Victoria Villa Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1 (S1) at 8am. LPA spoke with Licensee/ Administrator (LE) Claudia Olteanu via phone and explained the purpose of the visit. The facility is a nine bedroom, four bathroom residence with an approved fire clearance of six non-ambulatory residents; in which one may be bedridden and an approved hospice waiver for two residents. Residents occupy six of the nine bedrooms and use three of four bathrooms. The remaining bedrooms and bathrooms are used for live-in staff. Currently there are six residents in care, one of which is bedridden. There are no residents receiving hospice services at this time. During the visit, LPA observed the refrigerator/freezer had more than two-days of perishable food and seven days of non-perishable food on-hand. Emergency supplies were observed in the office area with a treadmill. All kitchen appliances were in working order. The sharps and knives were secured in a drawer and chemicals and cleaning supplies were locked under the kitchen sink. There were plenty of fruits and vegetables available. LPA toured the facility and observed all resident bedrooms had the required furnishings and linens. Bedrail orders were observed in resident files. The facility was clean and there were no odors detected. LPA measured the hot water temperature in two of three resident bathrooms. The hot water temperatures ranged from 106.5 to 107.2 degrees Fahrenheit. LPA inspected centralized smoke and carbon monoxide detectors and detectors were operational. The fire extinguisher was charged and inspected on December 12, 2025. The facility's last fire drill was conducted on January 10, 2026. (Continued on LIC 809-C) (Continued on LIC 809-C) Resident bathrooms secured resident hygiene items and had covered trash bins. All bathrooms had grab bars and non-skid floor mats. One resident bathroom is in the bedroom but the resident uses the hallway bathroom since it is easier to use with the wheelchair. LPA toured the exterior of the property and observed there was ample space for activities and walking. There were two shaded seating areas and in the detached garage was more gym equipment and additional refrigerators for staff. There were no hazards or obstructions in outdoor pathways and exterior gates were self-latching. LPA reviewed the centrally stored medications. Per review medications are being given as prescribed. A First Aid Kit had the required elements and a First Aid manual was available. LPA reviewed three of three staff training and fingerprint records and conducted a complete review of resident records. Client P&I records were reviewed and were accurate. LPA interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on June 13, 2026. During the visit, one resident left to Adult Day Program and two residents were taken, by the facility driver, to the ocean to go for a walk. Based on the observations made during today’s visit, the facility appears to be in compliance with Title 22 Division 6 of the California Code of Regulations, no deficiencies cited on this date. An exit interview was conducted with Staff #1 for Claudia Olteanu, Licensee/Administrator and a copy of the report and files reviewed (LIC 858 & LIC 859) were given at the time of the visit.the state’s words, verbatim · CDSS document, Mar 10, 2026

Allegation investigated: Facility staff sexually abused resident

An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez for the purpose of delivering findings. LPA met with Staff Edna Jose and explained the purpose of the inspection. Complaint alleges Staff 1 (S1) sexually abused Resident 1 (R1). During the course of the investigation, documentation review was conducted to include R1’s Individual Program Plan (IPP) and interviews were conducted with R1, facility residents, and staff. Per IPP dated January 31, 2024, R1 receives assistance to change her adult incontinence supplies when they are wet to prevent rashes and requires a Hoyer lift and two-to-three-person support with all lifts and transfers due to size and weight of 321lbs. (Cont. LIC9099-C) Unsubstantiated R1 also has a history of making false statements, defined as not telling the truth. During their interview, R1 did not disclose any sexual or physical abuse and stated they no longer reside at the facility. R1 stated S2 was “better than” S1. Per R1, S1 once cleaned them towards the end of their stay at the facility, and because S1 did not clean them “right”, they got an infection. R1 stated this occurred a “couple times” but was unable to recall additional times this occurred. During their interview, S1 denied the allegation and stated S2 was the primary caregiver assigned to R1. Per S1, they never assisted R1 independently and only assisted S2 by shifting R1’s weight during bathing, transfers, and diaper changes, which occurred three to five times a day. During their interview, S2 stated they were the primary caregiver for R1, and for the female residents at the facility. S2 stated they, and not S1, would clean and change R1’s diaper, while S1 assisted with shifting R1’s body and weight in order to complete incontinence care. S2 denied S1 ever cleaned or changed R1’s diaper. S2 denied witnessing S1 ever touching R1 inappropriately. During their interview, S3 denied witnessing or having knowledge of S1 sexually abusing R1. Interviews were also conducted with three facility residents. Two of three residents were unable to confirm or deny allegation due to being non-verbal and one of three residents interviewed denied the allegation. Due to allegation being uncorroborated during interviews conducted, the Department is unable to determine if facility staff sexually abused resident. Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the above allegation is unsubstantiated. An exit interview was conducted and copy of this report was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Jun 19, 2025 · control 22-AS-20240412163243

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. At around 1:00 PM, LPA Tea was greeted and granted entry into the facility by caregiver, Edna Jose and explained the reason for the visit. Administrator (AD) Claudia Olteanu arrived shortly to assist with the visit. Facility is licensed for six non-ambulatory residents of which one maybe bedridden, with a hospice waiver for two. Currently there are six residents, of which one is on hospice during today's visit. At 1:15 PM, LPA Tea reviewed six resident files and two staff files. Resident files and staff files contained all required documentation. Administrator certificate expires on June 13, 2026. LPA Tea along with the staff toured the facility at 2:24 PM. LPA toured the physical plant, checked food service, and the first aid kit. The home consists of six resident bedrooms, three staff rooms, four full bathrooms, living room, dining room, office recreational room, kitchen and a detached garage. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured around 106.1 F degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, and doorways were free of obstructions. First aid kit had all the required elements including dressing, bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked in a kitchen drawer. LPA also observed toxin substances to be secured and locked and inaccessible to clients underneath the kitchen sink and the garage. Fire extinguishers throughout the facility are fully charged and last inspected on December 24, 2024. The facility’s last fire drill was conducted Annual inspection continued on LIC809-C on January 15, 2025. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample seating with shade and there are two exit gates on both sides of the house that are self-latching and operational. The backyard has a patio area for clients to seat with umbrella for shade. There are fruit trees, plants and flowers in the garden, sometimes the residents sit out to enjoy a meal when the weather permits. LPA observed emergency supplies, food and water stored in containers in the staff office area. They have extra emergency water supply in the dining room. Facility provides activities like exercise; they love to do Zumba. They go on outings to have lunch, walk to the park, and walk around the neighborhood. At the time of the visit, LPA observed residents watching television and coloring in their room. At 3:10 LPA checked P&I Funds, there were no discrepancies. LPA then reviewed medication storage and administration. Medications are stored in a locked closet in the staff office area. Medications are being administered per physician order. LPA interviewed clients regarding their quality of care and spoke to staff present regarding care provided. Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with the facility and a copy of this report LIC809, 809-C, LIC858, LIC859, was read and provided to the facility.the state’s words, verbatim · CDSS document, Mar 6, 2025

Allegation investigated: Staff are verbally abusing clients. Staff are restricting a client from participating in activities.

An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez regarding the allegations mentioned above for the purpose of delivering findings. LPA met with Staff Edna Jose and explained the purpose of the inspection. Interviews were conducted with three facility staff, Resident 1 (R1) and two additional facility residents regarding the allegation staff are verbally abusing clients. Per Reporting Party (RP) verbal abuse consisted of staff making comments regarding R1’s body and weight. Three out of three staff interviewed denied personally verbally abusing residents, including R1 and denied witnessing any other staff verbally abusing residents or making comments about R1’s body or weight. During their interview, R1 denied staff ever made comments about their body or weight. Two out of two additional residents interviewed were unable to corroborate allegation and stated they enjoy the facility staff. (Cont. LIC9099-C) Unsubstantiated Interviews were conducted with three facility staff, R1, and two additional facility residents regarding the allegation staff are restricting a client from participating in activities. Three staff out of three staff interviewed denied personally restricting residents from participating in activities and denied having knowledge of any other staff restricting residents from participating in activities. R1 also denied activities being restricted or withheld by staff and stated they were allowed to freely engage in activities of preference. Per R1, making jewelry with beads, arts and crafts, and bubbles are their preferred activities and stated they were allowed to freely engage in these activities at the facility at their own leisure. One out of two residents interviewed could also not corroborate the allegation and were unable to confirm or deny if staff restrict participation in activities, but stated they attend day program regularly. One out of two residents stated they have a big screen television and surround sound in their bedroom that was installed by staff, and stated they are able to engage in this preferred activity freely. Due to allegations being uncorroborated during interviews conducted, LPA is unable to determine if staff are verbally abusing clients or if staff are restricting a client from participating in activities. Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore at this time the above allegations are unsubstantiated. An exit interview was conducted and copy of this report was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Apr 23, 2024 · control 22-AS-20240305162008

Allegation investigated: Facility failed to to seek timely medical treatment

Licensing Program Analyst (LPA) Andrea Mendivil conducted an unannounced visit to deliver findings on an investigation completed by the Department. LPA was greeted and granted entry into the facility by Caregiver Edna Jose and explained the reason for the visit. During course of the investigation, the Department interviewed staff and witnesses as well as reviewed and obtained pertinent documentation including Individual Program Plan, Physician Report and Garden Grove Hospital Medical Records. The purpose of today’s visit is to follow up on an investigation conducted by the Department regarding the above allegation. The investigation conducted revealed the following: Resident 1 (R1) was admitted to the facility on April 1, 2020. Physician report dated March 09, 2023, notes that R1 had a diagnosis of intellectual disability, scoliosis, and cerebral palsy. R1 is marked as having motor impairment/paralysis and is wheelchair bound. R1 is non-ambulatory and unable to transfer themselves in and out of bed. Unfounded On August 21, 2023, R1 was hospitalized at 9:58 AM per hospital admission records due to severe right leg pain. Hospital admission records reviewed note R1 reported right thigh pain with swelling for one week. R1 was determined to have a Periprosthetic fracture around their internal prosthetic right hip joint. Per a behavioral assessment report dated April 1,2023, R1 is wheelchair bound and is at risk for falls due to refusing staff assistance and trying to get up from their wheelchair or maneuver their wheelchair without supervision. The assessment notes R1 is very unsteady on their feet when they are bearing weight on their legs and can only stand briefly with staff assistance. There are times when R1 needs two staff assist for transfers due to being uncooperative. R1 is reported to have multilevel disc degeneration in their back and neck. Additionally, R1 has hip pain and osteoarthritis in their leg and previously under went a hip replacement surgery. During an interview with R1’s Regional Center of Orange County Service Coordinator (SC), it was noted a serious incident report (SIR) was submitted dated August 21, 2023, in which the facility reported R1 had reported having leg pain as early as August 18, 2023. When interviewed, the Licensee stated they had written the wrong date on the report and stated they became aware of R1’s pain on August 21, 2023 when staff brought it to her attention. Per interview conducted with Staff 1 (S1), R1 began expressing pain on August 20, 2023, while assisting them in the shower. S1 administered over the counter Tylenol and placed R1 in their wheelchair. S1 described R1 okay and as good. The following day, S1 reported assisting R1 with another shower. During the shower R1 did not express any pain or discomfort. S1 stated it was not until R1 was brought to the breakfast table that Staff 2 (S2) noticed swelling on R1’s thigh. S2 took a photograph of R1’s thigh and sent it to the facility Administrator informing them R1 needed to go to the hospital. S2 drove R1 to the hospital themselves and was later met there by the Licensee. An interview was attempted with R1, but unable to complete due to cognitive barriers. Therefore, based on interviews conducted and documents reviewed, the allegation that Facility failed to seek timely medical treatment is deemed Unfounded, meaning the allegation was false, could not have happen or is without reasonable basis. We therefore dismissed the complaint. An exit interview was conducted, and a copy of this report and confidential names list was provided at the facility.the state’s words, verbatim · CDSS document, Apr 15, 2024 · control 22-AS-20230824145331

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Administrator (AD) Claudia Olteanu and explained the purpose of the inspection. During the inspection LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a one-story home with six resident bedrooms, three staff bedrooms, four bathrooms, and unattached two-car garage. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. The backyard has a shaded sitting area. LPA observed residents resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 107.7-112.6 F degrees. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. Food menu was also posted and visible. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Facility has a total of three fire extinguishers, one in each hallway and one in the kitchen; all were observed to be fully charged with service tag dated December 18, 2023. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. Sharps were observed locked in a kitchen drawer. Laundry toxins, cleaning solutions, and disinfectants were observed to be accessible to residents in the laundry room, as well as in a resident’s bathroom under the sink. LPA also observed cans of paint being stored along the exterior of the unattached garage; a Deficiency was cited on today’s date. Medication cabinet was observed to be locked. LPA reviewed four resident files and four staff files. LPA interviewed three residents and two staff. (Cont. LIC809-C) Based on the observations made during today’s inspection, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeals was left at the facility.the state’s words, verbatim · CDSS document, Apr 11, 2024