Villa Angela Residential Home

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Type of visit: Case Management - Deficiencies

On 07/28/26 Licensing Program Analyst (LPA) Mario Leon conducted a case management visit to deliver one (1) deficiency, related to California Department of Social Services (CDSS) observation on 05/26/26. CDSS has observed that one (1) Staff (S1) did not produce any Special Incident Report (LIC624) related to R1 being relocated. There has been one (1) deficiency delivered during today's visit. Please see LIC809-D. An exit interview was held with Shirley Danting - Administrator, and a copy of one (1) deficiency, facilities' appeal rights and this report have been provided.the state’s words, verbatim · CDSS document, Jul 28, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Aug 24, 2026

87211 - Reporting Requirements (a) Each licensee shall furnish...reports as the Department may require, including, but not limited to... (1) A written report... to the licensing agency...within seven days of the occurrence of any of the events specified in (A) through (D) below. (D)Any incident which threatens the welfare, safety or health of any resident... This has not been met as evidenced by: LPA's record reviews revealed Administrator did not submit any LIC624 on 04/23/26, which poses/posed a potential health risk to residents in care.the state’s words, verbatim · CDSS document, Jul 28, 2026

Plan of correction: LPA and Administrator have agreed that the facility will train care staff regarding reporting requirements, under 87211. Facility will require all staff who have conducted in-service training to follow a sign-in sheet which will include the section(s) of 87211 that have been covered. Administrator will forward all information to LPA, via email, at MARIO.LEON@DSS.CA.GOV

We haven’t transcribed this report yet. The complete document is on the state’s site.

Type of visit: Required - 1 Year

On 03/23/26, at 09:15am, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced annual required inspection visit to Villa Angela Residential Home. LPA was met by Administrator, Shirley Danting, and the purpose of today’s visit was explained. The facility is licensed for (6) non-ambulatory elderly residents ages 60 and above and is approved for (4) hospice residents. Currently, the facility has (6) residents. The facility’s annual fees are current. The facility is a single-story structure located in a residential neighborhood. It consists of (5) bedrooms (2) bathrooms, a living area, a dining area, a kitchen, and an outside covered patio area. At 9:30am, LPA and staff toured the facility. There are no bodies of water or firearm/ammunition on the premises. All resident rooms were checked. Beds and bedding were in good condition, adequate lighting provided, and adequate storage for resident personal belongings was observed. Walls and floors were in good repair. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations. Toilets and water faucets worked properly. The shower was free of mold/mildew, there was adequate lighting, and sufficient toiletries were accessible to clients. The water temperature measured 114.6F degrees. A comfortable temperature is maintained in the facility. LPA observed the facility to be clean, sanitary, and appropriately furnished at the time of visit. Storage areas for cleaning agents, toxins, and sharps were inaccessible to residents. The kitchen was inspected and there is enough perishable and non-perishable food available for the residents. All food items were stored properly. Report Continued On LIC809-C The water temperature measured 115.5F in the kitchen. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked with manual. The fire extinguisher was charged and last inspected on 04/01/2025. The smoke/ carbon monoxide detectors were operable. The last fire/emergency drill was conducted on 01/09/2026. The facility’s administrator’s certificate (7005186740) was valid from 07/26/2024 through 07/25/2026. The facility’s liability insurance was valid from 06/22/2025 through 06/22/2026. LPA conducted a review of (6) resident records, (6) staff records, and reviewed the facility disaster plan. LPA observed that residents had the following current reports in their file: Physician’s report, Admission Agreements, Identification and Emergency Information, Pre-Placement Appraisals, Resident Appraisals, Personal Rights, and Appraisal/Needs Service Plan. Staff records were complete with required documents and training. The facility disaster plan was current and in compliance with Title 22 at the time of visit. LPA reviewed (6) resident medication administration records, medication, and did not observe any discrepancies at the time of visit. During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff, and residents. LPA observed that sanitizing stations were in common areas and restrooms. LPA observed that the facility had the required postings, posted throughout the facility. LPA advised the facility to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing (www.cdss.ca.gov) for Provider Informational Notices (PIN) and for any updates relating to COVID-19 guidance and other related issues. No deficiencies were cited during this Annual Inspection visit. An exit interview was held, and a copy of this Facility Evaluation Report was provided to Shirley Danting, Licensee.the state’s words, verbatim · CDSS document, Mar 23, 2026

Type of visit: Required - 1 Year

On March 26, 2025, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with licensee Shirley Danting and explained the purpose of today’s visit. The facility is licensed for (6) non-ambulatory elderly residents ages 60 and above and is approved for (4) hospice residents. The facility is a single-story structure located in a residential neighborhood. It consists of (5) residents' rooms, (2) shared bathrooms, a living area, a dining area, a kitchen, and an outside covered patio area. LPA and licensee toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition; adequate lighting and storage for the residents' personal belongings were observed. Bed linens, comforters, and bath towels were adequately stocked during the visit. Bathrooms were found to be within Title 22 regulations and were clean and operational—the water temperature measured 120.0 F. A comfortable temperature of 72 degrees was maintained in the facility. LPA observed the facility to be sanitary and appropriately furnished during the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and inaccessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was appropriately maintained. The facility has (1) a fire extinguisher that was charged, smoke detectors, and carbon monoxide alarms. LPA reviewed Medication Administration Records (MAR), revealed accurate and maintained in order. The facility conducted a Fire/Safety Drill on 01/10/25. A working landline telephone remains available. Evaluation Report Continues on LIC 809-C During the visit, LPA observed the facility's infection control practices. Staff followed screening protocols for visitors, staff, and residents and sanitized stations in common areas and restrooms. The facility has a 30-day supply of Personal Protective Equipment (PPE). Posters mandated for inspection control were posted. An audit of residents #1-#6 (R1-R6) service records and staff #1-#6 (S1-S6) personnel records revealed that they are complete. The facility has current liability insurance coverage effective 06/22/24 through 06/22/25. The facility is current on Community Care Licensing annual dues. The facility has a current administrator certificate for Shirley Danting #7005186740, expiring 07/25/26. No deficiencies were cited during this inspection visit. An exit interview was conducted with Shirley Danting, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Mar 26, 2025

Type of visit: Required - 1 Year

On 02/29/24, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with licensee Shirley Danting and explained the purpose of today’s visit. The facility is licensed to operate for (6) non-ambulatory elderly residents ages 60 and above. The facility is approved for (4) hospice residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: (5) residents' rooms, (2) common bathrooms, living area, dining area, kitchen, and outside covered patio area. LPA and licensee toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured 116.1 F. A comfortable temperature of 73 degrees was maintained in the facility. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. The facility has (1) fire extinguisher that was charged, smoke detectors, and carbon monoxide were operable. LPA reviewed Medication Administration Records (MAR) revealed accurate and maintained in order. The facility conducted a Fire/Safety Drill on 02/09/24. A working landline telephone remains available. Evaluation Report Continues on LIC 809-C During the visit, LPA observed the facility's infection control practices. LPA observed staff followed screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). Posters mandated for inspection control were posted. An audit of residents #1-#6 (R1-R6) service records and staff #1-#4 (S1-S4) personnel records revealed to be complete. The facility has a current liability insurance coverage effective 06/23/23 through 06/23/24. The facility is current on CCL annual dues. The facility has a current administrators certificate for Shirley Danting # 6071726740 expiration 07/25/24. No deficiencies cited during this inspection visit. An exit interview conducted with Shirley Danting and a copy of the report is provided.the state’s words, verbatim · CDSS document, Feb 29, 2024