Villa Amor

Type of visit: Required - 1 Year

On 4/20/2026, LPA Grace Donato arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with staff, Ester Honrado. Administrator/Licensees Virgil and Amor Valin was unable to meet LPA at the facility. LPA toured the facility with staff to include 5 resident bedrooms one of which is shared, living room, kitchen, laundry room, and backyard. Resident bedrooms observed with adequate lighting, bed, linens, dresser, and night stands. Bathroom observed with hygiene products. Shower observed with grab bars and non-slip mats. Bathroom hot water temperature maintained at 113.5 degrees Fahrenheit. All fire exits were free and clear of obstruction. Fire extinguisher last serviced on 2/24/2026. Carbon monoxide detector observed operable. Fire place observed screened. Kitchen observed with at least 7 days worth of non-perishable foods and 2 days worth of perishable foods. Refrigerator temperature maintained 40 degrees Fahrenheit. Freezer temperature maintained at 0 degrees Fahrenheit. Chemicals observed to be locked. LPA observed a resident's prescription injection that was inaccessible inside the refrigerator. It is placed on a locked case that only staff have access. There is also a container for proper disposal of needle used for the injection. LPA reviewed 4 residents records and 3 staff records. Medication records were also reviewed. All are updated and complete. No deficiencies cited today. Report is reviewed and copy is provided.the state’s words, verbatim · CDSS document, Apr 20, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with staff, Ester Honrado. Administrator/Licensees Virgil and Amor Valin was unable to meet LPA at the facility. LPA toured the facility with staff to include 5 resident bedrooms, staff bedrooms, living room, kitchen, laundry room, and backyard. All fire exits were free and clear of obstruction. 3 staff members present are fingerprint cleared and associated to the facility. Fire extinguisher last serviced on 01/06/2025. Carbon monoxide detector observed operable. Fire place observed screened. Kitchen observed with at least 7 days worth of non-perishable foods and 2 days worth of perishable foods. Refrigerator temperature maintained 40 degrees Fahrenheit. Freezer temperature maintained at 0 degrees Fahrenheit. Chemicals observed secured. LPA observed a resident's prescription injection that was accessible inside the refrigerator. All residents are able to access the refrigerator. Staff states they do not lock the resident's injections in the refrigerator. LPA advised to purchase a lock box/bag to place the refrigerated medications inside to ensure the medication is inaccessible to other residents in care. During visit, staff placed the resident's refrigerated medication in the staff living quarters which is off limits to the residents. Staff states that after the resident self administers their injection, they place the needle in the trash. It was stated that the facility does not have an appropriate container to properly dispose of the resident's needles. LPA advised to ensure needles are disposed of properly. See LIC809-C. Resident bedrooms observed with adequate lighting, bed, linens, dresser, and night stands. Bathroom observed with hygiene products. Shower observed with grab bars and non-slip mats. Bathroom hot water temperature maintained at 113.5 degrees Fahrenheit. Inside 1 of the resident bedrooms, LPA observed a prescription mouthwash that was left accessible. Based on review of the resident's file, the resident is not able to store their own medication. Staff was advised to ensure all centrally stored medications are not accessible to residents in care. The facility has an emergency disaster plan. The facility's last emergency disaster drill was completed in January and April 2025. The facility has an infection control plan. LPA reviewed 3 residents records. 3 out of 3 resident records observed maintained to include an admission agreement, updated medical assessment, TB result, updated appraisal/needs and services plan, personal rights, consent form, and safeguard of personal property and valuables. 3 out of 3 resident centrally stored medication records observed maintained. 1 out of 3 resident has cash resources being maintained by the facility, which was reviewed with staff. No issues noted. LPA reviewed 3 staff files to include a 1st aid certification, health screening, TB result, personnel record, and fingerprint clearance. 3 staff are provided training in compliance with Title 22 regulations. Deficiencies were cited per California Code of Regulations, Title 22. See LIC809-D. The plan of corrections were reviewed with Administrator/Licensees Amor and Virgil Valin via telephone. This report was reviewed with staff, Ester Honrado and a copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, Apr 24, 2025

Allegation investigated: Night supervision staff did not respond to resident's call for help

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to deliver the finding of the above allegation. LPA met with Administrator, Virgil Valin. On 04/11/2022, the Department received a complaint alleging the night supervision staff did not respond to resident’s call for help. On 04/19/2022, the initial complaint investigation was conducted. The following documents were obtained to include four residents physician's report, 4 resident's needs and services plan, LIC624, staff schedule for the month of April, LIC500, and police report records. PAGE 1 OF 2. Substantiated On 04/06/2022, the Sheriff’s Department was contacted and found a resident (R1) outside at 3:00AM calling for help. R1 is legally blind and the Sheriff’s were trying to get ahold of the live-in staff (S1) for over 45 minutes with no success. The Administrator was contacted after, and the live-in staff came out of the room. Based on interview with the Administrator (ADM), it was stated that they have 2 live-in staff at the facility. ADM questioned the staff on why they couldn’t hear the Sheriff banging on their door. ADM states the staff were sleeping at the time and was apologetic. ADM states the facility does not have an awake care staff because the residents are independent and does not require night-time supervision. ADM states the live-in staff are only required to do midnight bathroom checks. It was stated that they used to have alarms on the door, but it wasn’t serving any purpose because the residents are high functioning. Residents are free to go outside in the driveway or the backyard. Based on interview with staff (S1), S1 states to have checked in on the resident’s around 2:00 – 2:30AM and observed R1 was in the room. After 2:30AM, S1 did not know why and when R1 went outside. S1 states to have not heard the knocking because S1 was sleeping. Based on resident interview, it was stated that R1 went outside to get some fresh air when he/she fell down and couldn’t get up. R1 was calling for help. R1 denied any pain when he/she fell. The review of records confirms that R1 was sitting outside of the facility yelling for help. The Sheriff’s knocked on S1’s locked door hard and loud for approximately 45 minutes but was unable to wake up S1. The Department has investigated the above allegation. Based on interview, record review and observation the preponderance of evidence standard has been met, therefore, the above allegation is substantiated. A deficiency was cited per California Code of Regulations, Title 22. See LIC9099-D. A case management visit was conducted on 08/14/2024 due a violation observed during the complaint investigation. See LIC809. This report was reviewed with Administrator, Virgil Valin and a copy of the report and appeal rights were provided. PAGE 2 OF 2.the state’s words, verbatim · CDSS document, Aug 14, 2024 · control 26-AS-20220411150326

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87415(a)(1) · Plan of correction due date: Aug 15, 2024

(a) The following persons providing night supervision from l0:00 p.m. to 6:00 a.m. shall be familiar with the facility's planned emergency procedures, ... and shall be available as indicated below to assist in caring for residents in the event of an emergency. (1) In facilities caring for less than sixteen (16) residents, there shall be a qualified person on call on the premises. This requirement is not met as evidenced by: Based on interview, record review and observation the licensee did not ensure the on-call staff on the premises was available to assist in caring for R1 timely when R1 was outside of the facility yelling for help which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 14, 2024

Plan of correction: Licensee will submit a written plan regarding the section cited to LPA Dolores via email by POC due date.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct a case management – deficiencies visit. LPA met with Administrator, Virgil Valin. During a complaint investigation for control number: 26-AS-20220411150326, a violation was observed. Based on record review, the incident with resident (R1) occurred on 04/06/2022. The Licensee did not submit the incident report until requested on 04/19/2022. The Department received the incident report 7 days after the occurrence date. A deficiency was cited per California Code of Regulations, Title 22. See LIC809-D. This report was reviewed with Administrator, Virgil Valin and a copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, Aug 14, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1) · Plan of correction due date: Aug 22, 2024

(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. … This requirement is not met as evidenced by: Based on interview, record review and observation the licensee did not ensure to submit a written incident report to the Department regarding the incident that occurred with resident (R1) which poses a potential health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 14, 2024

Plan of correction: Licensee will submit a written plan of the section cited to LPA Dolores via email by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with Administrators, Amor and Virgil Valin. LPA toured the facility with staff to include 5 resident bedrooms, staff bedrooms, living room, kitchen, laundry room, and backyard. All fire exits were free and clear of obstruction. 2 staff members present are fingerprint cleared and associated to the facility. Fire extinguisher last serviced on 12/08/2023. Carbon monoxide detector observed operable. Fire place observed screened. Kitchen observed with at least 7 days worth of non-perishable foods and 2 days worth of perishable foods. Refrigerator temperature maintained 37 degrees Fahrenheit. Freezer temperature maintained at 0 degrees Fahrenheit. Sharp objects, chemicals, and disinfectants observed locked. Resident bedrooms observed with adequate lighting, bed, linens, dresser, and night stands. Bathroom observed with hygiene products. Shower observed with grab bars and non-slip mats. Bathroom hot water temperature maintained at 108 degrees Fahrenheit. The facility has an emergency disaster plan. The facility's last emergency disaster drill was conducted in April 2023. Facility was advised. Facility has emergency lighting. The facility has an infection control plan, however, LPA was unable to review the infection control plan in the facility. Administrator states to ensure the infection control plan will be available in the facility. LPA observed the facility's PPE supplies. SEE LIC809-C. LPA reviewed 4 residents records. 4 out of 4 resident records observed maintained to include an admission agreement, medical assessment, TB result, appraisal/needs and services plan, personal rights, consent form, and safeguard of personal property and valuables. 4 out of 4 resident centrally stored medication records observed maintained. 4 residents were interviewed during visit. LPA reviewed 4 staff files to include a 1st aid certification, health screening, TB result, personnel record, and fingerprint clearance. LPA reviewed the staff member's training records. 3 staff members were interviewed during visit. A deficiency was cited per California Code of Regulations, Title 22. See LIC809-D. Advisory note provided. This report was reviewed with Administrator Virgil Valin and a copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, Apr 25, 2024