Villa Antonio

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator Joseph Anthony Oliva. During the visit, LPA observed 5 residents and 2 staff. LPA explained the purpose of the visit. LPA toured the facility inside out with ADM which included the Living room, kitchen, dining room, 3 restrooms and 6 residents bedrooms. There was no obstruction to block the walkways. The staff area of the facility was also inspected. The front yard and backyard were inspected. Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 72 degrees F, and hot water temperature was measured at 116 degrees F in resident bathrooms. Fire extinguisher was serviced in May 18, 2026. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on July 7, 2026. LPA reviewed facility disaster plan, which was last reviewed/updated on September 3, 2026. LPA reviewed facility records for 3 staff and 3 residents. LPA reviewed 3 resident medications and centrally stored medication records. No deficiencies cited during today's visit. This report was reviewed with Administrator Joseph Anthony Oliva and a copy of the signed report was provided.the state’s words, verbatim · CDSS document, Sep 3, 2026

Type of visit: Case Management - Other

Licensing Program Analyst Manuel Monter conducted an unannounced case management- other regarding the facility’s bedridden increase request. LPA met with Administrator Joseph Anthony Oliva and explained the purpose of the meeting. On December 29, 2025, the Department received a hospice increase request from 3 to 4 hospice residents. On January 5, 2026, ADM requested an increase to his bedridden capacity . On January 18, 2026 ADM stated he was no longer interested in adding additional bedridden. ADM stated the fire Marshall informed him, there would need to be a sprinkler system needed and fire doors. ADM stated its beyond his budget to make those changes. During todays visit, LPA discussed with ADM the number of bedridden residents and residents under hospice. ADM stated he currently has 2 residents under hospice, who are able to reposition. ADM stated going froward he will ensure when he accepts residents into the facility, to keep in mind his 1 bedridden fire clearance. LPA requested a copy of the resident roster. ADM agreed and understood that he must be complaint with his fire clearance and must only retain 1 bedridden resident at a time. No deficiency was cited during todays visit. This report was reviewed with Administrator Joseph Anthony Oliva. A copy of this report was provided.the state’s words, verbatim · CDSS document, May 11, 2026

Type of visit: Case Management - Other

Licensing Program Analyst Manuel Monter conducted an unannounced case management- other regarding the facility’s bedridden increase request. LPA met with Administrator Joseph Anthony Oliva and explained the purpose of the meeting. During todays visit, LPA discussed with ADM the number of bedridden residents and residents under hospice. LPA also discussed with ADM the results of the fire clearance request. ADM stated he is no longer interested in adding additional bedridden. ADM stated the fire Marshall informed him, there would need to be a sprinkler system needed and fire doors. ADM stated its beyond his budget to make those changes. ADM stated he currently has two residents under hospice, who are able to reposition. ADM stated going froward he will ensure when he accepts residents into the facility, to keep in mind his 1 bedridden fire clearance. LPA requested a copy of the resident roster. No deficiency was cited during todays visit. This report was reviewed with Administrator Joseph Anthony Oliva. A copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 18, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator (ADM) Joseph Anthony Oliva. During the visit, LPA observed 6 residents and 2 staff. LPA explained the purpose of the visit. LPA toured the facility inside out with ADM which included the Living room, kitchen, dining room, 3 restrooms and 6 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected. There was no obstruction to block the walkways. During the tour of the backyard, LPA noted some clutter alongside the backyard of the facility. LPA also noted some clutter in the inside of the facility as well. LPA advised ADM to de-clutter both the inside and outside of the facility. Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 75 degrees F, and hot water temperature was measured at 114 degrees F in resident bathrooms. Fire extinguisher was serviced in May 9, 2025. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on July 9, 2025. The facility's emergency and disaster plan was last reviewed on October 22, 2024. Page 1 Out of 2. LPA reviewed facility records for 3 staff and 3 residents. LPA reviewed 3 resident medications and centrally stored medication records. LPA reviewed resident records. Based on a review, R1-R3's Needs and services plans are not updated and are over 12 months old. ADM stated he has not updated R1-R3's Needs and services plans. A deficiency is cited during today's visit. A technical violation was cited. This report was reviewed with Administrator Joseph Anthony Oliva and a copy of the signed report was provided. Page 2 Out of 2.the state’s words, verbatim · CDSS document, Sep 3, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Manuel Monter and Marcela Yanez conducted an unannounced annual inspection visit, and met with Administrator (ADM) Joseph Oliva. During the visit, LPA observed 3 residents and 3 staff. LPA explained the purpose of the visit. LPA toured the facility inside out with ADM which included the Living room, kitchen, dining room, 3 restrooms and 6 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected. There was no obstruction to block the walkways. Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 72 degrees F, and hot water temperature was measured at 108 degrees F in both resident bathrooms. Fire extinguisher was serviced in 04/29/24. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on 08/06/2024. LPA conducted interviews with 1 staff and 1 residents. LPA reviewed facility records for 3 staff and 3 residents. LPA reviewed 3 resident medications and centrally stored medication records. While reviewing resident R2's medications, LPA's observed medication #1's bottle did not contain the prescription label. R2's medication bottle 1 did not have the prescribing physician, dosage, or name of resident. ADM stated the box was discarded. a Deficiency are being cited during today's visit. This report was reviewed with Administrator Joseph Anthony Oliva and a copy of the signed report was provided. Appeal rights were provided.the state’s words, verbatim · CDSS document, Aug 15, 2024

Type of visit: Case Management - Other

On January 4, 2024, Licensing Program analysts (LPA's) Manuel Monter, and Steve Chang conducted an unannounced case management visit to check if the facility is complying with their plan of action, after being cited on December 19, 2023. LPA's observed 4 residents in the facility with 2 staff members. During today's visit, LPA's toured the facility inside and out with ADM. LPA's did not observe S1 working at the facility, the staff member who was excluded on December 19, 2023. LPA's observed the locked storage units the backyard. ADM opened the locked storage units and the storage units are being used as storage units. ADM stated the excluded staff member no longer works at the facility since December 19, 2023 and has not entered the facility since then. ADM stated the facility's plan of action regarding the covid is to test the residents again in 5 days because only 1 resident tested positive. If a resident tests positive, then we quarantine them. ADM stated he already sent an incident report regarding the covid positive case. ADM stated there is no change in visitors policy, but he encourages them to wear masks. ADM stated he also informed the family's of the coivd positive case in the facility. No deficiencies cited during today's visit. This report was reviewed with ADM Joseph Anthony Oliva and a copy of the signed report was provided.the state’s words, verbatim · CDSS document, Jan 4, 2024

Allegation investigated: Staff verbally abusive to a resident. Staff did not report physical and verbal abuse to licensing.

On December 19, 2023, Licensing Program analysts (LPA's) Manuel Monter, Mita Partoza and Licensing Program Manager (LPM) Romeo Manzano conducted an unannounced complaint investigation. LPA's and LPM with Administrator (ADM) Joseph Anthony Oliva, and explained the purpose of the visit. On December 18, 2023, the department received a complaint alleging facility staff verbally abused a resident. Staff verbally abusive to a resident. On December 19, 2023, LPA's and LPM interviewed 3 out of 3 staff. 2 Out of 3 staff interviewed stated that staff S1 verbally abused R1 sometime in October 2023. 2 out of 3 staff alleged S1 would also verbally abuse resident R2 who no longer lives at the facility, by screaming at him/her. Page 1 out of 2. Substantiated LPA's interviewed 6 out of 6 residents. 4 Out of 6 residents denied the allegation. 2 residents were not able to respond to interview due to neurocognitve disorder. Based on the interviews conducted with residents and staff & records review, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the above allegations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No deficiencies cited, Exit interview conducted with Administrator, Joseph Anthony Oliva and a copy of the report was provided. Staff did not report physical and verbal abuse to licensing. On December 19, 2023, LPA's and LPM interviewed 3 out of 3 staff. 2 Out of 3 staff interviewed stated that staff S1 verbally abused R1 sometime in October 2023. Staff S2 and S3 stated they did not report because they were afraid to report it. Based on staff facility file, 3 out of 3 staff did not have training on mandated reporting. Based on a review of the evidenced provided, S1 was verbal berating R1 (“why do you have to know everything”, “you’re so crazy”, “you’re making me mad now”, and “see, it’s broken now [as if the breaking was R1’s fault]”). S1 clapping his/her hands loudly in the face of R1; slamming the cord forcefully into the lamp and breaking the cord connection and slamming of the cord was jolting. Based on interviews and evidenced reviewed the preponderance of evidence standard has been met therefore the above allegations is found to be SUBSTANTIATED. Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 9099-D. This report was reviewed with Administrator Joseph Anthony Oliva and a copy of the report was provided. Appeal Rights was provided. Page 2 out of 2.the state’s words, verbatim · CDSS document, Dec 19, 2023 · control 26-AS-20231218120700

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(1) · Plan of correction due date: Dec 20, 2023

87468.1 Personal Rights of Residents in All Facilites (a)(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by; Based on evidence reviewed and interviews with conducted, 2 Out of 3 staff admitted that S1 verbally abused resident R1. The facility staff did not acccord dignity to residents in care. This poses an immideate threat to health, saftey and personal rights risk to person in care.the state’s words, verbatim · CDSS document, Dec 19, 2023

Plan of correction: ADM stated he will send a plan of action on how the facility will ensure staff accord residents with dignity. ADM will send the plan of action by POC date, 12/20/2023.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Dec 20, 2023

87211 Reporting Requirements (a)(1)(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidenced by Based on evidence reviewed & interviews with conducted, 2 Out of 3 staff admitted that S1 verbally abused resident R1. 2 Out of 3 staff acknowledge the verbal abuse occured a month ago & they did not report it. This poses an immideate threat to health, saftey & personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Dec 19, 2023

Plan of correction: ADM stated he will send a plan of action on how facility staff will meet reporting requirments. ADM will send plan of action to LPA by POC date, 12/20/2023.

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.50(a)(3) · Plan of correction due date: Dec 20, 2023

1569.50 Denial, suspension or revocation of license; ...exclusion from licensee without right to petition for reinstatement (a)(3) Conduct that is inimical to the health, morals, welfare, or safety ... from the facility or the people of the State of California. This requirement was not met as evidenced by; Based on interviews conducted, and evidenced reviewed, the facility staff verbally abused a resident in care. 2 Out of 3 staff admitted a staff member verbally abused a resident. This poses an immediate threat to residents health, safety and personal rights.the state’s words, verbatim · CDSS document, Dec 19, 2023

Plan of correction: ADM stated that S1 will be terminated and removed effective today. ADM stated S1 will move from the facility and will be relocated at Licensee's home.

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.625(b)(1) · Plan of correction due date: Dec 26, 2023

1569.625 Staff training; legislative findings; contents (b)(1)The department shall adopt regulations to require staff members of residential care facilities for the elderly ...This training shall consist of 40 hours of training.... This requirement was not met as evidenced by; Based on staff training records review & interviews, Staff did not receive training on mandated reporting/elder abuse & filling out SOC341. ADM also acknowledged he/she did not provide training on mandated reporting of elder abuse. This poses an immediate threat to residents health, safety & personal rightsthe state’s words, verbatim · CDSS document, Dec 19, 2023

Plan of correction: ADM stated he/she will provide training for staff. ADM stated he will send documentation to LPA by POC date, 12/26/2023.

Type of visit: Case Management - Other

On December 19, 2023, Licensing Program analysts (LPA's) Manuel Monter, Mita Partoza and Licensing Program Manager (LPM) Romeo Manzano conducted a case management visit/inspection during a complaint investigation. LPA's observed 6 residents in the facility with 3 staff members. As a result of the complaint investigation, the Department issued an immediate exclusion letter to exclude a staff (S1) who is currently works and resides at the facility. The letter was given to and reviewed to S1 and Administrator/Licensee. This report is reviewed and discussed, and a copy is provided. During a complaint investigation interview with the staff, LPA's and LPM observed staff S2 and his/her spouse exit from the backyard storage area. S2 and his/her spouse was observed folding blankets and storing them at adjacent storage unit. S2 stated he/she was staying in the storage area with his/her spouse while waiting for S2 to leave work and stays until 2PM when his/her child goes out of school daily (Monday to Friday) since the school year began, sometime in August 2023. Staff S1 and S3 confirmed that S2's spouse comes to the facility, and waits for S2 to finish his/her night shift. S1 and S3 confirmed S2's spouse other also enters the facility to use the restroom as well. LPA's reviewed Guardian, and S2's spouse is not fingerprinted. S2's spouse went to obtain his/her livescan, and was informed to refrain from being present in the facility. On October 24, 2023, the facility was cited under code 87202(a) by having staff members use the storage area in the backyard as a rest area/living quarter. LPA also inspected the storage area, which contained electric wires. Based on interviews and LPA's observations, facility staff continue to use the backyard storage space as a rest area. A civil penalty is being assessed for the amount of $1,000 for a repeat violation within the same year. Page 1 out of 2. Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 9099-D. A civil penalty is being assessed for the amount of $100 ($100 per day x 5 day = $500) for S1's spouse staying at the facility without fingerprints. During todays visit, LPA's and LPM explained the exclusion letter to S1. LPA's and LPM observed S1 leave the facility effective immediately. This report was reviewed with Administrator Joseph Anthony Oliva and a copy of the report was provided. Appeal Rights was provided. Page 2 out of 2.the state’s words, verbatim · CDSS document, Dec 19, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a) · Plan of correction due date: Dec 20, 2023

87202(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. ... This requirement was not met as evidenced by Based on observation & interview, the ADM did not comply with the section cited above. LPA observed S2 leaving the storage unit with his/her spouse. S2 admitted that he/she was resting in the storage area. This poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Dec 19, 2023

Plan of correction: ADM stated he will send plan of action on how he/she will ensure the facility is adhering to their fire clearence and ensure the facility storage units are not being used as a sleeping/rest area. This is a repeat citation, issued on 10/24/2023.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87355(e)(1) · Plan of correction due date: Dec 20, 2023

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption ... This requirement is not met as evidenced by: Based on interviews, record review and observation the ADM did not ensure S2's spouse received a fingerprint clearance from the Department pior to S2 residing at the facility, which poses an immediate health, safety, and personal rights risk to persons in carethe state’s words, verbatim · CDSS document, Dec 19, 2023

Plan of correction: ADM will review section 87355 and submit a statement of understanding to LPA by POC due date, December 12, 2023.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator (ADM) Joseph Anthony Oliva. During visit, LPA observed 5 residents and 2 staff on duty(not including ADM). LPA toured the facility inside out with ADM which included; the Living room, kitchen, dinning room, 2 restrooms and 6 residents bedrooms. The staff area of the facility was also inspected. Front yard and backyard were inspected. There was no obstruction to block the walkways. Two day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication closet, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 77 degrees F, and hot water temperature was measured to range between 112-115 degrees F in both resident bathrooms. While touring the backyard, LPA observed a tool bag (with included scissors) and a block of knives near the storage units, across bedroom # 4's outside exit (Photographs were taken). LPA asked ADM if the residents have access to the back yard. ADM stated the residents can come to the backyard. LPA also observed can of paint and can of WD-40 accessible to residents in care. (Photographs were taken.) While touring the backyard, LPA observed a two storage units. LPA asked ADM to open the one door storage unit and LPA observed it being used as storage. LPA requested ADM open the other storage unit with two doors. ADM opened the door and there was a mattress on the ground with blankets. ADM stated the storage unit is used as a "rest area" but don't sleep there. ADM stated the storage unit is a "rest area" and no one lives there. Page 1 out of 2. LPA interviewed Staff S1 and S2. LPA consulted with LPM Manzano if LPM can assist with staff interview in Filipino language (Tagalog). LPM conducted interviews with Staff S1 and S2 on the phone. S1 stated as of August 2023, he/she and his/her child stay in the storage room while waiting for his/her spouse from work who get off from work between 12am to 1am. S1 admitted he/she is resting/sleeping in storage room with his/her 6-year-old child until his/her spouse picks them up. S1 works from 7am to 3pm and often gets off late from work wherein he/she does not have a childcare, so he/she was allowed to occupy storage room. Staff (S2) was interviewed who stated that the storage room was built for their previous male staff in the facility. S2 stated that male staff gets off work early mornings wherein they opted to sleep in the living room instead of going home at dawn wherein licensee/administrator has decided to convert the storage room as a designated staff resting area until present. S2 confirmed that S1 utilizes the storage room along with his/her 6-year-old child while waiting for his/her spouse gets off from work at 12am. LPM informed S1 and S2 agreed and understood that no staff or any individual is allowed to sleep in the following areas without building permit and fire clearance such as but not limited storage room, living room, and garage. Fire extinguisher was serviced in May 03, 2023. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on December 2021. ADM stated "we haven't done one in the past year." LPA reviewed facility records for 3 staff and 3 residents. LPA reviewed 3 resident medications and centrally stored medication records. LPA conducted interviews with 3 staff (S1 to S3) and 3 residents (R1-R3). LPA and ADM discussed the storage unit. ADM agreed and understood that no staff or any individual is allowed to sleep in the following areas without building permit and fire clearance such as but not limited storage room, living room, and garage. Deficiencies are being cited per California Code of Regulations, Title 22. See LIC809-D. Exit interview was conducted with Administrator Joseph Anthony Oliva. Appeal rights were provided.the state’s words, verbatim · CDSS document, Oct 24, 2023