Villa Nueva Care Home 6

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Type of visit: Prelicensing

At approximately 10:00 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a pre-licensing inspection and met with Manuel "Noel" Baldeo III, Administrator. Prospective Licensee was contacted via telephone and arrived at approximately 12:00 PM. This pre-licensing inspection is being conducted for a change of ownership of a Residential Care Facility for the Elderly (RCFE) with 27 residents currently in care. Fire Clearance has been approved for 72 non-ambulatory residents, 20 of whom may be bedridden. Facility has a dementia care plan and a Hospice waiver for 15. At approximately 10:45 AM, LPA initiated a tour of the facility with Administrator and observed the following: Facility is a one story building, was a comfortable temperature, and passageways were free from obstructions. LPA observed the required signs posted in the front entry area. Water temperature in residents' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed resident showers with the required grab bars in place. Administrator agreed to purchase nonstop mats. LPA observed a supply of clean linens, hygiene products, and paper products available for residents. Residents' bedrooms were inspected and observed to have the appropriate furnishings as outlined in regulations. Rooms, closets, and cabinets in communal areas of the facility containing cleaning supplies and other items that could pose a risk were observed locked. Facility has at least two days of perishable foods and one week of non-perishable foods and an emergency water supply. Facility has a healthy and balanced menu of food options posted in a communal area. Facility has an activity schedule and residents were observed walking about the facility and engaged in activities and conversation. The facility telephone was tested and operational during inspection. Facility has internet service and an internet access device designated for resident use. Continued on LIC809-C... continued from LIC809... LPA observed a locked medication room medications are centrally stored and managed. LPA observed the facility's infection control plan, first aid kits, PPE, and other emergency supplies. Facility has fully charged fire extinguishers throughout and a back up generator for emergency preparedness. LPA conducted review of 4 staff and 4 resident files which were observed with the required documentation. Staff have proof of training and current first aid and CPR certifications. Residents and their families mostly coordinate medical and dental visits and transportation to and from any such appointments. Facility staff are available to assist with coordination and offer third party transportation services when needed. The staff and administrator will remain the same under this new license. Administrator has been informed of association and staff transfer process and agrees to ensure all staff are cleared and associated in Guardian. Administrator agrees to submit proof of liability insurance upon licensure. Component III orientation completed with Administrator and Licensee. This pre-licensing evaluation has been completed. License will be granted upon completion of a final review and approval from the Licensing Program Manager. Exit interview conducted with Administrator, whose signature on this document confirms receipt.the state’s words, verbatim · CDSS document, Sep 24, 2026

Type of visit: Office

COMPONENT II interview has been conducted and 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 and Administrator’s understanding of following areas: 1. Facility Operation: License Type, Client/Resident Populations, and Program 2. Admission Policies 3. Staffing Requirements & Training 4. Personal Rights 5. Restrictive/Prohibited Health Conditions 6. General Provisions 7. Emergency Preparedness 8. Complaints & Reporting 9. Pre-licensing Facility Grounds Inspection and Operational Readiness Congratulations, you have successfully completed the COMPONENT II Interview.the state’s words, verbatim · CDSS document, Aug 10, 2026