathrooms and resident rooms 1,3,5,2, 4, and 9 to be malodorous and floors were observed to contain black and brown grime. During inspection, LPA Ramirez observed room#3, 4 and 5 signal system was not operational when tested. Administrator Brian Buenviaje arrived shortly after and reset the signal system. LPA Ramirez re-tested the signal system and observed the signal system to be operational. LPA Ramirez observed a cabinet with extra linen inside the "SSG" activities room. Interviews with staff revealed laundry is washed outside and folded outside and clean linen and towels are kept in this cabinet. During inspection and record review, LPA Ramirez did not observe resident room#6, 7 and 8. According to Administrator Buenviaje, resident room#7 was made into a spare activities room and storage area for laundry and linen. Resident room#6 was made into a mini kitchenette and food storage area. Resident room#8 was made into a staff office and medications storage. Review of facility sketch, and plan of operation did not accurately list rooms and usage. SEE 809-C for continued report. Food Service: LPA Ramirez observed a sufficient supply of nonperishables for one week and perishable foods for a minimum of two days in the facility kitchen area. Soaps, detergents, and cleaning compounds were observed to be stored away from food supplies. Freezers and refrigerators were observed to be clean and within temperatures of 0-degree F (-17.7 degree C), and refrigerators with maximum temperature of 40-degree F. (4 degree C). Planned Activities: LPA Ramirez observed board games, magazines, and other activities for residents. Residents Rights-Information: LPA Ramirez did not observe the following postings in common areas throughout the facility: Complaint Poster (PUB 475) and nondiscrimination notice. LPA Ramirez observed the facility land line. Disaster Preparedness: The facility has the Emergency Disaster Plan (LIC610D/9 pages) in place. Last documented emergency drills were conducted on 08/22/2025 and 07/31/2025. LPA Ramirez observed an emergency food supply located in pantry. Residents with Special Needs: No large bodies of water were observed. Health Related Services/Incidental Medical Services: The medications are centrally stored in the medication closet and in bubble packs and/or original containers. LPA Ramirez observed Centrally Stored Medication and Destruction Record. The facility provides incidental medical services. Infection Control: Staff are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has an Infection Control Plan in place. Operational Requirements: The fire clearance is approved for eighteen (18) residents over the age of 59 years old. All may be non-ambulatory. SEE 809-C for continued narrative. Resident Records/Incident Reports: LPA reviewed resident records for six (6) residents in care. Resident records are maintained at the facility. Admission Agreement, Physician's Report (including T.B and Ambulatory Status), Consent for Medical Treatment, Preplacement Appraisal Information, and Resident Rights were observed. LPA Ramirez observed two (2) out of six (6) reappraisals were not updated once every 12 months or as necessary, even after residents had significant updates on their medical assessments. Due to time constraints, LPA Ramirez will return to complete annual inspection. Seven (7) violations were cited and one (1) Technical Advisory was issued. Exit interview was conducted. A copy of this report was provided via email.the state’s words, verbatim · CDSS document, Sep 4, 2025

The state marks this report as 13 pages; the online copy we transcribed has 9. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Wong and Nurse Consultant Olive Divranos conducted the Unannounced required annual inspection. LPA arrived unannounced and met with Administrator Brian Buenviaje and assisted with the visit. The purpose for the visit was explained. The facility is licensed for age 60 years and above and all may be non-ambulatory. Currently, the facility has 0 hospice waiver residents and 0 home health residents. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: 1. Infection Control: The facility staff are using appropriate hand hygiene and wearing gloves while assisting residents. Staff are cleaning and disinfecting once a day and more often for high touched surfaces. Facility has sufficient PPE supplies and has an Infection Control Plan in place. All staff have the health screening and chest x ray result in file. 2. Operational Requirement: The current plan of operation is completed. A fire clearance approved for 18 residents to be non-ambulatory. LPA obtained the updated copy of facility Liability Insurance in the amount of at least ($1,000,000) per occurrence and total amount of aggregate ($3,000,000) is in place. 3. Physical Plant and Environmental Safety: The facility has two single story buildings in the facility lot. The facility is shared with the Adult Residential Facility (ARF) . The RCFE side has a dining area /TV area, with 9 bedrooms (two beds in each room) there are shared bathrooms between rooms; office; kitchen; extra office/storage room. LPA inspected four (4) rooms which include Room#9, #10 and #3 and #4. There is sufficient closet & drawer space in the bedrooms and all bedrooms have required furniture. There is sufficient closet & drawer space in the bedrooms and all bedrooms have required furniture. Beds are equipped with required linen. The hot water temperature was tested between 111.2 and 121.7 degrees F which is over the Title 22 regulation. There are grab bars near the toilet and in the showers and there is a non-skid mat in bathrooms. Residents are provided with their own soap & hand towels. There is a sufficient supply of extra linen. The washer & dryer are located in the rear of the facility. Laundry soap is locked in a cabinet above the washer & dryer. LPA inspected the smoke detectors and they are all working well. LPA also inspected the carbon monoxide detector is mounted on the wall near Room#9 and it's working properly. 4. Staffing: The facility has sufficient staffing in the facility to provide care and supervision to residents. All staff have an updated CPR training certificate. 5. Personnel Record-Training : All staff in the facility are over 18 years old and background check cleared but one of the staff (S1) is not associated with the facility. The administrator is Brian Buenviaje and the administrator certificate is effective through 10/3/25 and he got all the required training hours. The staff files has all the required documents include: employee application, health screening and TB test result. Staff does not have any training hours in file. 6. Resident Right Information: LPA observed the required posters posted in the facility which include Long Term Care Ombudsman located on the big board near the entrance area but LPA did not observe the CCL Licensing Poster and Resident's right poster. 7. Planned Activity: Facility has sufficient space to accommodate for indoor and outdoor activity. LPA also observed the weekly activity calendar and it's posted in the facility. The facility does have an active Resident Council. 8. Food Service: The facility does not have any residents required any modified diet. The facility has ample supply for two days perishable and seven days non-perishable food supply. All the food are stored properly. The kitchen was toured and contained working appliances; refrigerator, stove, oven and contained dishware, cups, plates, utensils, pots, and pans with knives secured and locked. 9. Incidental Medical and Dental: The facility would assist and arrange resident's medical and dental care appointments and provide transportation for them. All residents medication are centrally stored in the medication office in RCFE building. LPA inspected four resident medication and four resident medication were popped up for more than 24 hour period and also for Resident#1 medication did not pop on 7/23/24. 10. Resident Record-Incident Reports: LPA reviewed four (4) residents files and all have the required documents included: Face sheet, admission agreement, medical consent , ambulatory status, physician report, pre-admission appraisal, needs and service plan and medication list. 11. Disaster Preparedness: The facility does not have an updated Emergency Disaster Plan and facility has two appropriate shelter location for emergency. The last fire/Disaster drill was conducted on 7/15/2024. 12. Residents with Special Health Needs: Facility does not have any home health or hospice residents or any residents required postural support and no residents in the facility with prohibited health condition. Per California Code of Regulations, Title 22, and California Health and Safety Code, there were deficiencies observed during the visit. Deficiencies on 809-D. Exit interview held and a copy of the report and appeal right was provided to Administratorthe state’s words, verbatim · CDSS document, Jul 29, 2024

The state marks this report as 9 pages; the online copy we transcribed has 7. You can request the full file from the county licensing office.